2022/5/26  
‘Prescriptions by proxy’ roll out for COVID patients (2022/05/13)
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  • 英文 English 
    ‘Prescriptions by proxy’ roll out for COVID patients (2022/05/13)

    A new policy for obtaining COVID medication was implemented nationwide on Friday. People infected with COVID can now send a proxy to a hospital doctor, to get a prescription for medicine on their behalf. The policy is aimed at expediting treatment for patients in need. But on Friday, some doctors expressed frustrations, saying that the policy still doesn't make COVID drugs easily available. They say that "prescriptions by proxy" can only be obtained at 137 hospitals nationwide, which are not enough to meet demand.

    Before one call ends, another comes through. Today, private clinicians are authorized to give consults not only by video call, but by phone as well. These services for COVID patients have only rolled out recently. But this clinic is already inundated with calls.

    To help get prescriptions out there faster, the government is allowing patients to speak with physicians via phone or video call, and have medicine sent to their homes. Patients can also have friends or family members attend a hospital consult on their behalf. If an infected person is eligible for treatment with oral medication, a friend or family member who lives separately can visit the doctor with the patient’s health insurance card and positive test result. At any of 137 hospitals nationwide that carry antiviral medication, they can follow the standard procedures to see a doctor. The doctor will assess the patient’s medical needs based on their written account of their symptoms, and write them a prescription if needed.

    Lin Yung-zen
    Taiwan Primary Care Association
    Antiviral medications should be available at all medical institutions. Access should not be limited to only specified distribution hospitals. The purpose is to make medication more accessible, so why impose limits? You should open it up to all hospitals. Now you are saying you want patients to have faster access to medication, but then you tell them to ask friends and family members to go to one of these hospitals to get the prescription. It doesn’t make sense.

    Dr. Lin Yung-zen says friends and family should be allowed to get COVID pills at clinics, and not just hospitals. He says there are too few designated hospitals nationwide, which puts pressure on the medical system. It also drives up the caller rate for video call and telephone consultations, he says. With so much demand, he says it’s hard for him to schedule in-person consultations.

    Lin Yung-zen
    Taiwan Primary Care Association
    Video calls last an average of 20 to 30 minutes. If it were only a small number of people that would be fine, but with so many people calling, I can’t do in-person consultations.?

    Pediatrician
    Che Tsan-wei
    These video calls have recently become a real headache for us. One of the first problems is that everyone’s internet bandwidth is very different. When you have signal delays, it’s a very serious waste of time. At a time like this, every second counts.?

    New options for consulting with physicians and accessing medication can offer conveniences for patients, but poor execution means frustration all around. Doctors hope authorities can make adjustments on a rolling basis.
    中文 Chinese  
    確診者親友代看診上路 醫師:據點太少

    為了加速開立抗病毒藥物,確診者除了親自以視訊或電話方式看診,再委託藥師送藥到府,另外也開放確診者的親友"代看診",只是全台目前只有137家,配有抗病毒藥物的醫院防疫門診,可依一般程序掛號,但基層診所並不符合代看診資格,醫師認為,全台據點太少,反而徒增醫院困擾。

    問診還沒結束,又有電話打進來,醫師不只透過視訊診療,指揮中心也開放用電話問診,但基層診所才剛營業沒多久,電話接不完。

    為了加速開立抗病毒藥物,確診者除了親自以視訊或電話方式看診,再委託藥師送藥到府,另外也開放親友"代看診",如果確診者符合口服藥的用藥條件,可由非居家隔離的親友,拿患者的健保卡和確診證明,到全台137家,配有抗病毒藥物的醫院防疫門診,依一般程序掛號"代為看診",由醫師評估用藥條件,最後由親友代簽同意書,拿處方箋到醫院藥局領取口服藥。

    [[基層醫療協會理事長 林應然]]
    “抗病毒藥物也應該開放給所有醫療院所,不要只限於配賦醫院,因為他就是要方便拿藥,你幹嘛要限制他?應該開放所有醫療院所都可以用。你現在就是因為病人要趕快拿到藥物,你又叫(親友)他集中到醫院去等待,去等拿藥,沒有這個道理啊。”

    基層醫師認為,一般診所並未開放"親友代看診"服務,全台據點太少,反而徒增醫院困擾,加上視訊診療和電話問診的比例越來越高,時間要如何跟現場掛號的民眾錯開,也成問題。

    [[基層醫療協會理事長 林應然]]
    “視訊看診平均至少二三十分鐘跑不掉。哎呀如果不要太多就算了,如果太多人我根本就不用(現場)看診了。”

    [[小兒科醫師 車參薇]]
    “視訊診療的話,最近我們真的是覺得非常地痛苦欸,就是第一個最大的問題,是在於大家頻寬很不一樣。在這個(延遲)上面的話,非常嚴重浪費時間,因為你知道現在大家是分秒必爭。”

    想讓確診者盡速拿到抗病毒藥物,但相關配套持續滾動式調整,讓不少基層診所傷透腦筋。
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