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[1]陈云峰顾珊珊张春燕王效国盖玉婷潘雅萍.上海市宝山区检查检验结果互认实施效果研究[J].中国卫生质量管理,2025,32(12):86-90.[doi:10.13912/j.cnki.chqm.2025.32.12.17]
　CHEN Yunfeng,GU Shanshan,ZHANG Chunyan.A Study on the Implementation Effects of Mutual Recognition of Examination and Test Results in Baoshan District, Shanghai[J].Chinese Health Quality Management,2025,32(12):86-90.[doi:10.13912/j.cnki.chqm.2025.32.12.17]

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上海市宝山区检查检验结果互认实施效果研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年12期页码: 86-90 栏目: 基层卫生质量出版日期: 2025-12-15

Title:: A Study on the Implementation Effects of Mutual Recognition of Examination and Test Results in Baoshan District, Shanghai

作者:: 陈云峰顾珊珊张春燕王效国盖玉婷潘雅萍; 上海市宝山区高境镇社区卫生服务中心

Author(s):: CHEN Yunfeng; GU Shanshan; ZHANG Chunyan; Gaojing Town Community Health Service Center, Baoshan District

关键词:: 检查检验互认; 互联互通互认; 互认率

Keywords:: Mutual Recognition of Examination and Test Results; Interoperability and Mutual Recognition; Mutual Recognition Rate

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2025.32.12.17

文献标志码:: A

摘要:: 目的分析上海市宝山区医疗机构检查检验结果互认工作实施效果，为进一步优化工作提供参考。方法基于互联互通互认监管平台，回顾性收集2021年4月-2025年7月上海市宝山区全部医疗机构的检查检验互认数据，分析年度趋势及不同级别医疗机构的数据差异。结果检查检验结果确认互认率从2021年的88.2%增加至2025年的99.5%，重复率从1.15%降低至0.76%。确认互认项目数从2021年的1 143 641项攀升至2024年的2 169 884项，以检验类项目为主，检查类项目确认互认占比从3.0%上升至6.7%。社区卫生服务中心的检查检验结果确认互认率高于二级、三级医院确认互认率（P<0.001）。结论宝山区医疗机构检查检验结果互认工作整体成效显著，但需针对性破解层级差异与检查类项目互认瓶颈。建议通过区域诊断中心整合、社区能力筑基、医保考核联动及AI分层互认规则进一步提升政策效能。

Abstract:: ObjectiveTo analyze the implementation effects of the mutual recognition of medical examination and test results among healthcare institutions in Baoshan District, Shanghai, and to provide references for further optimizing relevant work.MethodsData on the mutual recognition of examination and test results from all healthcare institutions in Baoshan District, Shanghai, were retrospectively collected from the regional mutual recognition monitoring platform from April 2021 to July 2025. The annual trends and differences in data across healthcare institutions of different levels were analyzed.ResultsThe confirmed mutual recognition rate of examination and test results increased from 88.2% in 2021 to 99.5% in 2025, while the duplication rate decreased from 1.15% to 0.76%. The total number of confirmed mutual recognition items rose from 1 143 641 to 2 169 884 by 2024, with laboratory test items being the primary contributors. The proportion of confirmed mutual recognition for diagnostic imaging items increased from 3.0% to 6.7%. Community health centers exhibited higher confirmed mutual recognition rates for examination and test results compared to secondary and tertiary hospitals (P<0.001).Conclusion The mutual recognition of examination and test results among healthcare institutions in Baoshan District have demonstrated significant overall effectiveness. However, targeted solutions are needed to address hierarchical disparities and bottlenecks in the mutual recognition of diagnostic imaging items. It is recommended to further optimize policy effectiveness through the integration of regional diagnostic centers, strengthening community capabilities, linking medical insurance assessments, and implementing AI-based stratified mutual recognition rules.

参考文献/References:

