The annual physical examination is a practical measure to monitor and manage their own health indicators, and the people are paying more and more attention to the annual physical examination. Indeed, many people have found hidden health hazards and precursors of diseases through physical examinations, and carried out symptomatic treatment as soon as possible, eliminating hidden dangers and avoiding aggravation of diseases. This is a fortunate event for both individuals and families, and it is also a gratifying progress in the construction of a healthy China. However, there are also many drawbacks to the annual physical examination.
Tang Liang, deputy to the National People's Congress, vice chairman of the All-China Federation of Industry and Commerce, and chairman of Aosheng Group, pointed out the shortcomings of the current annual physical examination: the physical examination items that have been followed for many years remain unchanged, and there is a lack of improvement and progress that keeps pace with the times. He also made a representative suggestion in that regard.
In the middle is Tang Liang, a deputy to the National People's Congress.
There are three major problems with the annual physical examination
Tang Liang told reporters that people's criticism of the annual physical examination is mainly to complain about the carelessness of the physical examination, and compared with the hospital to see a doctor, even if the same testing instrument is used, the signs of disease are often not found. "In real life, I have encountered such an example: a person did not find anything abnormal in his lungs during a physical examination, but when he went to the hospital two weeks later with a cough, he was diagnosed with early lung cancer using the same medical equipment. Tang Liang said that there are many such cases, which make people feel embarrassed, and also make people feel that the various drawbacks of the annual physical examination must be faced. In his opinion, there are three main problems in the current annual physical examination. First of all, the examination items of the annual physical examination have remained unchanged for many years, and some examination items are actually unnecessary, such as measuring height and weighing. "Tests such as blood pressure measurement and electrocardiogram are done once in time, and it is also meaningless; Even if there is an abnormality in the body, if something can be found by just a glimpse of the examination, the person who undergoes the examination will be a seriously ill patient. Tang Liang believes that to do a serious screening medical examination, we must rely on advanced precision instruments.
Secondly, all medical institutions, even the top three hospitals, regard physical examination as a profitable business. However, due to the shortage of high-quality professionals in various physical examination institutions, most of the medical examination doctors are not doctors with real clinical experience, and many of them are general medical personnel who have retired and re-employed. "Although it cannot be said that these doctors do not have the basic ability of medical examination, the experience and vision of clinical judgment are insufficient. He noted. Third, the physical examination report issued by the medical institution is a very important health information for the examiner, and it is reasonable that he should keep it on file for later use. However, due to the lack of professional analysis of various physical examination indicators in these physical examination reports, most of the comprehensive medical advice is too simplistic, so that most of these physical examination reports do not have the reference value of medical significance. This is one of the main reasons why many medical examiners do not develop the habit of establishing personal physical examination files.
Further reform and improve the annual physical examination
In this regard, Tang Liang suggested that the National Health Commission should actively require the whole people to pay attention to the annual physical examination through popular science publicity and other means, and advocate the correct concept of "early detection, early recovery, and early recovery". It is necessary not only to support more qualified enterprises and institutions to attach importance to organizing annual physical examinations for employees, but also to encourage individuals to conduct annual physical examinations at their own expense. He suggested that the state or local government should introduce special preferential policies to comprehensively boost the consumption of "domestic demand" with the theme of annual physical examination. At the same time, the National Health Commission can organize medical experts to reformulate a unified national annual physical examination**, the existing physical examination items should be increased and decreased, and the physical examination items should keep pace with the times and be practical. At the same time, it is necessary to increase the necessary special physical examination items for people of different ages. In areas with a high incidence of endemic and occupational diseases, it is necessary to increase the number of census items in a targeted manner. He suggested that the National Health Commission should supplement and improve the charging standards for physical examination items. In particular, for malignant diseases in key parts of the human body, it is necessary to raise the standards for medical screening. For those who suffer from chronic diseases, if they apply in advance, the physical examination institution shall allow the increase of self-paid examination items. In addition, for the physical examination departments attached to each hospital and private physical examination institutions, local health commissions should regularly inspect the professional qualifications of medical personnel. It is necessary to encourage physical examination institutions to improve the professional level of writing physical examination reports, and give quality medical advice to physical examiners in different situations. At the same time, it is necessary to advocate that physical examiners build their own health records for annual physical examinations, and encourage community medical institutions to assist the elderly in establishing electronic health records.
Reporter |Chen Yingting.
Edit |Wang Jing.
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