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Medical Network News on April 16
Unreasonable medical examinations, pay close attention to rectification
On April 14, the National Health Commission issued the "Work Plan for Special Actions for Unreasonable Medical Examinations" (hereinafter referred to as "Work Plan").
According to the “Work Plan”, the objectives of this action include carrying out special treatment actions to seriously investigate and deal with unreasonable medical examinations (including various imaging examinations, laboratory examinations, and diseases) that violate relevant laws pharmnet.
com.
cn/" target="_blank">and regulations , diagnosis and treatment technical specifications, and harm the interests of the people.
Physical examination, etc.
) behavior, etc.
com.
cn/" target="_blank">and regulations , diagnosis and treatment technical specifications, and harm the interests of the people.
Physical examination, etc.
) behavior, etc.
The key content of this special governance includes the management of illegal and irregular medical inspections, governance of unfounded inspections, repeated inspections and other unreasonable inspections, governance of violations of the principle of informed consent and implementation of inspections, governance of indicators that may induce excessive inspections and performance distribution methods, and Control the violation of the plan to configure large-scale medical equipment.
The scope of action includes various medical institutions at all levels and other institutions that conduct medical inspections in violation of laws and regulations.
The special governance activities will run from April 2021 to March 2022 and will be implemented in 4 stages.
April-May 2021 is the deployment phase, May-August 2021 is the self-inspection phase, September 2021-January 2022 is the inspection and evaluation phase, and February-March 2022 is the summary phase.
April-May 2021 is the deployment phase, May-August 2021 is the self-inspection phase, September 2021-January 2022 is the inspection and evaluation phase, and February-March 2022 is the summary phase.
The "Work Plan" requires that all localities and departments should establish accounts for violations of laws and regulations in the field of medical inspections discovered in the special governance work, and deal with them seriously in accordance with laws and regulations.
Collect clues extensively, carefully investigate and verify, and ensure that the special action achieves actual results.
Collect clues extensively, carefully investigate and verify, and ensure that the special action achieves actual results.
At the same time, the establishment of a long-term mechanism is promoted, requiring all localities to guide medical institutions to pay close attention to rectification and implementation of problems found.
In response to the outstanding problems and common problems found in the special governance actions, we will further improve the system design, innovate supervision methods, incorporate them into the daily work of medical service supervision, and promote the establishment of an information-based supervision platform, with constant attention.
In response to the outstanding problems and common problems found in the special governance actions, we will further improve the system design, innovate supervision methods, incorporate them into the daily work of medical service supervision, and promote the establishment of an information-based supervision platform, with constant attention.
Commission for billing, illegal use of large equipment, focus on governance
According to the "Work Plan", this key governance may induce over-examination of indicators and performance distribution methods.
Specifically, it includes serious investigation and punishment of medical institutions and departments' implementation of "bill commission", setting of business income indicators and direct linkage with medical staff's income, and other behaviors that may induce excessive inspections.
Promote the use of technical level, difficulty coefficient, work quality, positive rate of test results, and patient satisfaction as key performance evaluation indicators for performance distribution, and guide the establishment of a performance distribution method that reflects the labor value and technical value of medical staff.
Promote the use of technical level, difficulty coefficient, work quality, positive rate of test results, and patient satisfaction as key performance evaluation indicators for performance distribution, and guide the establishment of a performance distribution method that reflects the labor value and technical value of medical staff.
At the same time, focus on the treatment of violations of the plan to configure large medical equipment.
Strengthen the supervision and inspection of relevant medical institutions, and investigate and deal with violations of large-scale medical equipment configuration license management and illegal use of large-scale medical equipment for clinical diagnosis and treatment, and severely deal with them in accordance with laws and regulations.
And to deal with unreasonable inspections such as unfounded inspections and repeated inspections.
Organize self-examinations and random inspections of outpatient (emergency) clinics and inpatient medical examinations of medical institutions, organize experts to demonstrate the necessity and standardization of examinations, and have no basis for violations of the regulations of the health administrative department and relevant technical specifications for diagnosis and treatment.
Inspections, unnecessary repeated inspections, etc.
shall be investigated and dealt with, rectification shall be ordered, and severely dealt with in accordance with laws and regulations.
Inspections, unnecessary repeated inspections, etc.
shall be investigated and dealt with, rectification shall be ordered, and severely dealt with in accordance with laws and regulations.
It is understood that the overall effect of the use of medical examination items is not high, which will cause a waste of medical resources.
Relevant researchers from Huazhong University of Science and Technology have published paper analysis.