［1］上海市人民政府.上海加强首诊和转诊医疗服务建立健全上下转诊制度加强检查检验结果互联互通互认［EB/OL］.(2025-03-24)［2025-08-13］.https://www.shanghai.gov.cn/nw4411/20250524/325092820f724fbfaebc1573e40139d5.html.［2］国家卫生健康委办公厅.关于加快推进检查检验结果互认工作的通知:国卫办医函〔2021〕392号［EB/OL］.(2021-07-13)［2025-08-13］.https://www.gov.cn/zhengce/zhengceku/2021-07/16/content_5625480.htm.［3］央视网.上海等11个省市试点综合医改将纳入地方政府考核［EB/OL］.(2016-05-12)［2025-08-13］.https://news.cctv.com/2016/05/12/ARTIAWc2s sWIvvYj5MZcPhTK160512.shtml.［4］科技新时代编辑部.上海首批37家公立医疗机构实现检验检查互认［J］.科技新时代,2019(Z1):44-45.［5］上海市人民政府.关于印发《上海市进一步规范医疗行为促进合理医疗检查的实施方案》的通知:沪卫医〔2021〕62 号［EB/OL］.(2021-06-25)［2025-08-13］.https://www.shanghai.gov.cn/gwk/search/content/afabb488bb834ae4b5ea64464b57a1 19.［6］伍启康,赵光华,梁权辉,等.检验结果互认平台的建设及展望［J］.中国数字医学,2022,17(5):109-113.［7］石岩,孙雪松.区域医学检验检查信息互联互通互认系统建设研究［J］.科技视界,2022(11):6-8.［8］上海市宝山区人民政府.关于2021年宝山区卫生健康工作要点［EB/OL］.(2021-03-03)［2025-08-13］.https://xxgk.shbsq.gov.cn/article.html?infoid=fd927c7a-8f97-4cb5-889c-40bf3d03ccd7.［9］上海市宝山区人民政府.4个目标+8大任务+20项措施！一图读懂《宝山区社区卫生服务强基增能三年（2023-2025年）行动计划》［EB/OL］.(2025-03-22)［2025-08-13］.http://xxgk.shbsq.gov.cn/article.html?infoid=f29c720c-51ff-434b-86fb-e4b5ae4fa2d5.［10］鞠睿,姚华彦,何萍.上海市级医院“便捷就医服务”数字化转型实践探讨［J］.中国数字医学,2022,17(10):8-12.［11］赵强.医检结果互认的成效取决于改革的力度［N］.深圳特区报,2018-12-11(A02).［12］徐凯，马朝群，李欣宇.关于建立区域协同医疗网络服务体系的构想［J］.中国卫生质量管理，2017,24 (1) ：75-77.［13］郭爽,杨朔闻,王腾,等.区块链实现互联网医院数据互联互通互认的应用探讨［J］.中国医院院长,2022,18(20):61-63.［14］李静,赵鹏,李磊,等.北京地区基层医疗卫生信息互联互通与数据共享现状分析研究［J］.电脑与电信,2023(11):73-77.［15］杨彦帆.推进医疗检查结果互认，让患者更方便［N］.人民日报,2024-06-12(13).［16］刘桂江.公立受托医院医疗服务质量评价体系研究［D］.赣州:赣南医科大学,2024.［17］陈阳,郑凤春.“互联网+医疗健康”背景下“健康辽宁影像云”平台的搭建与应用实践［J］.卫生软科学,2024,38(6):7-9.［18］WHEELER SE,BLASUTIG IM,DABLA PK, et al. Quality standards and internal quality control practices in medical laboratories: an IFCC global survey of member societies［J］. Clin Chem Lab Med,2023,61(12):2094-2101. ［19］PRATAP A,DHAT V, PHALAK P, et al. Quality control in medical laboratory: Are we doing enough?［J］. Indian J Public Health,2023,67(4):684-685. ［20］董晨杰，陆其峰，顾丹萍，等.基于医务人员视角的长三角卫生健康标准一体化调查研究［J］.中国卫生质量管理，2023 ,30 (3) ：31-35.［21］石琳.新时期医院财务管理工作开展探究［J］.中国产经,2022(6):114-116.［22］归纯漪,孙梅.上海市某三甲专科医院医疗风险相关事件调查分析［J］.中国卫生质量管理,2019,26(2):53-57.［23］新闻晨报.“零距离”诊疗，“零接触”就医，在宝山就医变得更加便捷［EB/OL］.(2021-07-07)［2025-08-13］.https://baijiahao.baidu.com/s?id=170462 0867825892519&wfr=spider&for=pc.［24］上海市宝山区人民政府.宝山区全科医师培训三年（2023-2025年）行动计划第三期培训班顺利开班［EB/OL］.(2025-05-13)［2025-08-13］.https://www.shbsq.gov.cn/shbs/wjwgzdt/20250516/411 563.html.［25］王凯,徐月清.数据治理助推公立医院高质量发展的实践与思考［J］.中国卫生质量管理,2025,32(7):92-98.［26］陈云峰,陈洋,曹萍,等.新冠疫情期间上海市基层医务人员职业倦怠现况调查［J］.中国初级卫生保健,2023,37(1):93-97.

更新日期/Last Update: 2025-12-15