Qinghai News Network·Damei Qinghai Client News “It is clear that I just finished the examination in the previous hospital and changed to another hospital. These examinations have to be done again. Why can’t the examination report be universal?” Recently, “Reporters Help” Received feedback from two readers, hoping to get attention.
Mr. Wang, who lives in Huzhu Tu Autonomous County, reported that he went to a local hospital for treatment because of a broken bone. After arriving at a tertiary hospital in the provincial capital, Mr. Wang was told to re-examine. “I have the checklist done a few days ago. Wouldn’t it cost money and time to do it again?” Mr. Wang was a little puzzled.
Ms. Guo, a citizen of Xining, also encountered the same problem. One night, Ms. Guo’s child suddenly vomited and had diarrhea, and her body was weak. The family rushed the child to a tertiary hospital in the provincial capital, but the drip was not available at the time. The doctor suggested that Ms. Guo go to the pediatric department of another hospital. Ms. Guo said: “The child was very uncomfortable at the time. We thought that since we got to the hospital, we would first have an examination and then go to other hospitals, but the doctor said it was best to see a doctor in the same hospital, otherwise we would have to go there for the examination. Do it again.” Ms. Guo had to take her child to another hospital for treatment.
In response to the public’s question of “why the test results of the two hospitals do not recognize each other”, the reporter invited Shen Mi, director of the Medical Department of Qinghai Red Cross Hospital, and Zhang Xiang, deputy director of the Laboratory Department of Qinghai University Affiliated Hospital, to give a comprehensive report. explanation of.
Hospitals vary in equipment. The same inspection item can be completed by imported or domestic equipment of different brands, and the inspection equipment introduced by different hospitals is different, and the corresponding inspection items, inspection methods, measurement units, precision, reference interval, etc. may also be different. To this end, mutual recognition of results needs to be achieved through the comparison of results between laboratories, and only after passing the scientific judgment. If the conditions for mutual recognition of results are met, the medical institution will mark the “HR” or “★” symbol before the name of the corresponding test item in the test result report as a sign of mutual recognition of test results.
Diseases are dynamic. Some test results may change in a short period of time, such as blood routine, blood sugar, etc., which change rapidly during the development of the disease. In addition, if the doctor believes that the test results are inconsistent with the patient’s clinical manifestations and disease diagnosis, and it is difficult to meet the needs of clinical diagnosis and treatment, the test results at that time will prevail according to the specific conditions of the disease.
The test specimen types are different. Specimen indicators in different time periods are also different, and there will be certain differences in the results. For example, urine samples are divided into morning urine and random urine. Doctors will select the type of test specimens according to the development of the disease. A more comprehensive assessment of the patient’s disease state.
Mutual recognition programs are limited. At present, there are more than 40 mutual recognition projects among hospitals in the province, but there are generally more than 400 inspection projects carried out by major hospitals, and the mutual recognition projects only account for one tenth of the total. In addition, different hospitals have different definitions for the same item, such as biochemical examinations. There are more testing items in tertiary hospitals than in small hospitals. In order to more efficiently diagnose the condition, doctors will also appropriately supplement the test based on the previous inspection report. project.
However, there are also the following situations, which cannot be directly recognized each other, and the relevant examination sheets need to be re-issued. The doctor will also explain clearly to the patient to gain understanding and cooperation:
1. Due to changes in the condition , the existing inspection results cannot reflect the actual condition of the patient; 2. Due to the time limit, the existing inspection results cannot provide reference value; 3. The inspection results are highly correlated with the development of the disease and have a large range of changes. 4. The results of the inspection and test are obviously inconsistent with the condition; 5. The patient or his relatives require further inspection and inspection; .Continuous comparative observation is required due to the outcome of the disease; 8. Emergency, emergency and other life-saving emergencies; 9. Judicial, disability, and retirement identification; 10. Other unpredictable situations that meet the needs of diagnosis and treatment.