China Economic Net, February 22 (Reporter Guo Wenpei) On February 18, four departments including the National Health and Health Commission and the National Medical Insurance Bureau jointly issued the "Administrative Measures for the Mutual Recognition of Inspection Results of Medical Institutions" (hereinafter referred to as the "Administrative Measures").

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.

Which projects can be mutually recognized?

  It is understood that the inspection results mentioned in the "Administrative Measures" refer to the images or data information obtained from the inspection of the human body by means of ultrasound, X-ray, nuclear magnetic resonance imaging, electrophysiology, nuclear medicine, etc.; Refers to the data information obtained from the biological, microbiology, immunology, chemistry, blood immunology, hematology, biophysics, cytology and other tests of materials from the human body.

  The inspection results do not include the diagnostic conclusion issued by the physician.

Is there a scope for mutual recognition?

  The "Administrative Measures" are applicable to all types of medical institutions at all levels and will be implemented from March 1, 2022.

  In terms of mutual recognition rules, the "Administrative Measures" pointed out that the inspection and inspection items to be carried out for mutual recognition should have good stability and uniform technical standards to facilitate quality evaluation.

Meet the national quality evaluation indicators, and participate in the inspection and inspection projects that have passed the national quality evaluation. The scope of mutual recognition is the whole country.

Meet the local quality evaluation indicators, and participate in the inspection and inspection projects that pass the quality evaluation of the local quality control organization, and the mutual recognition scope is the area corresponding to the quality control organization.

Where different regions jointly carry out mutual recognition of inspections and inspections by signing agreements, the relevant regional health and health administrative departments shall jointly form or designate a quality control organization to carry out relevant work.

Those who have participated in the relevant quality evaluation and passed the agreement shall be mutually recognized within the area of ​​the agreement.

  In addition, the sign of mutual recognition of inspection results of medical institutions is unified as HR.

If the inspection and inspection items participate in the quality evaluation carried out by quality control organizations at all levels and are qualified, the medical institution shall mark its corresponding mutual recognition scope + mutual recognition logo.

Such as: "National HR", "Beijing-Tianjin-Hebei HR", "Beijing Xicheng HR" and so on.

Inspection and inspection items that fail to participate in the quality evaluation or fail to pass the quality evaluation as required shall not be marked.

With the mutual recognition result, there is no need to re-check?

  The "Administrative Measures" emphasize that if the existing inspection results provided by patients meet the conditions for mutual recognition and meet the needs of diagnosis and treatment, medical institutions and their medical staff shall not repeat the inspection and inspection.

At the same time, medical personnel should issue medical orders for inspection and testing according to the patient's condition.

For inspection and inspection items that meet the conditions for mutual recognition, relevant fees shall not be charged again in the form of packaging with other items.

Of course, medical institutions and their medical staff can re-examine related items in the following situations:

  (1) Due to changes in the condition, the inspection and test results do not match the patient's clinical manifestations and disease diagnosis, and it is difficult to meet the needs of clinical diagnosis and treatment;

  (2) The inspection results change rapidly during the development and evolution of the disease;

  (3) The inspection items are of great significance to the diagnosis and treatment of diseases (such as before major medical measures such as surgery and blood transfusion);

  (4) The patient is in emergency, emergency or other emergency state;

  (5) Appraisals involving judicial, disability and sick leave.