The use rates of blood, stool, urine, and biochemical tests in hospitalized patients were 1.
85, 1.
49, 1.
57, and 1.
14 times per person, but the positive rate was 13.
8.
%, 8.
2%, 8.
7% and 11.
7%.
The use rates of blood, stool, urine, and biochemical tests in hospitalized patients were 1.
85, 1.
49, 1.
57, and 1.
14 times per person, but the positive rate was 13.
8.
%, 8.
2%, 8.
7% and 11.
7%.
The usage rates of X-ray, B-ultrasound and electrocardiogram were 1.
34, 0.
96 and 1.
21 times per person, but the positive rates were 7.
2%, 9.
3% and 9.
1%, respectively.
34, 0.
96 and 1.
21 times per person, but the positive rates were 7.
2%, 9.
3% and 9.
1%, respectively.
At the same time, it is worth noting that behind unreasonable inspections, there may be differences in perceptions between doctors and patients on the rationality of medical inspections.
The above paper shows that 34.
5% of medical staff believe that the medical examination required for diagnosis and treatment is reasonable, while only 19.
4% of patients hold this view.
Regarding the main considerations for the implementation of medical examinations, medical staff believed that the needs of diagnosis and treatment, patient requirements, and hospital allocation mechanisms accounted for 97.
3%, 71.
4%, and 72.
4%, respectively, while patients were 62.
3%, 26.
4%, and 84.
5%, respectively.
5% of medical staff believe that the medical examination required for diagnosis and treatment is reasonable, while only 19.
4% of patients hold this view.
Regarding the main considerations for the implementation of medical examinations, medical staff believed that the needs of diagnosis and treatment, patient requirements, and hospital allocation mechanisms accounted for 97.
3%, 71.
4%, and 72.
4%, respectively, while patients were 62.
3%, 26.
4%, and 84.
5%, respectively.
The use of these medical devices , or drastically reduce
It is understood that medical institutions now basically have a series of medical examination technical items such as clinical examinations, radiological imaging, heart and brain function monitoring, and ultrasound examinations, with a wide variety and complete functions.
Among them, clinical tests mainly include blood test, bone marrow cell test, urine test, stool test, sputum test, biochemical series test, cerebrospinal fluid test, body fluid secretion test, immune test, microbiological and molecular biology test and other items.
Radiographic imaging techniques mainly include X-ray transmission or filming, CT, magnetic resonance imaging (MRI), nuclear medicine imaging, radiography, intervention and other types.
Among them, in vitro diagnostic products are particularly important.
According to the analysis of China Industry Information Network, as the most important diagnostic method in clinical diagnosis and treatment, in vitro diagnostics provides 80% of clinical diagnosis information.
This industry has also become the largest segment of the global medical device industry.
According to the analysis of China Industry Information Network, as the most important diagnostic method in clinical diagnosis and treatment, in vitro diagnostics provides 80% of clinical diagnosis information.
This industry has also become the largest segment of the global medical device industry.
In 2013, the size of my country's in vitro diagnostic market was 28.
8 billion yuan and reached 45 billion yuan in 2016, with an average compound annual growth rate of 16%.
It is estimated that by 2020, the market size of my country's in vitro diagnostic reagent industry will exceed 80 billion yuan.
8 billion yuan and reached 45 billion yuan in 2016, with an average compound annual growth rate of 16%.
It is estimated that by 2020, the market size of my country's in vitro diagnostic reagent industry will exceed 80 billion yuan.
As of February 4, 2020, there are 15,070 registered companies in China whose business scope includes in vitro diagnostics .
In terms of provinces, in vitro diagnostic companies are mainly located in coastal areas.
Among them, Shandong, Guangdong and Jiangsu rank among the top three in the country with 3705, 1,439, and 1,106 companies respectively.
In terms of provinces, in vitro diagnostic companies are mainly located in coastal areas.
Among them, Shandong, Guangdong and Jiangsu rank among the top three in the country with 3705, 1,439, and 1,106 companies respectively.
The use of in vitro diagnostic reagents may be significantly reduced after the nationwide special treatment of irrational medical examinations is carried out.
Neusoft Wanghai Hospital Data Alliance released the "China's First Public Hospital Cost Report", showing that in the hospital, the medical laboratory department ranks first among the first-level medical technical departments with a cost-benefit rate of 89%, and the cost-benefit rate far exceeds that of clinical departments.
If the scope is expanded to the first-level and second-level departments, the CT room will top the list with a cost-benefit rate of 152%, the second is the MRI room, with a cost-benefit rate of 135%, and the third is the ultrasound room with a cost-benefit rate.
