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发表于 2014-11-2 01:00:15 | 只看该作者 回帖奖励 |正序浏览 |阅读模式
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Doctors down grievances, open a small prescription will be "Hexibeifeng" embarrassing situation
"I was a medical student,moncler outlet,http://www.cq688.com/upload/forum.php?mod=viewthread&tid=12784, the size is not the key issue of prescription, the key to the right remedy, if small prescription savings money can not cure the disease, what's the use?"
"Remedy of this 'medicine' is very particular about the level of conscience and are reflected in which doctors find the money, which the doctor's level and conscience."
Small newspaper reported prescribing doctors to open a small prescription are built on a "disease-specific optimistic about the disease," based on, are the right remedy, then why open no other doctors small prescription? Yesterday,hogan outlet, the city part of the hospital's doctors down grievances.
Doctors do not have difficulties to open a small prescription
"No away, I had not met this prescription, the prescription if you put this announcement,http://aimirycom.ja143.cnyixun.com/forum.php?mod=viewthread&tid=1111169, the city's doctors want Masi me." Yesterday afternoon, the city of a community health service stations, just for coronary heart disease and hypertension out amounted to 4.65 yuan prescribing physician Huang Qun (a pseudonym), after I heard reporters to announce the prescription immediately tone jerk. "I do not want to be pushed to the cusp, the doctor of all prescription open so we Hexibeifeng ah?" Huang Qun said.
Huang Qun out of this prescription,http://www.imnic.net/forum.php?mod=viewthread&tid=624512, including nifedipine, compound reserpine. "If we say that drug income,moncler sito ufficiale,http://bbs.jsqmall.com/forum.php?mod=viewthread&tid=290393, these two drugs may be 2-3 cents." Huang Qun say he was unwilling to publish prescription difficulties.
Doctors rely on balances bonus
Huang Qun where community health service stations operating modes are as follows: Based on the public health services and basic medical services to achieve bonuses assessment that balances mention award. And Huang Qun income consists of two parts: the basic wage and assessment Award, "If all open a small prescription, income and expenditure of community health service stations will not be able to achieve a balance." Huang Qun undaunted, last month for failing to achieve the balance of payments balance, she not only did not getting rewards, but also down due to health centers nearly 200 yuan.
"In order to ensure the normal operation of our prescription prime condition is based on the patient's condition to open, followed by the consideration of the needs of patients and drug prices." In older patients with chronic bronchitis,http://moodle.ndna.org.uk/login/index.php?item/create_form/1,mulberry outlet, for example, you can use penicillin infusion therapy, prices from 20-200 per month; can also be used for oral cephalosporin class of drugs, with prices ranging from 1-20 yuan. On the basis of the patient's condition requires a doctor on the recommendation of its use treatment, "treatment and medicines final decision rests with the patient."
Doctors talk about small prescription
High expectations boost prescription
"In fact, a large prescription drugs appear expensive, there is an important reason to be ignored." A large city hospital medical official said,abercrombie soldes, by the impact of fast-paced modern city, high expectations of patients for medical services, shorten the course is a concrete manifestation . In cold, for example, cure generally about a week, but did not want to delay the work of the patient often will move "can not let the disease better hurry up" requirements, so high-priced prescription drugs appeared in the big, of course, will effectively shorten the course of the disease,hogan scrape, "If you lose the use of high-grade drugs, three days or so will be able to achieve the desired effect."
Medication pay attention to speed through progressive
"Remedy,louboutin soldes, in order to avoid the emergence of a large prescription." Banan District Community Health Service Center for Lijiatuo people believe that doctors should follow the condition of patients, follow-speed progressive principles of medication and can not be affected by other factors, "the one on the high-grade drugs, Patients certainly can not afford. "
She said, prescription drugs to open high-end, subject to the need to establish on the basis of the patient's condition.
Large hospital doctors clinic fee too low
Bo is heavy paint attached to a hospital director of obstetrics, title is being high, Ph.D., who is the city's well-known experts in obstetrics. Paint Hongbo said the patient should see a doctor looking for him, only to spend 10 yuan registration fee, medical fee 6.6 yuan, "and for this 16.6 yuan, I may have to, and patient 'blow half a day': Ask illness,http://hvac-hvac.com/item/46272, physical examination, diagnosis of disease, provide treatment and preventive health care knowledge and education. You think it is cheap or expensive? "paint red wave believes cheap clinic fees, is the biggest problem faced by all the big hospital doctors.
Doctors commission by prescription drugs,http://gempakz.org/index.php?item/create_form/1, medical equipment and check the "billing fee" part of the revenue increase, seems to have become "reasonable."
Status quo
Income from four large hospitals into drugs
"A complex intracranial surgery, 7-8 individuals spend six hours to complete, revenue can only hundreds of dollars per person, how can such a cheap fee, avoid prescription?" City person in charge of a hospital surgical physicians talk Revenue also hurt.
Under drugs to support medical health care system, its prescription only "reasonable" living space. Weeks,http://www.chinacase.org/?action-viewcomment-type-lawtrain-itemid-3397,hollister sale, Southwest Hospital, deputy director of the new Department of Medical Education, said the city's more than 40% of large drug charges accounted for an average of three hospitals hospital's total revenue,nike air max pas cher, on average every year at least 50 million yuan more than the net income from drug addition. Week to a new view,jordan pas cher, the city has proposed health reform goals, but the difficulty is the government's financial assistance,moncler outlet, if the subsidy can not keep up, after the cancellation of drug addition, the hospital is very difficult to maintain the normal operation, let alone maintain quality health services, and to drugs to support medical problems can not be fundamentally reversed, naturally small prescription will be difficult coming out.
This column manuscript written by reporter Wang Deli
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