Test is " chartered outside " Need to plug a hole behind the prosperity

Test is " chartered outside " Need to plug a hole behind the prosperity
Test is " chartered outside " Need to plug a hole behind the prosperity
Staff reporter Cao Zheng Recently, Beijing the intersection of media and publication transmit line claim many persons of children " turn on single " in community health Center, township hospital Measure the microelement. The children blood specimen is taken out of the hospital, is measured in the local-style dwelling houses by the third company. The company contracts with the medical organization, 15% which accepts the interests sit in the medical health organ, the intermediary smokes 85%. And the medical health organ one is said frankly to finding the result has no ability to tell truth from falsehood. The incident is after exposing in the media, Beijing Municipal Health Bureau takes a stand and investigates and prosecutes strictly. The reporter finds in the investigation, behind this case, it is a fast-developing third party's medical science that examines the market. And the lagging that supervised, while causing this new developing field to grow vigorously, also contain big risk. The third party measures and goes to a grassroots level in a community health Center in Xicheng District in Beijing quietly, the nurse in front of testing the window tells reporters, there is no one's own laboratory in the community, all samples will be sent to the special test company and dealt with. "We are only responsible for three things: Sample, give the sample to the logistics company, receive the result of laboratory test. " This nurse says. Reporter's investigation finds, like this community health Center, in Beijing, Guizhou, Sichuan and other places, a lot of the intersection of basic unit and medical health organ already examine the business " Wrap up outside " : Or concentrate test samples of the particular area to get to the blood screening test lab of the large-scale hospital, or is transferred to special third party's medical check organization to deal with. Because the large hospital's own test business demand is numerous, it is very difficult to totally meet demands of basic unit, so the third company becomes " Wrap up outside " Main force of the business. Third party's medical check organization, is also called the independent laboratory of medical science, mean under the circumstances that health authorities permit, have specializing in the medical organization that medical science measured of independent legal personality. It and hospital establish the cooperation in business, concentrates on collecting and measuring the sample that the cooperative hospital gathers, send the result to the medical health organ after test, apply to clinic. The reporter knows, the medical health organ in the basic unit introduces the purpose of third party's medical check organization, it is for solving the contradiction between growing medical demand and weak service ability in the basic unit. For a long time, it is important link and content of medical care that medical science is examined. The statistics show, the doctor diagnoses and treats 70% of the the above in the additional information and wants to rely on medical test to get, but basic unit medical blood screening test lab of health organ human resources deficient and apparatus simple and crude catching up with by management, this influences the test of the medical health organ in the basic unit to diagnose accuracy directly, thus has weakened patient's trust to the medical health organ in the basic unit. Serve the investigation according to the fourth national hygiene to reveal, in the hygiene technical staff of health clinics in towns and townships, special secondary school and proportions of personnel following with without education are up to 63%. The Guiyang person in charge of Municipal Health Bureau in Kweichow Province introduces, in thousands of medical organizations of the market in Guiyang, only few third grade first rate hospitals have more complete apparatus of clinical medicine, and clinical checkers such as a large number of medium and small-scale medical organizations, the community health Center, health clinics in towns and townships,etc. and examining personnel deficiently. The medical service ability in the basic unit is improved at the end of 2009, Guiyang introduces third party's medical science and examines the organization for the first time, explore third party's test serves the new routes of the medical organizations at all levels. The person in charge of test organization providing service to Guiyang introduces, they enter Guizhou and run over the past half year, the cooperative hospital of the market reaches 57 in Guiyang, including hospital, private medical organization, hygiene service station at city level and at county level,etc., the cooperative hospital of the surrounding area of Guiyang reaches 223. More than 1000 items of medical science such as examining, pathology consultation, immune group, cell pathology, sex hormone examine the project to live in collaborative project including pathology. Sichuan Province Xinjin county starts to rely on the pilot project that third party's medical science examines too. The blue sea hawk of chief of county hospital of Xinjin tells reporters, through comparing, they examine the commune hospital outside the project to charter to the company, the medical health organ in the basic unit is only responsible for taking a sample in test, manage the business from the company in