The People’s Opinion: Can “less examinations” be done in the future when seeing a doctor?

In life, what are you most afraid of when you go to different hospitals to see a doctor? In addition to the difficulty of registration and long queues, I am afraid that there are many inspection items. Because generally as long as you change a hospital to see a doctor, you have to do the previous examination again. Not to mention time-consuming and labor-intensive, the patient’s wallet can’t stand such a toss. Now, that’s about to change.

Recently, the four departments jointly issued the “Administrative Measures for the Mutual Recognition of Inspection and Test Results of Medical Institutions”, which requires that inspections and inspections marked with the national or local mutual recognition logo shall not be affected on the premise of disease diagnosis and treatment. The results are mutually recognized, and the sign of mutual recognition of inspection results is HR. For those that meet the conditions for mutual recognition, repeated inspection and inspection and re-charging in the form of packaging are not allowed. The “Measures” came into effect on March 1.

“Mutual recognition of test results between different medical institutions” is really aimed at a “heart knot” of many patients. In the past, repeated inspections and excessive inspections by some medical institutions made patients and their families feel puzzled, and made everyone tired and spent a lot of time and energy. To do, is it ineffective? Therefore, promoting the mutual recognition of inspection results has indeed saved money and energy, and to a certain extent has highlighted the public welfare of medical care.

In the “Measures” this time, which inspection results can be mutually recognized? Mainly through ultrasound, X-ray, MRI, electrophysiology, nuclear medicine, hematology, biophysics and other means, the image or data information obtained after examining the human body. The inspection results do not include the diagnostic conclusion issued by the physician. It is not difficult to see that most of the above are some inspection and inspection items that ordinary people often encounter when seeing a doctor.

Like the implementation of many policies, the mutual recognition of inspection results does not come out of thin air – this work has been carried out for many years. Promoting mutual recognition of inspection results is a step-by-step process, from the shallower to the deeper, from the point to the surface. These policies and actions echo the realistic demands of patients and their families, as well as public opinion. To minimize some unnecessary inspections, the purpose is to eliminate the pain points in the process of seeing a doctor, so that everyone can spend as little as possible and get a relatively fair and accurate medical treatment effect.

It must be admitted that the progress of this work is relatively slow, because there are indeed many practical factors behind it to be solved. And this is also related to whether the current policy of benefiting the people can go well.

As we all know, the main sources of income of medical institutions are medical service fees, drug income and inspection and inspection income. In the reality that public hospitals have limited room to increase the price of medical services and cancel drug bonuses, the “game of interest” in inspections may be more prominent. How to solve? It’s an issue that needs to be addressed. In addition, medical institutions in different regions and levels have different equipment inspection capabilities, different quality control standards, and different inspection methods, which invisibly raise the threshold for mutual recognition. In the process of “mutual recognition”, how to define the liability for medical malpractice that may be associated? There should be pre-stipulations or standards. In addition, the human body itself is an intricate and dynamic organic system, and the results of the examinations this month and the next month may have different conclusions. Especially when it comes to health and medical safety, it is even more necessary to have advance and comprehensive plans for various possible situations.

Promote mutual recognition of inspection and test results among different medical institutions, which cannot be generalized and “one size fits all”. Gu Xinwozi said that the common people expect more inspection and inspection items to be included in the scope of mutual recognition, but in fact, this requires a lot of overall arrangements and joint optimization and follow-up in many aspects and fields. This also involves the application of big data technology, how to improve the level of information sharing, how to allow the same patient to be examined multiple times, and the results of out-of-range examinations can be monitored in time.

Patients and their families have the most say in the quality and experience of seeing a doctor. The policy of “mutual recognition of inspection results” needs to be tested and calibrated in practice if it is to be stable and successful.

(Editors: Zhao Jing, Qu Yuan)