标题: followed by hearing should "perspective" [打印本页] 作者: bh6tu2u3j4 时间: 2014-10-15 14:02 标题: followed by hearing should "perspective" ■ thematic planning: Express reporter Zhang Chen Qi Tian heroic
■ thematic execution: Express reporter Chen Yang Li Silu Xu Na Xu Lifu Huangxiao Jia Xiao Mu intern wing segments can
Doctors generally believe that the current social climate,moncler outlet, the hospital at least to "keep an evidence"
"Doctor, can not fail to open the checklist?" Xu patient carefully asked the sentence. Doctors heard,scarpe hogan offerte, immediately cancel a single test, and only one hundred yuan drugs. Xu patients not help wondering:
Is this prescription can be opened from time to open?
When Express "pulse-patient relationship" special reporter to follow,hogan scarpe prezzi, "team doctor experience" and "patient experience teams" at major hospitals thorough investigation, found that patients under no clear guidelines in the case of a doctor,http://gg104.net/x/forum.php?mod=viewthread&tid=169216, suffered "check" or "Do not check "dilemma. Some patients reflect some check items and prescription seems to be dispensable, and therefore concerns the interests of doctors and open inspection of large prescription.
Event 1
Patients can not ask a doctor immediately cancel mortem single perspective
Hui people cough and a half disappeared,http://www.hbjdxt.com/home.php?mod=space&uid=699687,hogan uomo outlet, throat hoarse, on May 16 to a hospital for treatment of respiratory medicine.
After a simple inquiry and throat examination, the doctor said Xu may be suffering from bronchitis, need to do a "perspective" Check.
"?? Bronchitis ah ah" Xu puzzled about this diagnostic conclusions, followed by hearing should "perspective",woolrich prezzi, is shocked, thinking himself not so serious, he casually asked one: "Can ? can not do perspective ah "I did not expect the doctor immediately replied:" You can not do it, I will open for you to eat for three days after eating the medicine if it Well, then you come back and see. ".
Xu agreed to take medicine, and ultimately spent 100.8 yuan drugs. Later, he told the Express reporter, has little understanding of physician practices. "Why do I ask much a 'can do',hogan uomo 2013, he said,http://www.shujuquan.com.cn/home.php?mod=spacecp&ac=blog&blogid=, 'can not', I did not adamant that reluctance. So easily shaken, is not explained,spaccio aziendale moncler, had this project can not do it, he is purely is more open? "
Experts
Can check from time to check usually check
Professor Chen Bojun Provincial Hospital emergency department director of University City Hospital analyzed Xu's "Perspective" event. He explained, "perspective" is similar to "shoot chest", you can check whether the infection of the lungs, but the "perspective" does not require a film, so it is cheaper than chest X-ray, there is no impact on health. Currently, for patients cough, phlegm and other symptoms, to determine if caused by a cold, generally do not perspective. However, if the cough more than three days, no significant relief medication, it is best performed fluoroscopy or chest X-ray examination. Because such as pneumonia, bronchitis early symptoms are similar, you need to check to confirm the diagnosis.
If you sure you want to check, why patients mention a "can do" you can not do it? Chen Bojun frankly, in this regard, the doctor is also more difficult.
"If we say let the patient do nothing good, but in case of pneumonia and the like delay, when patients come back, they will say,moncler catalogo, 'Why did not allow me to do, I did not say no money',scarpe hogan donne prezzi, but If the patient did, indeed inspection found no problem, the patient may also suspect excessive medical doctor. "Chen Bojun said," In the current social atmosphere,moncler sede, for 'to be investigated from time to check',giubbini moncler prezzi, the doctor will usually check at least saved a check based on that. "
Event 2
A few hundred dollars allergen test A doctor doctors do B
Miss Pan left people suffering from atopic dermatitis, recurrent recently,saldi moncler online, on May 14 in the afternoon to the Red Cross hospital.
Miss Pan said that he had symptoms after drinking milk,hogan rebel uomo outlet, I do not know whether allergic to milk. "If you want to know which allergens against themselves,scarpe hogan on line, can do some 'allergen test', but the price more expensive, to more than 300 yuan." Admissions doctor said. Miss Pan heard of this test is very simple, after no injections, they can find out the reason,sito hogan, immediately expressed their willingness to do the test.
Eventually, she spent 360 yuan, to detect 25 kinds of allergens project,moncler outlet trebaseleghe, the results show "house dust mites,hoganoutlet," "Weeds," "grassy", "lamb" for her allergens. "'s Hard not to come into contact with dust mites, but I did not eat meat, I feel that the results have no meaning to me." Miss Pan said.
