2019/8/19  
Major hospitals ordered to reduce numbers at outpatient clinics (2018/07/02)
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  • 英文 English 
    Major hospitals ordered to reduce numbers at outpatient clinics (2018/07/02)

    Taiwan's hospitals are full of patients with problems ranging from life-threatening emergencies to minor colds. The National Health Insurance Administration wants patients with less serious conditions to seek medical attention elsewhere, so that there's more room in major hospitals for those who really need it. The administration is now ordering major hospitals to reduce their outpatient intake by 2% a year, which could mean turning away 800,000 patients.

    To ease congestion at major hospitals, the National Health Insurance Administration is asking hospitals to lower their outpatient intake by 2% per year. The hospitals must reach a 10% decrease by the fifth year or risk putting their health insurance reimbursements in jeopardy.

    Voice of Hung Tzu-jen
    Hospital Superintendent
    This is a great challenge for our hospital. We’ve mentioned many times before that the NHIA should think about the deductibles of chronic disease prescriptions and for clinic fees. The NHIA should look into voluntary patient transfer.

    The hospitals stressed that for the plan to work, public opinion has to change.

    Tsai Shu-ling
    NHIA Deputy Director-General
    It’s always been that patients choose for themselves where they go for medical care, and they choose major hospitals. It’s our hope that patients with minor conditions or chronic diseases will be directed to clinics, and be transferred to major hospitals later if needed.

    Chu Hsien-kuang
    Healthcare reform advocate
    Lowering outpatient intake by 2% at medical centers doesn’t mean that patients with minor conditions or chronic diseases will be redirected. We’re concerned that hospitals will pick and choose patients, accepting those that represent easy money, who are often patients with minor ailments or chronic diseases.

    Healthcare reform activists requested the NHIA roll out a comprehensive transfer plan so that hospitals won’t need to sacrifice the interests of their patients.
    中文 Chinese  
    拚醫療分級! 大醫院門診不減量 健保不給付

    民眾小病都往大醫院跑,大醫院總是人滿為患。現在健保署要落實分級醫療,要求各醫學中心、區域醫院要逐年減少門診量,將輕症、病情穩定病患轉診到社區診所。大醫院一年門診量要減少2%,將近80萬人次,5年減少百分之十的門診量,否則不給付相關健保費。

    為了落實分級醫療,健保署要求大醫院一年門診量要減少2%,5年減少10%,否則不給付超收門診的健保費用。

    [[聲源:新光醫院副院長 洪子仁]]
    "這對醫院挑戰很大,以前一再提到,慢性病處方箋部分負擔,或是檢查費部分負擔等等措施,健保署也要做考量,要讓民眾自發性去分流。"

    醫院強調,還是民眾觀念要改變。

    [[健保署副署長 蔡淑鈴]]
    "病人過去都是自由就醫,自己選擇到大醫院,我們希望說輕症、穩定慢性病,經由雙向轉診,必要再到大醫院做檢查。"

    [[醫改會副執行長 朱顯光]]
    "只是醫學中心門診減2%,不是真正減這些慢性病的領藥門診,跟初級照護輕症門診。我們擔心醫院還是會挑病人,反而繼續留些好賺的,輕症慢性病病人。"

    醫改團體則出面喊話,健保署配套措施要做好,別讓大醫院為了賺錢,排擠急重症病患看病的權利。
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