November 20 news, from the National Health Insurance Bureau public number was informed that recently, the National Health Insurance Bureau issued a radiological examination class price project project guidelines (for trial implementation), unified integration and standardization of the current radiological examination project, so that the radiological examination project project is more clear, the charges are more understandable, but also to promote the price of radiological examination tends to be reasonable.
The guide suggests thatpromote (an idea or cause)AIAssisted diagnostic technology enters clinical applications.. With the development of artificial intelligence technology (AI), the combination of AI technology and medical imaging has become an important development trend in the medical field in recent years. For example, AI technology, based on the learning of a large number of historical cases, can assist doctors in quickly identifying pulmonary CT Images that identify small nodules, even microscopic ones, help improve the accuracy and efficiency of a doctor's diagnosis.
At present, artificial intelligence technology in clinical practice to a certain extent to assist in diagnosis or improve the efficiency of the role of the physician diagnosis, but can not replace the physician diagnosis, in the absence of independent medical services output, auxiliary diagnosis of the quality of the utility of the situation is difficult to determine, in the diagnosis of the corresponding items have been charged for the examination costs, it is not appropriate to single out artificial intelligence-assisted diagnosis of the additional charges to the patient. In this regard, in order to support the clinical application of AI-assisted diagnosis and to prevent additional burden on patients, the guidelines for the establishment of projects have unified the arrangement of "AI-assisted diagnosis" under the main project of radiological examination, that is to say.patientsWhere artificial intelligence is utilized for assisted diagnosis, the same price level as the main item is implemented, but without double charging with the main item, reflecting the price policy orientation oriented to medical service output, and, as in other industries, the functional positioning of artificial intelligence technology in improving quality and efficiency, rather than increasing costs.
The guide also suggests that in recent years, with the advancement of storage means, preservation and access to examination results no longer rely on physical film, through the examination results uploaded to the "medical insurance cloud" and other means, individuals can obtain free access to the cell phone terminal, peers and the medical insurance department can be directly accessed in the cloud, and this concept has been deeply rooted in people's hearts. The project guide absorbs the practical experience of some places, and incorporates digital image processing, uploading and cloud storage into the price composition of radiological examination, that is to say, the examination results are uploaded to the cloud to realize that the patients can read their own examination data in a convenient way, the peers can access the examination data across regions and institutions, and the medical insurance department can verify the uploaded examination data, which is a complete embodiment of the examination behavior, and an important basis for the medical insurance department to carry out the examination, and also an important basis for the peers to access the examination data across regions and organizations. It is an important basis for the medical insurance department to carry out inspections, and it is also the basic condition for peers to access the inspection data across regions and organizations and form the basis for sharing and mutual recognition of inspection results.If the medical organization is unable to achieve cloud storage of examination images, it will need to reduce a certain fee. It can be boldly envisioned that after a period of time, as the concept of sharing continues to deepen, if an examination and test result is not uploadable, shareable, or verifiable, it may be significantly devalued or even denied payment by health insurance. Cloud imaging is clarified in the price item, which will promote medical institutions to make up for the short board of cloud imaging service supply, and help cross-regional and cross-hospital sharing and mutual recognition of examination results.
In addition, the guidelines for the establishment of the project uniformly stripped the physical film from the price composition of the project, by the patient on-demand purchase, the physical film to implement zero price difference in the sale, not bundled charges. In the past, some places will be the cost of physical film packaged in the price of the examination program, the patient in the payment of the examination fee has paid the cost of film, printed often can not be used. With the progress of digital imaging technology, image information storage, transmission, reading can be separated from the physical film. Jiangsu and other provinces took the lead in the physical film and check the price of unbundled, patients need film on the payment, do not need to pay, some hospitals are also considerate of the scanning code to pay for the function set up in the self-service printing equipment, the right to choose to the patient's own hands.