医疗检查控制困境及突破路径研究

Research on the dilemma and breakthrough path of medical examination control

药品、医用耗材改革后,不合理医疗检查的问题逐渐凸显,成为医患纠纷、医疗费用上涨的潜在威胁。目前,医药卫生体制改革进入深水区,在医疗检查规范化管理的过程中,医患互信、医疗检查监管、医疗检查资源配置、实施医疗结果互认制度及保障信息安全性等方面的困境逐渐显现。该文针对医疗检查控制的困境提出以下3条突破路径,以期为医疗检查规范化运行提供理论依据:基于医患视角,提升医患互信;协调制度监督与行政监管,打造透明化医疗检查;技术支持,促进医疗检查规范化运行。

After the reform of drugs and medical consumables, the problem of unreasonable medical examination has gradually become prominent, which has become the potential threat of doctor-patient disputes and rising medical costs. At present, the reform of the medical and health system has entered the deep water zone. In the process of standardized management of medical examination, the difficulties in doctor-patient trust, medical examination supervision, medical examination resource allocation, the implementation of the mutual recognition system of medical results and the guarantee of information security have gradually emerged. In view of the dilemma of medical examination control, this paper proposes the following three breakthrough paths: based on the perspective of doctors and patients,improve doctor-patient trust;coordinating institutional supervision and administrative supervision to create transparent medical examinations;technical support to promote the standardized operation of medical examination, in order to provide a theoretical basis for the standardized operation of medical examination.