The rate is 130%.
The rate is 130%.
Among many clinical departments, except for radiotherapy and oncology, the income of other clinical departments is negative.
The top three inspection items in the hospital's return rate are all in the imaging department.
The top three inspection items in the hospital's return rate are all in the imaging department.
Medical Network News on April 16
Unreasonable medical examinations, pay close attention to rectification
On April 14, the National Health Commission issued the "Work Plan for Special Actions for Unreasonable Medical Examinations" (hereinafter referred to as "Work Plan").
According to the “Work Plan”, the objectives of this action include carrying out special treatment actions to seriously investigate and deal with unreasonable medical examinations (including various imaging examinations, laboratory examinations, and diseases) that violate relevant laws pharmnet.
com.
cn/" target="_blank">and regulations , diagnosis and treatment technical specifications, and harm the interests of the people.
Physical examination, etc.
) behavior, etc.
com.
cn/" target="_blank">and regulations , diagnosis and treatment technical specifications, and harm the interests of the people.
Physical examination, etc.
) behavior, etc.
The key content of this special governance includes the management of illegal and irregular medical inspections, governance of unfounded inspections, repeated inspections and other unreasonable inspections, governance of violations of the principle of informed consent and implementation of inspections, governance of indicators that may induce excessive inspections and performance distribution methods, and Control the violation of the plan to configure large-scale medical equipment.
The scope of action includes various medical institutions at all levels and other institutions that conduct medical inspections in violation of laws and regulations.
The special governance activities will run from April 2021 to March 2022 and will be implemented in 4 stages.
April-May 2021 is the deployment phase, May-August 2021 is the self-inspection phase, September 2021-January 2022 is the inspection and evaluation phase, and February-March 2022 is the summary phase.
April-May 2021 is the deployment phase, May-August 2021 is the self-inspection phase, September 2021-January 2022 is the inspection and evaluation phase, and February-March 2022 is the summary phase.
The "Work Plan" requires that all localities and departments should establish accounts for violations of laws and regulations in the field of medical inspections discovered in the special governance work, and deal with them seriously in accordance with laws and regulations.
Collect clues extensively, carefully investigate and verify, and ensure that the special action achieves actual results.
Collect clues extensively, carefully investigate and verify, and ensure that the special action achieves actual results.
，。、，，，，，。
、，
《》，。
“”、。、、、、，。
。
，，，。
、。
（）、，、，、，，。
，，。
，、、1.
85、1.
49、1.
571.
14/，13.
8%、8.
2%、8.
7%11.
7%。
85、1.
49、1.
571.
14/，13.
8%、8.
2%、8.
7%11.
7%。
X、B1.
34、0.
961.
21/，7.
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34、0.
961.
21/，7.
2%、9.
3%9.
1%。
，，。
，34.
5%，19.
4%。，、97.
3%、71.
4%72.
4%，62.
3%、26.
4%84.
5%。
5%，19.
4%。，、97.
3%、71.
4%72.
4%，62.
3%、26.
4%84.
5%。
，
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，、、、、、、、、、。
X、CT、（MRI）、、、。
，，，80%，。
2013288，2016450，16%。2020，800。
202024，15070。，，，、3705、1439、1106。
，。
《》，，89%，。
If the scope is expanded to the first-level and second-level departments, the CT room will top the list with a cost-benefit rate of 152%, the second is the MRI room, with a cost-benefit rate of 135%, and the third is the ultrasound room with a cost-benefit rate.
The rate is 130%.
The rate is 130%.
Among many clinical departments, except for radiotherapy and oncology, the income of other clinical departments is negative.
The top three inspection items in the hospital's return rate are all in the imaging department.
The top three inspection items in the hospital's return rate are all in the imaging department.
Medical Network News on April 16
Unreasonable medical examinations, pay close attention to rectification
Unreasonable medical examinations, pay close attention to rectification On April 14, the National Health Commission issued the "Work Plan for Special Actions for Unreasonable Medical Examinations" (hereinafter referred to as "Work Plan").
According to the “Work Plan”, the objectives of this action include carrying out special treatment actions to seriously investigate and deal with unreasonable medical examinations (including various imaging examinations, laboratory examinations, and diseases) that violate relevant laws pharmnet.
com.
cn/" target="_blank">and regulations , diagnosis and treatment technical specifications, and harm the interests of the people.
Physical examination, etc.
) behavior, etc.
pharmnet. com.
cn/" target="_blank">and regulations , diagnosis and treatment technical specifications, and harm the interests of the people.
