400 family physical examination organizations will accept " The

400 family physical examination organizations will accept " The physical examination "
" annual physical examination " ,Has already become a lot of citizens' official exercise, but few people know how on earth to do the physical examination, what projects are selected, how to follow after physical examination? 400 about individuals examine the organization in Shanghai at present, it is actually few but can really offer norm and system service.

Before the end of this month, the physical examination of Shanghai quality accuses of centre expert's launching " physical examination " to the physical examination organization of the whole city ,Announcement on relevant websites not up to standard.

It causes the physical examination puzzledly that economy is driven

61 -year-old Mr. Hu went for physical examination not long ago, in the blood was checked, an index which pointed to digestive tract tumour was not up to standard, he is extremely terrified. In one month, Mr. Hu ran in several hospitals, make the intestines mirror after finishing the gastroscope, still contact and do the small intestine mirror everywhere, but all is checked and shown normally. In order to look for the physical examination " Tumour " ,The Mr. Hu whole family is worn out mentally and physically, he finds an expert finally, the expert answers: "Some present cancer indexes are not totally accurate, sometimes inflammation takes place in the digestive tract, the index will be not up to standard. "

The experience of Mr. Hu, is so-called " false and positive " in the physical examination ,That is to say, though the cancer index is the positive reaction, patients have not suffered from cancer. In fact, the false positive rate of different cancer indexes is different, the normal physical examination organization will be chosen the project of lower false positive rate, and some private organizations taking chasing the interests as purpose, will exaggerate the dependability of the cancer index sedulously, avoid " false positive rate " .

34 -year-old Miss Jin endures in the physical examination of this year to the fullest extent and perplexes too. The lung of a suggestion of her chest has shade, after Miss Jin dashes to the physical examination centre burning with impatiencely, the doctor advises location of her many sides to make film again, as a result 4 X-ray photographs are finished, the physical examination centre still only provides and " can't fix, please go to the section hospital to check " Report. "Unable to diagnose obviously, but why will they let me shine the light repeatedly? " Miss Jin wonders very much.

Physical examination, because is a medical project at one's own expense, has already become the fragrant bun that each medical organization, private physical examination centre fought for now. The unstandard one often can be seen when act, some " folk physical examination guerrilla forces " Hold the banner of hospital especially, borrow instrument and physical examination personnel to the physical examination to the doorstep of the unit.

Can't only check and has not served in physical examination

Chinese Medical Association will set up base of demonstration of 100 of health control in the whole country, Yan Chai Hospital is an only one of Shanghai, but Fan ZhuPing, director of administrative center of the health is still very puzzled: "We look forward to country's presuming the threshold for a doctor's qualification of physical examination early, do not know what reason, the examination of qualification stagnates. "

In the physical examination centre at present, the physical examination doctor is mainly a retired doctor; In the specific centre, radiating or Ultrasonography B department, often substitute a doctor with the technician; The test course of some test departments is lax, so that the result is offsetted.

Fan ZhuPing says: "The physical examination trade needs the norm. " In her view, the physical examination doctor should have background of the complete doctor, the nurse needs knowledge foundations such as nutrition and following medical science of the card,etc. too, " the physical examination serve can't just check, the more important thing is the person of physical examination explains their body health condition in order to come " .

But this is lacked in the physical examination trade most exactly. Much human body is reading various reports after examining, besides can understand upwards or the downward arrowhead, can't understand the meanings of leucocyte, erythrocyte, a cell index at all, do not know either how should the life after the fatty infiltration of liver, after having proteinuria be spent?

Fan ZhuPing says: "Physical examination organization, especially enterprises are a group physical examination of the main body, can't only transmit and sue, the physical examination doctor should offer consultation service for this enterprise to the doorstep, these advisory services include explaining the report, and the nutrition of healthy life is proposed, if the need reexamines the person who followed up a case by regular visits to, consulting a doctor should offer the scientific suggestion too. " But the regret is, the methods of a lot of physical examination centres were only checked at present, have not served.

In fact, everybody is different because of basic conditions of the body, frequency and project of physical examination have nothing in common with each other, besides ordinary physical examination, everybody needs the special physical examination to design. For example hepatitis B physical examination of patient should rise to once every half years, because of high-risk group of hepatocarcinoma, they need to pay close attention to virus density and tumour mark,etc..

Fan ZhuPing says: "These ideas all need realizing through standardizing the physical examination centre, it is very difficult for the ordinary patient to provide the rational physical examination scheme by oneself, so standardize the behavior of the physical examination centre as soon as possible, it is the responsibility of the supervision department of the government. "

Staff reporter Shi JiaQi


400 family physical examination organizations will accept " The physical examination "