Friday, April 20, 2012

Yunnan 11 hospitals realizes the test result is mutually recognized The patient can save more than one hundred yuan

Yunnan 11 hospitals realizes the test result is mutually recognized The patient can save more than one hundred yuan
The news is read rapidly: Check in a hospital, to another hospital but can not be admitted, this is a medical circle ubiquitous phenomenon at present. In order to reduce the expenses that common people saw the doctor to seek medical advice, 11 public hospitals in Yunnan have realized to three major projects examined clinically the test result is mutually recognized, meanwhile, mutually recognize the inspection result of the image in the hospital at the same level too. After mutually recognizing, only examine the project big three times, the patient can save 250 yuan. What women health is very weak for citizens to check single and common and lighten the burden for the patient, often go to the hospital to receive treatment. Compare with personal clinic and the community health Center, what lady is more willing to go to the hospital of a little higher rank to see the doctor. However, go to the large hospital to see the doctor and all let her have a bad headache each time. She says: "The large hospital is tall in rank, the apparatus is good, doctor's medical skill deserves trust too, but gone each time there are all too many peopled, register, wait, go to a doctor, pay the money, take medicines, check to line up. If change family's hospital, all is checked and do again, not merely spend more money, and kill time. " The experience that the hospital sees the doctor that she has told to get once: Go to hospitals to line up to hang expert's brass-wind instrument at 7 o'clock in the morning, can hang up until half an hour at least; Then, it takes an hour at least to wait; The doctor inquires that draws the laboratory test report after the condition, costs several minutes; The window pays and examines fee to go to the hospital to charge, at least 15 minutes; Line up to draw blood, shine X-ray, at least hour; It was probably the next day to take the test result, then diagnosed, wrote a prescription, paid the money, took medicines for the doctor "Only this course, I am half-deadly tired, I had originally already fell ill, also toss about quite a while more. I told the doctor my blood, lung just in another hospital checked, needn't check again, but the doctor says, the hospital only recognizes one's own test result, still demand to check again. I am time-consuming and costly and strenuous, feel that endures hardships very much. " What lady says. But, now, what lady has been given up to the worry that the hospital saw the doctor. Because 11 hospitals in the whole province have realized at present the test result is mutually recognized. These 11 hospitals are the People's Hospital of Yunnan Province first, Kunming city first the People's Hospital, first affiliated hospital of Kunming medical college, second affiliated hospital of Kunming medical college, Traditional Chinese hospital of Yunnan Province, Kunming market hospital, Kunming market Traditional Chinese hospital, Yuxi city first the People's Hospital, Yuxi market Traditional Chinese hospital, Yunnan Province tumour hospital, the People's Hospital of Yunnan Province second of Yanan. This just means, the inspection and examination done in 11 hospitals of the patient, change over to behind the another hospital, needn't and then repeated the inspection and examination. Certainly, this kind mutually admits it is based on the fact that patient's condition allow. Recently, what lady comes to city Yanan hospital to see the doctor again, what lady after the test result of a institute of market doctor of Yanan hospital finishes seeing, have opened the prescription for it. "Doctor, need to do again or not if these are checked? " "No, the condition is minor, and it is already very overall to check these. A institute of ours and city mutually recognizes inspection result, in the future, if condition permitting, needn't check repeatedly. " Hear the doctor say so what lady is very glad: "It is a small project to draw blood, needn't check repeatedly, I needn't pitch by the needle once again, can also be saving dozens of yuan. " The blood screening test lab doctor of Yanan hospital, Kunming calculates an account for the reporter, only mutually recognizes clinical biochemistry, clinical blood, three clinical test projects of clinical immunity, can save 250 yuan for the patient. Examined three major projects to actually realize and mutually recognize clinically, as early as many years ago, Yunnan proposed realizing among the hospitals the test result was mutually recognized. However, from proposing to really realizing, Yunnan has gone through a series of development. In this course, some hospitals walk a little faster than others, such as city Yanan hospital. This Sun XingJuan, head of the outpatient department of institute, introduces, before Yunnan has not issued the policy mutually recognizing the inspection result formally yet, similar Ultrasonography B, so long as the patient checks in the hospital at the same level, the market approves of Yanan hospital. "Mutually admit the inspection result can actually save resources and cost of the hospital. " Sun XingJuan says. But another one shows without wishing the insider who reveal the name, large-scale between every medical organization to check and does not approve of, not common each other, it is a factor causing the hospitalization cost of the patient to increase. In recent years, every hospital is in order to reflect one's own capability, it is a routine to introduce the top-grade apparatus one after another. However, because some apparatuses are costly, make a lot of hospitals difficult to bear. He says: "The hospital pursues the top-grade fund that disposed, mostly depend on raising independently, depend on asking for a loan from bank. The hospital to repay these expenses, one should collect the charges to one's own serivce object. In this case, this kind pursues ' grade ', behavior seeking development blindly and may aggravate the seeking medical advice and bearing of ordinary people extremely blindly. Recognize the intersection of inspection and result mutually under the background, can reduce to seek medical advice expense common