□Reporter Lv Zhixiong
Let patients get cost-effective and high-quality treatment, and let doctors take the responsibility of saving lives and wounds.
According to CCTV financial reports, recently, the National Health Commission and other departments jointly issued the “Administrative Measures for the Mutual Recognition of Inspection and Test Results of Medical Institutions” (hereinafter referred to as the “Measures”), clarifying that medical institutions should Relevant principles, and carry out mutual recognition of inspection and inspection results. The “Measures” came into effect on March 1 this year. This means that items that are valid for a period of time do not need to be re-examined, and related items that change rapidly only need to be re-examined.
The introduction of this “measure”, netizens praised the flowers like the spring breeze, blooming in clusters, all hoping for a perfect result. Judging from online public opinion, there are two things that everyone is most optimistic about, one is to save money for patients, and the other is to improve efficiency. This is really to the point. It will cost several thousand yuan to do a pet-ct once. If it is repeated, the patient will undoubtedly increase a heavy burden. From another perspective, when a patient is transferred to a hospital and wants to seek better treatment, he will be sent to the examination department for another examination, which will inevitably delay the time for timely treatment and affect the efficiency of admissions. The introduction of the “Measures” solves these two problems.
However, the previous lack of mutual recognition also had the difficulties of the hospital. First, there are differences in the inspection level. It is a fact that the equipment performance, inspection quality and inspection level of some grassroots hospitals cannot be compared with the top three hospitals. In addition, even if hospitals of the same level have different inspection equipment, medical equipment, and testing levels, the inspection results may not be exactly the same. The author once had such a profound experience. When my parents were checked in the township hospital and it was determined that an operation was necessary, when they went to a large hospital in Zhengzhou, the result was that they only needed to take some medicine. My uncle who works in Zhengzhou first checked in a tertiary hospital and found out a major problem. He had to undergo major surgery and was transferred to another tertiary hospital, where he was cured with only one minimally invasive operation. Second, the condition is changing at any time. Some medical professionals pointed out, “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 the original data and inspection reports is unreliable.”
Therefore, this mutual recognition also sets the principle: “The bottom line is to ensure quality and safety, and the premise is to pass the quality control. The patient’s burden is oriented, the meeting of the needs of diagnosis and treatment is the fundamental, and the judgment of the receiving physician is the standard.” This is a principle that is warm and full of dialectics for the actual human kindness, and to implement this principle, it is necessary to start from the Think big, start small.
From the doctor’s point of view, what must be performed in accordance with the regulations must be clearly defined, and what must be broken from the routine and “repeated” examinations must also be clearly explained. It is necessary for them to adhere to the principle and not to repeat the inspection for their own pockets or the hospital’s income at will, but also to give them the “contingency” power to analyze specific problems, so that doctors can give patients the most timely and appropriate care. If the six stipulated conditions are not frightening, the inspection should be carried out to ensure the life, health and safety of the patient. From the perspective of patients and their family members, it is necessary to strengthen publicity, not only to let them understand the policy and not to waste money, but also to prevent the fear of spending money, which will lead to mistrust of doctors, and a one-size-fits-all belief that no review should be made. rescue efficiency.
In addition, once a medical malpractice occurs, it is the problem of the original inspection unit or the problem of the follow-up hospital, which needs to be legally refined. Let every doctor who sees a patient take a “reassuring pill” and let every hospital have a field of responsibility, so as to ensure that mutual recognition is not contradicted. From the perspective of managers, it is necessary to consider all aspects and problems of branches and leaves, not only to keep the bottom line of mutual recognition of inspections, but also to understand the difficulties of temporary contingency, so that patients can get cost-effective and high-quality treatment, and doctors can take the responsibility Responsibility to save lives and help the wounded and give full play to their abilities.