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The author:(作者)归海一刀
published in(发表于) 2014/2/17 8:56:07
Candidates suspected of civil service examination was accused of suffering from high blood pressure， and says the hospital had many loopholes

On February 14, the China Youth newspaper reported that the candidate suspected "hypertension" took to the road and the non-scientific examination of the complaint index is contrary to fair focused candidate xiaozou at the city's civil service examination physical examination to doubt yourself, "high blood pressure" experience.

The same day, examination of the Civil Service Bureau in Chongqing of China Youth daily, the head of reporters that reports objective and fair, and thank the media supervision of the work of the civil service examination. The official said, examination bodies will continue to safeguard social fairness and justice, single talent of good governance.

The official gave no further progress on this matter. However, around concerns civil servant examination medical examination is not cool. Especially in 2014 the State civil service exam close to the interview and examination stage backdrop, the matter has aroused people's attention.

A Netizen named "Caduceus" commented that such a standard there is a problem in itself. In fact, level 2 hypertension, as long as the drug properly, does not affect work.

"The break that threshold. "" Caduceus "said.

Xiaozou also told China Youth daily reporter said, should ask unscientific medical indicators.

Little Zou "hypertension" disputed cases, blood pressure values, little Zou "examination unqualified" reasons, examination authority for a "single out".

The civil servant recruitment examination manual (trial) regarding medical procedures in terms of saying: "item checked out must go through his own doctor the finalization and signature. ”

Articles on physical examination findings and recommendations said, by the primary physician seized a detailed review of the test results (including a variety of auxiliary examination) and the general practitioners ' views, the comprehensive judgment and render a final medical conclusion, autographed seal stamped after a medical examination medical institutions.

In the xiaozou table, medical examination conclusions section check the doctor's stamp, but did not sign.

The civil servant recruitment examination manual (for trial implementation) "on factors affecting blood pressure measurement of control" said in terms of, in the entry medical examination (including civil servant recruitment examination), the blood pressure measurement bias is an easy project. Thus, "in large groups should do a blood pressure Checkup quality control of measurements and diagnoses, conclusions, in order to detect and remedy is too wide, too restrictive and tendentious issues", "carefully and well contested review, conclusions of the individual".

But xiaozou believes that hospitals in the program there are many loopholes, and there is no rigorous treatment "single out" decision.

In recent years, a series of controversies and issues surrounding the civil servant recruitment examination case unfold, raises community's concern for civil service examination medical examination. Among them, the number of disputes or corruption problems, it is "single out" link.

February 16, 2011, your correspondent to Shi Xin the title examination of liver IL Posto, xihua University was reported in civil service examination graduates Shi Xin's tragedy. Shi Xin "alanine-amino transferase" (the initials of "ALT") has test results exceed the maximum employment standards of civil service examination, he was recognized as a "medical examinations failed" failed in the civil service examination.

Subsequently, Shi Xin turn over three provinces of Jiangxi, Hunan, and Sichuan, visiting three hospitals have had sex 4 times a medical examination to prove that your liver is healthy. 4 medical conclusions show, Shi Xin normal liver function, relevant indicators did not exceed the civil servant recruitment standards. But because of the examination program is fully down, Shi Xin could not be accepted.

In August 2011, the Shanxi Changzhi in civil service examination examination examination Song Jiangming "haemoglobin" indicators have been artificially tampered with, resulting in public exams exam. After newspaper reports, the matter, the Shanxi provincial authorities involved in the investigation, justice for Song Jiangming.

Song Jiangming only as an indicator of "unqualified", and narrowly escaped being excluded from outside the civil service.

That same year, 10 candidates in the civil service examination in Guizhou encountered a medical examination "Rashomon", these candidates in the white blood cell count and platelet values and other items was found medically unfit because of excessive individual eligibility. Among them, the metric distance of qualified standards only 0.04.

"Song Jiangming case", the "single out" requirement has clearly exploited by corrupt officials.

On March 20, 2012, "the Song Jiangming case" trial, prosecutors in evidentiary aspects, under our existing civil servant recruitment examination for medical procedures in the operations manual States that "items checked out must go through his own doctor the finalization and signature". And the truth is, the accused, Changzhi, former Deputy Secretary, human resources and Social Security Bureau Zhao Po as a non-professional, hospital staff had made "medical check failed" decision, and cause the Song Jiangming "single out".

Prosecutors also noted that, in accordance with the General standard for civil servant recruitment examination (for trial implementation) provides that with hemoglobin male below 90g/L "unqualified" conclusions have a premise, that is, candidates must be diagnosed with "simple iron-deficiency anemia." But Song Jiangming medical examination and review of results, centers have not made Song Jiangming suffered from "simple iron deficiency anemia" diagnosis.

The civil servant recruitment examination manual (for trial implementation) "single out" made a very prudent constraint, there are stringent in multiple articles.

Among them, "medical procedures" articles States that "items checked out must go through his own doctor the finalization and signature".

"Laboratory tests" articles: "slightly higher or slightly lower results compared with reference values, on the premise of exclude organic disease, generally does not single out by the primary physician seized in conjunction with other test results, comprehensive judgment, make the right conclusions. ”

Turns out, in the case of related regulations already require should they fail to stop "single out" caused controversy and even the occurrence of cases of corruption.

