Many readers have told Xiao Jiu about this situation. Obviously, they just had a CT examination in the last hospital, but when they changed hospitals, they refused to recognize it. They had to do all the examinations again, which not only cost more money, but also made their bodies need another radiation. It was very irritating.
A few days ago, Mr. Gao (pseudonym) from Ningbo found a lung shadow in a local hospital. When he went to a third-class hospital in the city, he was told to take another CT scan. "The inspection results were not recognized at all, and all the items were re-inspected." Mr. Gao said helplessly.
This kind of situation is very common in life. I wanted to change hospitals to get treatment more conveniently and quickly, but many times it backfired and I was told that I needed to do a series of tests again. This makes the masses puzzled. Why do they need to re-examine? Is the hospital for profit?
Repeated examination is common, and it is not a patient's illusion. According to the content of "Analysis on the Current Situation and Countermeasures of Repeated Medical Examination in Imaging" published by China Public Health Bureau in 218, the incidence of repeated medical examination in China is 41.82%, which is still very high, which means that there are many cases of excessive medical treatment in China.
in this regard, the relevant departments have not taken measures. As early as 26-21, the former Ministry of Health issued notices one after another, requiring relevant departments in various regions to strengthen the construction of medical quality control centers and promote the mutual recognition of inspection results of medical institutions at the same level, so as to avoid wasting health resources.
At present, many provinces and cities have really started to implement "mutual recognition of medical examination". Since 216, 132 medical institutions in Beijing, Tianjin and Hebei have piloted mutual recognition of 27 clinical test results. In addition, medical institutions in Chengdu, Wuhan, Chongqing and other regions have also realized mutual recognition of inspection results, among which Foshan has become the first pilot city for the construction of mutual recognition platform in China.
We believe that in the future, more cities can truly realize "mutual recognition of medical examination" without wasting medical resources and patients' expenses.
However, although it has been gradually implemented in various regions, it is still very difficult to implement this measure. The reasons are complicated and there are certain difficulties.
1. The disease is dynamic.
The development of the disease is not linear or unchangeable, but it will change dynamically with the passage of time, especially for some serious diseases, such as small cell lung cancer, which may have distant metastasis in a short time. If doctors rely on the original examination reports and materials, they are likely to make wrong diagnosis and delay treatment.
2. Hospital equipment is different
Hospitals in different regions and levels have different imported equipment. The equipment performance, result quality and inspection level of some primary hospitals can't be compared with those of large tertiary hospitals. In addition, there may be differences in inspection instruments, medical equipment, laboratory level and measurement units in each hospital, and if doctors get unfamiliar inspection reports, they may also affect their judgment.
3. The experience of technicians is different
Different technicians have different subjective judgments when operating. Take the common B-ultrasound as an example. Different doctors may get different suggestive diagnosis results under the same machine. Or blood test, from clinician billing to nurse sampling to laboratory test, every link affects the results, and the conclusions may be different. Especially when there is a big grade gap between the two hospitals, doctors have more trust and recognition for the technicians in our hospital.
Therefore, sometimes repeated examinations are inevitable. Doctors and patients need to understand each other, patients should trust doctors, and doctors should reduce unnecessary examinations.
In the face of examinations that cost hundreds and thousands of dollars, patients will inevitably doubt the doctor's purpose. What are the problems? Today we will take the most common blood test as an example.
Blood test is the most basic and common test, and the blood composition will change due to physical changes, which is used to preliminarily understand the health status of patients and determine the further treatment direction. Many diseases, such as leukemia, anemia and myeloproliferative diseases, can occur directly through routine blood tests. Therefore, many times, when a patient is sick, he must first draw blood.
then why do you draw so much blood every time? The reason is very simple. Different test items need independent blood, so one tube of blood is only suitable for one item. Generally speaking, the doctor will not throw away the remaining blood immediately after the test. Once the patient or doctor has doubts about the test results, it can be used for another test to avoid repeated blood drawing and save time. Subsequently, these samples will be treated as medical waste.
many people think that the doctor asked you to do that examination for the purpose of getting a commission.
In the past, this situation was possible, but in recent years, with the deepening of national medical reform, many public hospitals have cancelled drug addition and reduced inspection fees. All kinds of inspection fees are collected by the hospital to supplement the purchase of equipment and the development and construction of the hospital, and doctors can't get the so-called "commission".
For regular hospitals, few doctors will open more and more examinations in order to increase their income. More often, it is to ensure the accuracy of the examination results.
In a word, the necessary examination is inevitable, so it is recommended that you choose a regular hospital when you see a doctor.
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