Physical examination, etc.
) behavior, etc.
com.
cn/" target="_blank">Regulationspharmnet.
com.
cn/" target="_blank"> and regulations
The key content of this special governance includes the management of illegal and irregular medical inspections, governance of unfounded inspections, repeated inspections and other unreasonable inspections, governance of violations of the principle of informed consent and implementation of inspections, governance of indicators that may induce excessive inspections and performance distribution methods, and Control the violation of the plan to configure large-scale medical equipment.
The scope of action includes various medical institutions at all levels and other institutions that conduct medical inspections in violation of laws and regulations.
The special governance activities will run from April 2021 to March 2022 and will be implemented in 4 stages.
April-May 2021 is the deployment phase, May-August 2021 is the self-inspection phase, September 2021-January 2022 is the inspection and evaluation phase, and February-March 2022 is the summary phase.
April-May 2021 is the deployment phase, May-August 2021 is the self-inspection phase, September 2021-January 2022 is the inspection and evaluation phase, and February-March 2022 is the summary phase.
The "Work Plan" requires that all localities and departments should establish accounts for violations of laws and regulations in the field of medical inspections discovered in the special governance work, and deal with them seriously in accordance with laws and regulations.
Collect clues extensively, carefully investigate and verify, and ensure that the special action achieves actual results.
Collect clues extensively, carefully investigate and verify, and ensure that the special action achieves actual results.
At the same time, the establishment of a long-term mechanism is promoted, requiring all localities to guide medical institutions to pay close attention to rectification and implementation of problems found.
In response to the outstanding problems and common problems found in the special governance actions, we will further improve the system design, innovate supervision methods, incorporate them into the daily work of medical service supervision, and promote the establishment of an information-based supervision platform, with constant attention.
In response to the outstanding problems and common problems found in the special governance actions, we will further improve the system design, innovate supervision methods, incorporate them into the daily work of medical service supervision, and promote the establishment of an information-based supervision platform, with constant attention.
Commission for billing, illegal use of large equipment, focus on governance
Commission for billing, illegal use of large equipment, focus on governance According to the "Work Plan", this key governance may induce over-examination of indicators and performance distribution methods.
Specifically, it includes serious investigation and punishment of medical institutions and departments' implementation of "bill commission", setting of business income indicators and direct linkage with medical staff's income, and other behaviors that may induce excessive inspections.
Promote the use of technical level, difficulty coefficient, work quality, positive rate of test results, and patient satisfaction as key performance evaluation indicators for performance distribution, and guide the establishment of a performance distribution method that reflects the labor value and technical value of medical staff.
Promote the use of technical level, difficulty coefficient, work quality, positive rate of test results, and patient satisfaction as key performance evaluation indicators for performance distribution, and guide the establishment of a performance distribution method that reflects the labor value and technical value of medical staff.
At the same time, focus on the treatment of violations of the plan to configure large medical equipment.
Strengthen the supervision and inspection of relevant medical institutions, and investigate and deal with violations of large-scale medical equipment configuration license management and illegal use of large-scale medical equipment for clinical diagnosis and treatment, and severely deal with them in accordance with laws and regulations.
And to deal with unreasonable inspections such as unfounded inspections and repeated inspections.
Organize self-examinations and random inspections of outpatient (emergency) clinics and inpatient medical examinations of medical institutions, organize experts to demonstrate the necessity and standardization of examinations, and have no basis for violations of the regulations of the health administrative department and relevant technical specifications for diagnosis and treatment.
Inspections, unnecessary repeated inspections, etc.
shall be investigated and dealt with, rectification shall be ordered, and severely dealt with in accordance with laws and regulations.
Healthy, healthy, healthyInspections, unnecessary repeated inspections, etc.
shall be investigated and dealt with, rectification shall be ordered, and severely dealt with in accordance with laws and regulations.
It is understood that the overall effect of the use of medical examination items is not high, which will cause a waste of medical resources.
Relevant researchers from Huazhong University of Science and Technology have published paper analysis.
The use rates of blood, stool, urine, and biochemical tests in hospitalized patients were 1.
85, 1.
49, 1.
57, and 1.
14 times per person, but the positive rate was 13.
8.
%, 8.
2%, 8.
7% and 11.
7%.
The use rates of blood, stool, urine, and biochemical tests in hospitalized patients were 1.
85, 1.
49, 1.
57, and 1.
14 times per person, but the positive rate was 13.
8.
%, 8.
2%, 8.
7% and 11.