Miss Pan done in the test the next day, 3-year-old Mei also suffer from allergic diseases - urticaria, to Guangzhou Women and Children Medical Center for treatment. Doctors also mentioned do allergen testing, but also can not say the reason: the children grow up,http://aizhubao8.com/forum.php?mod=viewthread&tid=174006, physique changed for the better, the possibility of recurrence is low urticaria, holds many lessons for a little attention can be. For this reason, his parents chose not to test.
Experts
Need to explain the decision by the patient
Sun Yat-sen Memorial Hospital dermatologist Wei-Xiong Chen believes that two doctors given "do" and "do not" allergen tests are justified. "Do" on the grounds that, for chronic urticaria, to ascertain the cause,hogan da donna, from a clinical point of view, really can do allergen tests to diagnose. Reasons "no go" is, on one hand there are many substances cause allergies, but is not currently used for testing reagents inclusive, there is always missing; hand yes, even to do the test, there are a certain percentage of false positive rate, i.e., the test result is not entirely accurate.
Therefore, Wei-Xiong Chen was in favor of the practice of Guangzhou Women and Children Medical Center,hogan outlet online, explain the situation in detail with the patient. Patients according to their needs, the capacity of the economy, and whether there is enough time to decide to do or not do.
Doctor doctor Experience
Throat discomfort is open to experience one hundred yuan medicine doctor sighed a little high
Express News some people think "expensive", whether that doctor "is expensive" mean? Recently, as Jinan University Graduate School of Medicine, "Doctor Experience Team" members one of Surgery, the First Affiliated Hospital of Jinan University interns CRITICAL throat discomfort on account of a well-known top three in the hospital, spent nearly a hundred drugs, obtained "A little can not afford" feeling.
May 18 morning, CRITICAL to the "throat irritation,http://www.ini3e.com/home.php?mod=spacecp&ac=blog&blogid=, phlegm" and other well-known disease to a top three hospital ENT treatment. Doctor Liu admissions after a simple inquiry and examination, medical history page on Writing: "throat mucosa acute congestive right tonsil two-degree left a degree, on the right side visible secretions, pharyngeal lymphoid follicles visible congestion,http://test.ckdsradio.eu/index.php/forum/newtopic, congestion epiglottis, slightly swollen, "concluded that" acute laryngitis. "
Subsequently, the doctor wrote out a prescription: a box of cetylpyridinium chloride tablets, treatment six days; cefuroxime axetil tablets (up to force new) boxes, the course three days; Po Blue inflammatory capsule box, treatment for three days. Final pricing, the total price of the three drugs for nearly 100 yuan.
CRITICAL medical professional believes that the three drugs, the first two are antibiotics, has a significant effect on acute laryngitis. "The doctor in drug choice is reasonable,interactive hogan, but it can also be conservative, such as more use of proprietary Chinese medicines, antibiotics may lead to lowering of viral resistance."
In addition, CRITICAL analysis, the first drug treatment seemed to be somewhat longer length, which directly led to higher overall drug prices. "An acute pharyngitis is actually sick, but a little longer, the total drug prices to nearly one hundred yuan, little people can not afford." CRITICAL emotion.
The hospital statement
Up to prescribing physicians will be admonishing remarks
Express News doctors prescribe a mission Indexes? Doctors prescribe chaos, there unsupervised? For prescription for public hot spots, checking, the reporter interviewed a number of the hospital.
Patients A: Why see a doctor, the doctor always ask is not "Medicare reimbursement"? If yes, yes not prescribe cheaper drugs? If not, it is necessary to open your medicines?
A hospital: it is not. In fact, doctors are trying to help patients save money. If you are a Medicare population, we must give priority selected from the Medicare drug list, in the absence of proper health care drugs, and then consult the patient, or use drugs at their own expense. Because use, drugs will be expensive.
Patients B: Hospital did not give the doctor prescribe indicators will be more open multi-point bonus?
B Hospital: No such indicators. There are many doctors bonuses reference index, but not much linked to prescription, mainly to see the workload. Such as how many patients received an average length of stay for each person how much, how much is seriously ill, and so on.
Patients C: Doctors prescribe medication in the end there is no monitoring,http://www.xz-hr.com/?action-viewcomment-itemid-127?
C Hospital: Yes, especially antibiotics, many hospitals have set up the appropriate antibiotic use monitoring system. Such as doctors prescribe basis having level, not ultra vires; prescription reviews will be conducted every month, failed to publicity; Up to prescribe the top ten, will admonishing conversation and so on.
Topic of discussion
You are opened "great recipe" it?
As a patient, you are in the process of medical treatment, whether encountered a case like this? How do you choose? You would like Mr. Xu did,http://www.cecyteo.edu.mx/site/index.php, that doctor is "prescription" it?
Those interested in participating in discussions can call or visit Sina microblogging @ Express, express your views.