The “Administrative Measures for the Mutual Recognition of Inspection and Test Results of Medical Institutions” came into effect on March 1. The “Administrative Measures” clearly stated that medical institutions should follow the principle of “taking 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 taking the judgment of the doctor as the standard”. , to carry out mutual recognition of inspection results. If the existing inspection and test results provided by the patient meet the conditions for mutual recognition and meet the needs of diagnosis and treatment, the medical institution and its medical staff shall not repeat the inspection and test. In an interview with reporters, experts said that the implementation of “mutual recognition of results” is a good thing for the people, but it cannot be solved by one “Management Measures”, and a long-term process is needed.
The same disease, just because the hospital has changed, the examination has to be done again… This is a long-standing problem that has plagued patients for a long time. In fact, as early as 2006, the Ministry of Health at that time issued a relevant notice, clarifying that medical institutions should “mutually recognize results”. However, in reality, this work has been progressing slowly, both medical institutions are reluctant to do it due to their interests, and there are various complex objective factors. As experts said, the “Administrative Measures” provide an action guide for the comprehensive promotion of “mutual recognition of results”, but in order to implement this policy of benefiting the people, a specific, detailed and operable implementation plan is needed.
The first is to further improve the executive awareness of medical institutions. “Mutual recognition of results” is to reduce the burden on patients, and at the same time reduce the income of medical institutions, resulting in many medical institutions not being highly motivated, and even deliberately setting obstacles. In this regard, on the one hand, we should continue to deepen the medical reform, and completely cut off the chain of interests of “inspecting and raising doctors”; The implementation situation is included in the performance distribution assessment. Institutions and individuals who violate the relevant regulations and should be recognized or not will be punished without mercy and by example.
The second is to further improve the standardization and homogeneity of medical examinations. In addition to the game of interests, one of the reasons why medical institutions are reluctant to mutually recognize inspection and test results is “worry”, especially when large hospitals treat the inspection and test results of small hospitals. Therefore, it is necessary to establish a feasible quality management system, and try to unify the technical level, operating procedures and quality control requirements of each medical institution. For example, Hangzhou has built a sharing platform through informatization means and digital thinking, and built a system of “mutual recognition standards” and “digital applications”. When information is fully communicated and synchronized in real time, the level of diagnosis and treatment in primary medical institutions is improving day by day, and clinicians truly trust the laboratory, and “mutual recognition of results” will come naturally.
In addition, the legal responsibility of each link should be further clarified. Compared with the old version of the regulations, the “Administrative Measures” this time clarified the principles and mechanisms of “what can be recognized”, but did not elaborate on the legal definition of disputes. In fact, this is an important issue that cannot be ignored. When there is a medical dispute involving mutual recognition of test results, how should the rights and responsibilities of the first doctor and the follow-up doctor be defined? What legal risks are there? Relevant departments should improve legislation, establish a corresponding responsibility distribution mechanism, and clarify the discretionary space for diagnosis and treatment. If a medical accident is caused by the error of the first diagnosis and inspection, both the first diagnosis doctor and the first diagnosis technician shall bear joint and several liability, and the specific proportion depends on the situation.
The implementation of the “Administrative Measures” has pushed forward the work of “mutual recognition of results”. To make good policies really have good results, it is necessary for administrative departments at all levels, industry associations, medical institutions, and medical personnel to work together to get through the last mile of “mutual recognition of results”. This is a complex process. We must show our wisdom and responsibility, step by step, and test and calibrate in practice. Only then can we make steady progress and achieve a win-win situation for all parties and the ideal state of benefiting the people and the people.
Source: Nanjing Daily