Four departments jointly issued a document to promote mutual recognition of inspection results in medical institutions

　　Do you have to repeat the inspection and test every time you change hospitals?

This problem, which has been deeply criticized by patients, will be completely solved.

　　Recently, the National Health Commission, the National Medical Insurance Administration, the State Administration of Traditional Chinese Medicine, and the Health Bureau of the Logistics Support Department of the Central Military Commission jointly issued the "Administrative Measures for the Mutual Recognition of Inspection Results of Medical Institutions" (hereinafter referred to as the "Administrative Measures"), clarifying that medical institutions should In accordance with the principle of "taking the guarantee of 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 receiving physician as the standard", the mutual recognition of inspection results is carried out.

The "Administrative Measures" will come into force on March 1, 2022.

　　Hospital staff reminded the referred patients that, according to relevant regulations in Guangdong, mutual recognition of inspection and test results is not applicable in six situations, "guaranteeing medical safety and quality of diagnosis and treatment is the primary consideration."

　　Text / All media reporters of Guangzhou Daily Ren Shanshan, He Xuehua, Wu Ren, Zhang Qingmei correspondents Lin Weiyin, Wei Xing

　　Guangdong: Mutual recognition of medical examination and imaging results in medical institutions at the same level

　　The reporter learned from the Guangdong Provincial Health and Health Commission that the mutual recognition of medical examination and imaging results has been implemented among medical institutions at the same level in Guangdong Province, and the principle of mutual recognition and the scope of projects have been clarified; some cities are developing secondary medical institutions within their jurisdictions. Mutual recognition of inspection results.

　　Since January 1, 2011, Guangdong has carried out the mutual recognition of medical examination and medical imaging examination results among medical institutions at the same level in the province. First, the projects with good stability, quality control and high cost are selected.

　　There are also specific operational guidelines for the mutual recognition of inspection and inspection results across the province: during the diagnosis and treatment process, the diagnosing and treating doctor will determine whether to recognize the inspection results of the external hospital according to the specific condition of the patient, and conduct in-hospital consultation or re-examination.

It must be clearly explained to the patient or family member and the basis for the review should be recorded in the medical record.

The inspection and inspection results of the recognized external hospital shall be stated in the medical record, including the inspection, inspection results, name of the inspection institution and other information; the inspection and inspection mutual recognition data of inpatients shall be retained in the medical record.

　　In the scope of mutual recognition of medical institutions in the province, mutual recognition of the results of some items of medical examinations and medical imaging examinations among medical institutions at the third and third levels of the province has been implemented. A total of 52 hospitals including the Guangdong Provincial People's Hospital have been identified as The first batch of tertiary and tertiary management medical institutions included in the scope of mutual recognition.

　　In addition, medical institutions that have counterpart support relationships shall mutually recognize the results of the medical examination and imaging examination items specified in this notice; medical institutions below the third level shall, in principle, accept the results of the medical examination and imaging examination items specified in this circular by higher-level medical institutions. The results of medical examinations and imaging examinations stipulated in the notice by secondary medical institutions should meet the diagnostic quality requirements, and tertiary hospitals can also be recognized.

　　It is reported that various cities in the province have subsequently carried out mutual recognition of inspection results between medical institutions at the same level within their jurisdictions. For example, Yunfu City, from August 10, 2011, Yunfu City Hospital of Traditional Chinese Medicine, Yunfu City Maternal and Child Health Hospital, Luoding City People's Hospital, Luoding Traditional Chinese Medicine Hospital, Luoding Maternal and Child Health Hospital, Xinxing County People's Hospital, Xinxing County Traditional Chinese Medicine Hospital, and Yunan County People's Hospital became the first secondary hospitals to implement mutual recognition of medical examination and imaging examination results.

　　Guangzhou: If the doctor repeatedly bills the platform, the platform will issue an early warning reminder

　　Guangzhou has built an application platform for mutual recognition of inspection and inspection results in 2018, and further promoted the mutual recognition of medical inspection and imaging inspection results in medical institutions in the city.

By the end of 2021, the municipal platform for mutual recognition of inspection results has been connected to 259 medical and health institutions.

　　It is understood that at present, Guangzhou’s second-level and above medical institutions and public medical institutions covered by medical consortiums have access to the mutual recognition platform in batches. When a patient sees a doctor, doctors can access the patient’s recent inspections in other hospitals within the scope of mutual recognition. Items and detailed information, if the inspection checklist is still repeated, the platform will issue an early warning reminder and ask the doctor to fill in the reason.

　　At the same time, the health and health administrative department can supervise the mutual recognition of hospital inspections and inspections through the background, so as to regulate the "billing" of doctors and let the people "relieve" for medical treatment.

　　Hospital: Hope for more test results to "go to the cloud"

　　"Our hospital has always required doctors to pay attention to referring to patients' previous tests, inspection reports and diagnoses in other hospitals in clinical diagnosis and treatment, so as to accurately and comprehensively understand the patient's condition." Yu Tao, Chief of the Medical Department of Sun Yat-sen Memorial Hospital of Sun Yat-sen University According to the introduction, in the era of low level of informationization in the past, the hospital recommended that patients bring all paper versions of medical records, imaging examination pictures and inspection reports from other hospitals when they visit the doctor.

Due to the gap between the imaging examination and diagnostic capabilities of basic-level hospitals and high-level hospitals, patients who are referred from basic-level hospitals not only need to present examination reports, but also provide original images of imaging examinations so that doctors can make a diagnosis.

　　Yu Tao said that the improvement of hospital informatization and the improvement of the level of medical institutions at different levels have created better conditions for the implementation of mutual recognition of inspection and testing.

"We hope that more and more inspection and test results can be 'online' and 'on the cloud', so that patients can travel lightly when they go to the doctor, without the need to carry various inspection reports with them." He suggested that in the future, with the provincial and even the The construction and interoperability of medical digital information systems across the country, and the implementation of "examination and inspection mutual recognition and interoperability" can be implemented on a larger scale, which will bring more convenience for patients to seek medical treatment.

　　Dai Qishan, director of the Medical Department of Guangzhou First People's Hospital, said that at the end of 2018, Guangzhou fully implemented the mutual recognition of inspection and inspection results, and it has been advancing in an orderly manner. Now that the "Administrative Measures" at the national level has become a departmental regulation, it is more evidence-based. .

In 2018, the first hospital in the city was simultaneously connected to the information application platform unified by the Guangzhou Municipal Health and Health Commission, and most of the inspection results were mutually recognized. Information, if the same item is issued, you need to fill in the reason.

　　It is understood that some hospitals in Guangdong are also jointly developing technology with communication companies, uploading and storing the results of CT, MRI and other imaging examinations of patients to personal cloud disks.

At the next patient's visit, the doctor can easily read the clear original film of the relevant examination with authorization.

　　By the end of 2021, the Guangzhou inspection and inspection result mutual recognition platform has been connected to 259 medical and health institutions

　　After the medical institution accesses the mutual recognition platform, doctors can access the inspection items and detailed information that the patient has recently performed in other hospitals within the scope of mutual recognition. Fill in the reason.

　　Check inspection results

　　The inspection results in the method 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.;

　　The test results refer to the data information obtained from the tests of biology, microbiology, immunology, chemistry, blood immunology, hematology, biophysics, cytology, etc. on materials from the human body.

　　6 Situations Can Be Rechecked

　　Due to changes in the condition, the 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;

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

　　The inspection and test items are of great significance to the diagnosis and treatment of diseases;

　　The patient is in emergency, emergency or other emergency state;

　　Appraisals involving judicial, disability and sick leave;

　　In other cases, re-examination is indeed required.