people not merely, still can save the cost of the hospital, avoid the production of some phenomena from source. " At present, 11 public hospitals in the whole province mutually recognize the inspection result of the image except that in the hospital at the same level, still realize to three major projects examined clinically the result is mutually recognized. This three major projects are: Clinical biochemistry, including potassium, sodium, chlorine, calcium, phosphorus, glucose, urea, anhydride of skin, urine acid, total cholesterol, triglycerides, GPT, millet straw transaminase, enzyme lactic dehydrogenase, creatine kinase, alkaline phosphatase, �� - valley ammonia; Clinical blood, including the leucocyte, press erythrocyte, hemoglobin, erythrocyte, accumulate, blood platelet, volume of average erythrocyte, hemoglobin content, hemoglobin density of average erythrocyte of average erythrocyte; Clinical immunity, including hepatitis B surface antigen, hepatitis B surface antibody, hepatitis B e antigen, hepatitis B e antibody, the hepatitis B key antibody, third liver antibody. In recognize in the ranks until the intersection of the whole province and 11 public hospital recognize the intersection of test and the intersection of result and a matter each other at present mutually the intersection of emergency call and patient, most citizens say that support and welcome. Citizens Mr. Wangs say, entered a hospital in the past, would test soon, make film once, and while seeing the doctor now, the test result that the doctors will all let him take out in the past is for reference. He says: "Mutually admit the test result lets the patient save time, save effort, save money. " However, some citizens mutually admit to the hospital the test result have the misunderstanding, think that mutually admits the result can rely on one to check single file all over 11 public hospitals. The most direct result that this kind of misunderstanding causes is, when the patient runs into the doctor to demand to pay examining again, they will produce a kind of disgust mood. And some citizens mutually admit to the hospital that holds the attitude suspected in result. Citizens Ms. Fengs say: "Mutually recognize the result if patient's condition permitting, then will finally check repeatedly, the power to make decision is still in doctor's hands. Does the hospital find the reporting of the offence method or punishment method to check repeatedly? " "Test result each other recognize it is not omnipotent, need confirming according to detailed conditions. For example, melt Result that test, will because different in reagent, specification, quality sampled to collect blood, either length of time pass long, area and difference of climate, and change, these changes will influence measuring the result directly. " " after all that a person in charge of one department of the People's Hospital of Kunming market first says, on the basis of mutually recognizing, the patient should believe in the doctor. The patient's test result, the ones that can mutually admit are sure to admit, if the doctor has doubt on test result, also ask the patient to cooperate with the doctor to check. " However, under the circumstance of guaranteeing patient's interests, in order to prevent misdiagnosing, leak and examine, clinical the intersection of test and result recognize, have his principle even each other. A courtyard of this department heads say, the clinician takes according to patient's condition in the city, the rational, effective test project that applied for, avoid the excessive inspection; It is influenced that the clinical test result is changed etc. by the diet, activity, treatment, condition, changing with progress of course of disease, the clinician needs to fully consider various changes are possible, the detailed conditions while going to a doctor according to the patient explain and use and mutually recognize the test result correctly and rationally, and the detailed record in the case history; Clinical immunity admit project to be only among using the same method of inspection and medical organization of reagent common mutually. And emergency call, first aid patient, go to a doctor when patient's condition is relieved or aggravated, and the prescroption of the report of fruiting of clinical test, to the difficult patient offering reference value of diagnosis of disease previously, all should authorize, check immediately, patient of special circumstances further reexamine while being necessary. Mutually actually admit follow in order and advance step by step, through setting up appropriate mechanism, promote the test result to mutually recognize, measure circle and laboratory in world to approve the circle has precedent early. An insider points out, the hospital realizes the test result to mutually admit that there are three major advantages, namely save trouble saving time, scientific and technological materials share, reduce patient's expenses to bear. But if you want to promote, recognize work continue and launch thoroughly, these personage say each other, the government department should be chosen those stable test projects with controllable quality and with higher expenses. "Participate in the project that the provincial quality accuses of, but is originally mutually recognizing inside the province; Join the project that the national-level quality accuses of, can explore and mutually recognize during conditional province. On the other hand, mutually recognizing the test result puts forward higher requirement for the clinical labs too, because should improve the accuracy of results of test. " "But some, through can realize progressively while being diligent, but some have difference among the obvious method really, await the development of science and technology. " Personage this think test result it admits to be must progressive course mutually, need launching rigorously on the premise of guaranteeing science and possibility. As to the future mutually recognizing test result, a lot of personages in the industry are full of confidence. They think, so long as summarize the experience in time, further define working mechanism, procedure and organizational form, and then depend on relevant technology, the problem existing in reality can be solved finally. (reporter Li Jing)

|

No comments:

Post a Comment