In our daily life, we often receive various problems related to medicine and hospitals. Today, let’s talk about the problem of [hospital examination form].
Many people have such experiences. Clearly, the examination done in one hospital will be redone in another hospital, and the final conclusion is the same!
I have just drawn several tubes of blood, and I have to draw again when I go to the new hospital. Adults can’t stand such repeated blood drawing, let alone the baby.
Then, why does the hospital have to issue these examinations repeatedly? Is it to charge more?
First of all, it must be admitted that the bonuses of many inspection departments are indeed related to the amount of examination. However, the examiners are clinicians. First of all, the state has very strict management of random examination. Second, the medical insurance price is limited, and the prices of many examinations are also depressed.
Perhaps some small hospitals will still have a small amount of examination to make money. However, in the vast majority of regular 3A hospitals, doctors basically have no time to make money by opening more examinations.
Why do some inspections repeat?
1. The examination result is the doctor’s subjective judgment,
For example, the results of magnetic resonance and CT are relatively objective, while the B-ultrasound report relies heavily on the subjective judgment of the examiner.
For example, B-ultrasound can judge congenital dislocation of hip joint in children and only a small number of B-ultrasound doctors in hospitals can do the treatment of twins.
Experienced B-ultrasound doctors will make different judgments.
If there is no problem with the routine investigation B ultrasound, in fact, it does not need to be done repeatedly.
2. The timeliness of inspection is very short.
There is no denying that the timeliness of many inspections is very short.
For example, blood routine examination, for an infected patient, the white blood cell count is also constantly changing; However, such tests as electrolyte will change from normal value to [critical value] in half a day.
Therefore, these results must be observed dynamically. If it is a routine pre-surgical examination, 1-2 weeks is sufficient. If the patient is transferred to a new hospital for treatment due to changes in his condition, it is necessary to do these routine examinations again.
3. The reference values of inspection results are different.
Due to the difference of instruments and measurement methods, the inspection results of some fine indexes will also have certain differences. Especially for dynamic changes and finer indexes, there may be differences.
Can what checks recognize each other?
In the past two years, a number of cities have announced < < mutual recognition of examination in 3A hospitals > >.
1. Blood drawing and mutual recognition
① Clinical biochemistry:
Total protein (TP), albumin (Alb), alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP),-glutamyltransferase (GGT), lactate dehydrogenase (LDH), creatine kinase (CK), glucose (Glu), urea (Urea), creatinine (Crea), uric acid (UA), triglyceride (TG), total cholesterol (TC)
② Clinical immunity:
Hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAb), hepatitis B E antigen (HBeAg)
③ Clinical blood:
White blood cell count (WBC), red blood cell count (RBC), hemoglobin (Hb), platelet (PLT), hematocrit (Hct), mean red blood cell volume (MCV), mean hemoglobin amount (MCH), mean hemoglobin concentration (MCHC)
2. Mutual recognition of images
(1) Ordinary chest radiograph, including chest, spine and limb joints.
(2) X-ray computed tomography (CT) examination, including conventional plain and enhanced CT scanning of head, chest, spine and limbs, and enhanced abdominal scanning.
③ Magnetic resonance imaging (MRI) examination, including conventional MRI plain scan and enhanced scan of head, spine and limbs.
④ Ultrasound examination, including routine ultrasound examination of heart, blood vessels, abdomen and superficial organs.
Which results cannot be mutually recognized?
1. Due to changes in the disease condition, the existing inspection results are difficult to provide reference value;
2. The inspection results have changed greatly in the process of disease development;
3. The inspection results are obviously inconsistent with the disease condition;
4 patients or their relatives require further examination;
5. Continuous comparative observation is required due to disease prognosis;
6 judicial, disability and sick leave and other identification needs;
7 Other unpredictable situations that meet the needs of diagnosis and treatment.
Finally, I need to say one more thing with you, no matter whether [mutual recognition] is made or not, almost no hospital will not like its own examination, but like the examination of others. The examination of my hospital, looking at how also used to some.
If you don’t want to do more examinations, remember to make copies of the previous examination results and mention to the doctor when you are admitted to the hospital and outpatient:
[XX examination, I have already done it in XX Hospital, can I not repeat it? ]
This sentence may make you spend less and suffer less!