7%.
The usage rates of X-ray, B-ultrasound and electrocardiogram were 1.
34, 0.
96 and 1.
21 times per person, but the positive rates were 7.
2%, 9.
3% and 9.
1%, respectively.
34, 0.
96 and 1.
21 times per person, but the positive rates were 7.
2%, 9.
3% and 9.
1%, respectively.
At the same time, it is worth noting that behind unreasonable inspections, there may be differences in perceptions between doctors and patients on the rationality of medical inspections.
The above paper shows that 34.
5% of medical staff believe that the medical examination required for diagnosis and treatment is reasonable, while only 19.
4% of patients hold this view.
Regarding the main considerations for the implementation of medical examinations, medical staff believed that the needs of diagnosis and treatment, patient requirements, and hospital allocation mechanisms accounted for 97.
3%, 71.
4%, and 72.
4%, respectively, while patients were 62.
3%, 26.
4%, and 84.
5%, respectively.
5% of medical staff believe that the medical examination required for diagnosis and treatment is reasonable, while only 19.
4% of patients hold this view.
Regarding the main considerations for the implementation of medical examinations, medical staff believed that the needs of diagnosis and treatment, patient requirements, and hospital allocation mechanisms accounted for 97.
3%, 71.
4%, and 72.
4%, respectively, while patients were 62.
3%, 26.
4%, and 84.
5%, respectively.
The use of these medical devices , or drastically reduce
The use of these medical devices, medical devices, and medical devices , or significantly reduce It is understood that medical institutions now basically have a series of medical examination technical items such as clinical examinations, radiological imaging, heart and brain function monitoring, and ultrasound examinations, with a wide variety and complete functions.
Among them, clinical tests mainly include blood test, bone marrow cell test, urine test, stool test, sputum test, biochemical series test, cerebrospinal fluid test, body fluid secretion test, immune test, microbiological and molecular biology test and other items.
Radiographic imaging techniques mainly include X-ray transmission or filming, CT, magnetic resonance imaging (MRI), nuclear medicine imaging, radiography, intervention and other types.
Among them, in vitro diagnostic products are particularly important.
According to the analysis of China Industry Information Network, as the most important diagnostic method in clinical diagnosis and treatment, in vitro diagnostics provides 80% of clinical diagnosis information.
This industry has also become the largest segment of the global medical device industry.
According to the analysis of China Industry Information Network, as the most important diagnostic method in clinical diagnosis and treatment, in vitro diagnostics provides 80% of clinical diagnosis information.
This industry has also become the largest segment of the global medical device industry.
In 2013, the size of my country's in vitro diagnostic market was 28.
8 billion yuan and reached 45 billion yuan in 2016, with an average compound annual growth rate of 16%.
It is estimated that by 2020, the market size of my country's in vitro diagnostic reagent industry will exceed 80 billion yuan.
8 billion yuan and reached 45 billion yuan in 2016, with an average compound annual growth rate of 16%.
It is estimated that by 2020, the market size of my country's in vitro diagnostic reagent industry will exceed 80 billion yuan.
As of February 4, 2020, there are 15,070 registered companies in China whose business scope includes in vitro diagnostics .
In terms of provinces, in vitro diagnostic companies are mainly located in coastal areas.
Among them, Shandong, Guangdong and Jiangsu rank among the top three in the country with 3705, 1,439, and 1,106 companies respectively.
Enterprise business enterpriseIn terms of provinces, in vitro diagnostic companies are mainly located in coastal areas.
Among them, Shandong, Guangdong and Jiangsu rank among the top three in the country with 3705, 1,439, and 1,106 companies respectively.
The use of in vitro diagnostic reagents may be significantly reduced after the nationwide special treatment of irrational medical examinations is carried out.
Neusoft Wanghai Hospital Data Alliance released the "China's First Public Hospital Cost Report", showing that in the hospital, the medical laboratory department ranks first among the first-level medical technical departments with a cost-benefit rate of 89%, and the cost-benefit rate far exceeds that of clinical departments.
Hospital hospital hospital If the scope is expanded to the first-level and second-level departments, the CT room will top the list with a cost-benefit rate of 152%, the second is the MRI room, with a cost-benefit rate of 135%, and the third is the ultrasound room with a cost-benefit rate.
The rate is 130%.
The rate is 130%.
Among many clinical departments, except for radiotherapy and oncology, the income of other clinical departments is negative.
The top three inspection items in the hospital's return rate are all in the imaging department.
The top three inspection items in the hospital's return rate are all in the imaging department.
