Text丨Shenzhen Special Zone Daily commentator Zhao Xin
Recently, Ms. Guo from Henan accidentally fell and hit her head, and after doing CT in the city hospital, she returned to the county hospital with ** but asked her to do it again. The same examination items, the same examination site, changing hospitals or even changing hospitals or departments, and having to check again, this situation makes many patients dissatisfied.
Repeat examinations are not only a financial burden for patients, but also a waste of time and energy. Patients need to go to different hospitals or departments for the same examination items during the medical treatment process, which undoubtedly prolongs the medical treatment time and wastes valuable time in the race against the disease on repeated examinations. In fact, as early as 2006, the General Office of the former Ministry of Health issued the "Notice on Issues Concerning the Mutual Recognition of Medical Examinations and Medical Imaging Examinations among Medical Institutions", requiring the promotion of the implementation of the mutual recognition system for medical examinations. However, in the actual operation process, it is not satisfactory, and the phenomenon of "not being able to recognize, unwilling to recognize, and dare not recognize" still exists in some places. There are technical factors to this, such as inspection equipment no.
1. The standards are different, the consistency of the results cannot be guaranteed, and once a medical accident occurs, it is impossible to clarify the person responsible for the accident; There are also interest reasonsMany medical and health institutions still have the thinking of "medical care through inspection", so the motivation to promote the implementation of the system is insufficient.
But,Whether from the perspective of convenience for patients or from the perspective of efficient use of medical insurance, it is necessary to promote mutual recognition of medical examinations. In recent years, many places have accumulated good methods and good experience in solving the problem of mutual recognition of medical examinations.
For example, Shenzhen has gradually established standards and rules for mutual recognition of inspection and test results in the past few years, and now, dozens of medical institutions rely on the mutual recognition and sharing platform of medical examination and test results, so that doctors can directly access the digital medical imaging data of patients in district-level hospitals to achieve sharing. For the problem of the reduction of hospital income caused by mutual recognition of medical examinations, Zhejiang has introduced relevant incentive policies to adopt the method of not reducing the total budget of the medical insurance region and the total budget of a single medical institution to eliminate the concerns of hospitals. In view of the difficulty in dividing medical responsibilities, Fuyang District of Hangzhou City has set up provincial, autonomous and municipal expert committees on medicine, medical affairs and legal affairs to control the implementation and evaluation of mutual recognition projects and protect the legitimate rights and interests of doctors in mutual recognition.
Visible,To solve the problem of "unable to recognize, unwilling to recognize, and dare not recognize" in the mutual recognition of medical examinations, it is necessary to have institutional guarantees, technical support, and incentive measures. In short, mutual recognition of medical examinations is imperative and should become the norm in the medical field.