unison, sample collection, the sample is examined, provide the survey report finally and transmit going back in the hospital through the network. At present, the clinic of the medical health organ of basic unit of Xinjin county examines the project and already rises to 15 big classes and nearly 200 individual events from 6 original big classes and 54 individual events. The trade develops and still treats the norm though the business income of third party's check organization at present only accounts for about 7% that national medical science examined the income, but the extensive demand in the basic unit impels it to demonstrate surprising development speed. Fish and dragons mix up together on the fast and swelling market, the check organization of third party exposed by the media of Beijing recently, it is the sediment flooded in this new developing market. 2009, Ministry of Public Health releases" medical science examines the basic standard ", examine to medical science department set up and person, house, apparatus, rules and regulations and registered capital go on and standardize. Independent third party's medical science is examined, must all operate according to this standard. According to the fixed requirement, medical science is examined and sanctioned setting up by provincial health authorities; Medical science is examined should sign the agreement with it before offering test service for medical organization, define the rights and obligations of both sides; Medical science examines and should also accept the quality evaluation among one grade of indoor quality control and room that the above clinical inspection center launches of the province, guarantee the science, accurate, objective that test fruits. But the insider says, besides regulation of verifying in qualification, health authorities examine the supervision regulation of the organization to the third party imperfectly, also the one that does not have clearly examines supervision management system and policy of the organization to the third party. In addition, as to this new developing service form, the price department has not priced rationally in time either. Reporter find because some medical inspection center produce by checkout equipment, reagent and then set up still in investigation, in consideration of interests, third party's inspection center hands over the procuratorial organ and " rewards" ,In order to stimulate the medical health organ in the basic unit to make and check the prescription more. "This is a great prescription of examining the trade in fact! " An expert who examines the trade worries about this, " if things go on like this, the third party will be polluted to examine completely by the interests mechanism of this kind of distortion. " He proposes, on the basis of setting up the rational mechanism of distribution of interests, should supervise and combine independent managenment of the trades with the government. Quality control is that the greatest problem " introduced the independent laboratory of medical science into service system of health care and construction at the basic level such as the community before expert's view is analyzed, can improve the medical service ability in the basic unit conscientiously, it is benefited to realize in many ways. " China cures the SCTE and examines the president of doctor's branch, grand professor clump jade of PLA general hospital to think, it is developed in the future a trend that the third party examines. In order to impel it to develop in a healthy way ,Should strengthen the trade to supervise, should improve the relevant technical specification too. The grand suggestion of jade of clump, health authorities should carry out a technical staff, examine the entry system of the project strictly, and make the unified standard. On one hand, according to the norm that Ministry of Public Health released, strengthen the qualification threshold of the trade entry to examine; On the other hand, should also strengthen the daily efforts of supervision and management, especially to the organization in violation of rules and regulations, punishment that must be strict. In view of technology, clump jade grand to think third party examine organization it faces most great problems to be quality control difficulty relatively loud analyze. "Test samples before entering third party's laboratory, from sampling to all front links of inspecting by ready samples etc., range of quality control before analyzing. " The jade of clump is grand to explain, " but this part has already involved the operation of the doctor at the basic level, still involve the logistics to transport, need each side to coordinate, it is the place aptest to go wrong too. " Report, in analyzing the inaccurate survey report of the reason according to literature of foreign countries, before 60% to 70% come from analyzing. It is said for example that the jade of clump is grand, for example blood glucose is tested, if the sample will be decomposed when being put into ice chest yet for over two hours, it is just not reliable to send to the analysis result made in laboratory. "Test organization, medical worker and logistics at the basic level transport the consciousness that personnel need quality control. " Cong YuLong says, the linking up managerial ability of this pair of third party's check organizations has put forward higher requirement, and this link is exactly that third party's medical science examined development at present " The short board " Place.


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