(Original title: "single out" is often as unscientific barriers)

　　2月14日，中国青年报刊发报道《一考生怀疑“被高血压”走上申诉路》和《不科学的体检指标有违公平》，关注了考生小邹在重庆参加公务员考录体检中怀疑自己“被高血压”的经历。

　　当天，重庆市公务员局考录处的负责人对中国青年报记者表示，报道客观公正，并感谢媒体对公务员考录工作的监督。这位负责人表示，考录机关将不断地维护社会的公平正义，选拔好治国理政的人才。

　　这位负责人没有透露关于此事的进一步进展。但是，围绕公务员考录体检工作的关注没有降温。特别是在2014年国家公务员考试即将进入面试和体检阶段的背景下，此事更引起了人们的关注。

　　网友“双蛇杖”评论说，这样的标准本身就存在问题。实际上，2级高血压以下，只要药物控制得当，完全不影响工作。

　　“这个门槛该破除了。”“双蛇杖”说。

　　小邹也向中国青年报记者表示，应该追问不科学的体检指标。

　　在小邹“被高血压”争议案件中，血压数值成了小邹“体检不合格”的原因，考录机关据此进行了“单项淘汰”。

　　《公务员录用体检操作手册（试行）》关于体检工作程序的条款中说：“单项淘汰必须经过主检医生审定并签字。”

　　关于体检结论及建议的条款则说，由主检医师详细审查各科检查结果（包括各种辅助检查）及各科医师的意见后，综合判定，作出最终体检结论，亲笔签名后加盖体检医疗机构公章。

　　在小邹的体检表中，体检结论一栏有主检医生的盖章，但没有签字。

　　《公务员录用体检操作手册（试行）》中“关于影响血压测量结果因素的控制”的条款中说，在各种入职体检（包括公务员录用体检）中，血压测量都是一个容易发生偏差的项目。因此，“在大样本的群体体检中应做好血压测量和诊断、结论的质量控制，以便及时发现和纠正过宽、过严等倾向性问题”，“认真细致地做好有争议个体的复查、结论工作”。

　　但小邹认为，医院方面在程序上有不少漏洞，并没有严谨对待“单项淘汰”的决定。

　　近年来，一系列围绕公务员录用体检的争议和问题案例不断出现，引发了社会对公务员考录体检的高度关注。其中，不少发生争议或滋生腐败的问题，正是出在“单项淘汰”环节。

　　2011年2月16日，本报以《施欣验肝求职记》为题，报道了西华师范大学研究生施欣在公务员体检中的遭遇。施欣的“丙氨酸氨基转移酶”（英文缩写“ALT”）的检验结果超过了公务员体检录用标准的上限，他因此被认定为“体检不合格”，在公务员考试中落榜。

　　随后，施欣辗转江西、湖南、四川三个省，前往三家医院做了4次体检，以证明自己的肝是健康的。4次体检结论均显示，施欣的肝功能正常，相关指标也没有超过公务员录用的标准。但由于考录程序已全部走完，施欣无法被录用。

　　2011年8月，山西长治考试宋江明在公务员考录体检中的“血红蛋白”指标被人为篡改，以致公考落榜。此事经本报报道后，山西省有关部门介入调查，为宋江明讨回了公道。

　　宋江明也仅仅因为一项指标的“不合格”，而险些被拒于公务员队伍之外。

　　同一年，贵州的10名考生在公务员考录体检中遭遇“罗生门”，这些考生分别在白细胞计数、血小板值等项目中因为单项超标而被判定体检不合格。其中，有的指标距离合格值标准仅差0.04。

　　在“宋江明案”中，“单项淘汰”的规定显然被腐败官员利用了。

　　2012年3月20日，在“宋江明案”的庭审中，公诉人在举证环节提出，根据我国现行《公务员录用体检操作手册》中对体检工作程序的规定，“单项淘汰必须经过主检医生审定并签字”。而事实是，被告人、长治市人力资源和社会保障局原副局长赵波作为非专业人员，指使医院工作人员作出了“体检不合格”的决定，并导致宋江明被“单项淘汰”。

　　公诉人还指出，根据《公务员录用体检通用标准(试行)》的规定，以血红蛋白男性低于90g/L作出“不合格”结论有一个前提，即考生须被确诊为“单纯性缺铁性贫血”。但当时宋江明的体检及复查结果，体检机构并未作出宋江明患有“单纯性缺铁性贫血”的诊断结论。

　　《公务员录用体检操作手册（试行）》对“单项淘汰”作出了十分审慎的约束，在多个条款中均有严谨的表述。

　　其中，“体检程序”条款指出，“单项淘汰必须经过主检医生审定并签字”。

　　“实验室检查”条款指出：“对于检查结果较参考值稍高或稍低者，在排除器质性病变的前提下，一般不做单项淘汰，而由主检医师结合其他检查结果，综合判断，作出正确结论。”

　　事实证明，在相关规章已有要求的情况下，仍未能挡住“单项淘汰”引发的争议乃至腐败案件的发生。

（原标题：“单项淘汰”经常成不科学门槛）

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