(Health Times Zhao Mengmeng Jin Jiali) “How to avoid repeated testing has always been the direction of the country’s reform in recent years. In the future, with the implementation of the “Administrative Measures”, repeated testing is expected to be implemented in the next few years. Gradually reduce.” Wang Guiqi, member of the National Committee of the Chinese People’s Political Consultative Conference and director of the Endoscopy Department of the Cancer Hospital of the Chinese Academy of Medical Sciences, told the Health Times reporter.
On February 18, the National Health Commission, the National Medical Insurance Administration and other four departments jointly issued the “Administrative Measures on Printing and Distributing the Mutual Recognition of Inspection Results of Medical Institutions”. The “Measures” will be released in March Officially implemented on the 1st.
The doctor looks at the CT film. Photo by Bao Jie
Change hospital for treatment, CT and MRI have to be redone
“My mother was treated in a local tertiary hospital for intracranial hemorrhage, and underwent a series of brain CT, MRI and other examinations in the hospital. Due to the complicated condition, the local hospital doctor suggested that we go to The provincial capital tertiary hospital made further diagnosis and treatment. Taking the local hospital inspection report, they were informed by the provincial capital tertiary hospital that they could not accept and recognize the inspection results made by the municipal tertiary hospital, and needed to re-examine and test.” From Weifang City, Shandong Province Zhou told Health Times.
Mr. Zhou’s experience is not an isolated case. Medical institutions do not agree with each other in examination results, and patients need to repeat examinations from time to time. According to the “Analysis of Current Situation and Countermeasures of Repeated Medical Examinations by Imaging” published by China Public Health in 2018, the incidence of repeated medical examinations by imaging was 41.82%.
Why are medical test results so difficult for each other?
Director Wang Guiqi said, “The equipment performance, quality of results and inspection level of some primary hospitals cannot be compared with those of tertiary hospitals for the time being. Moreover, the inspection equipment, medical equipment, and testing level of each hospital are They are not the same. Secondly, the timeliness of many tests in the laboratory is very short. For example, some malignant tumors spread rapidly, such as small cell lung cancer, and distant metastasis, especially brain metastasis, may occur in a short period of time. If a simple Relying on original data and inspection reports is unreliable.”
Director Wang Guiqi added, “In addition, the mutual recognition process also has a problem of legal responsibility identification. Mutual recognition of test results means that clinicians must take non-our hospital’s test reports for patients. After making a corresponding diagnosis and making a slightly inadvertent wrong judgment, the law needs to clarify the division of responsibilities.”
Multiple provinces and cities have carried out mutual recognition of inspection results in advance
The “Measures” clearly pointed out that medical institutions should follow the principle of “guaranteeing quality and safety as the bottom line, taking quality control as the premise, reducing the burden on patients as the guide, meeting the needs of diagnosis and treatment as the foundation, and According to the principle of “the judgment of the receiving doctor as the standard”, the mutual recognition of inspection and test results shall be carried out. And it is clarified that these measures are applicable to all types of medical institutions at all levels. This marks that the long-awaited mutual recognition of inspection and inspection results by the common people for many years is finally coming to fruition.
In fact, the mutual recognition of inspection results has been brewing for many years in our country. The Health Times reporter inquired that the National Health Commission and other institutions had issued documents as early as 2006, 2012, December 2020, July 2021, and November 2021, emphasizing the need to strengthen the mutual recognition of test results in hospitals.
“It has been published many times that the state has been making every effort to promote the rational use of limited testing resources in hospitals, avoiding waste of medical resources, saving patients and national medical insurance costs, avoiding repeated inspections, and improving the efficiency of diagnosis and treatment.” Wuhan Wang Ming, head of the Clinical Pathogen Professional Group of the Laboratory Department of the University People’s Hospital, said in an interview with a Health Times reporter.
Health Times reporters found that at present, Beijing-Tianjin-Hebei-Shandong, Jiangsu, Yunnan, Henan, Shanxi, Shaanxi, Sichuan-Chongqing and other places have taken the lead in the mutual recognition of inspection results in the province.
Clarify the scope of mutual recognition test results, excluding diagnostic conclusions
So, which inspections support mutual recognition? The inspection results mentioned in the “Measures” refer to the images or data information obtained by inspecting the human body by means of ultrasound, X-ray, MRI, electrophysiology, nuclear medicine, etc.; The material from the human body is tested in biology, microbiology, immunology, chemistry, blood immunology, hematology, biophysics, cytology, etc., and the obtained data information. It is particularly emphasized that the inspection results do not include the diagnostic conclusions issued by doctors.
“The implementation of mutual recognition of medical examination results is a good thing for the people, but it does not apply to all medical examinations.” Director Wang Guiqi emphasized, “Example of endoscopy, endoscopic procedures It is also very technical, and there may be some differences in the level of different doctors. Moreover, each doctor’s inspection methods, diagnostic criteria and language for diagnosing diseases are very different, so the diagnostic conclusions issued will also be different, so this book This “Administrative Measures” does not involve diagnostic conclusions.”
Director Wang Guiqi believes, “The homogeneous development of laboratories and imaging departments is the basis for promoting mutual recognition of inspections. If inspection results are to truly benefit the people, it is necessary to strengthen the laboratories of primary medical institutions. Quality control and improving the accuracy of test results. If the initial inspection can be implemented in grassroots or community hospitals, and we do some other inspections on the basis of mutual recognition inspections, it will be a good promotion for patients and medical institutions. .”
