Can You Switch to Another Major Hospital for a Repeat Endoscopy? - Gastroenterology and Hepatology

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Can I transfer to another major hospital?


If the previous large hospital's physician has transferred to another hospital and you need to undergo another gastroscopy four months later without applying for the previous medical records and gastroscopy report, can you switch to another large hospital?

x, 20~29 year old female. Ask Date: 2017/02/26

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: 1.
If your symptoms are severe enough to require the use of PPIs (proton pump inhibitors), and a gastroscopy has diagnosed the need for PPIs, after four months, if you need to use PPIs again, a re-evaluation via gastroscopy is required, unless it is Grade C/Grade D gastroesophageal reflux disease (GERD).
2.
There is no data exchange between hospitals; if a doctor at a new hospital needs to refer to your medical history or previous reports to prescribe medication, they must go through the process of requesting your medical records.
I hope this answers your questions.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/02/26

More Info


Switching to another major hospital for a repeat endoscopy is certainly possible, but there are several important considerations to keep in mind. First and foremost, it is essential to understand that medical records, including previous endoscopy reports, play a crucial role in the continuity of care. When you visit a new hospital, the healthcare providers there will typically want to review your medical history and any prior test results to make informed decisions about your care.

In your case, since the physician who performed your previous endoscopy has moved to another hospital, you may feel the need to seek care elsewhere. However, it is advisable to obtain your medical records from the previous hospital, including the endoscopy report, before making the switch. This documentation can provide valuable information to the new healthcare team regarding your condition, any findings from the previous procedure, and the rationale for needing a repeat endoscopy.

If you choose to go to a new hospital without your previous medical records, the new physicians may still be able to perform the endoscopy, but they may require you to undergo additional evaluations or tests to ensure they have a complete understanding of your medical history. This could lead to delays in your care and potentially unnecessary repeat testing.

Regarding your question about whether the new hospital can access your previous medical records through your health insurance card, it largely depends on the healthcare system and regulations in your area. In some regions, electronic health records (EHR) systems may allow for the sharing of medical information between facilities, but this is not universally applicable. Therefore, it is best to proactively request your records from the previous hospital and bring them with you to the new facility.

In summary, while you can switch to another major hospital for a repeat endoscopy, it is highly recommended that you obtain and present your previous medical records to facilitate a smooth transition and ensure that the new healthcare providers have all the necessary information to provide you with the best care possible. This approach not only helps in avoiding redundant tests but also ensures that your treatment plan is based on a comprehensive understanding of your medical history.

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