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北京医改后跨科开药需求增加 部分医院可酌情满足
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Topic: 北京医改后跨科开药需求增加 部分医院可酌情满足 (Read 123 times)
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北京医改后跨科开药需求增加 部分医院可酌情满足
May 14, 2017, 03:31:48 PM
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随着医事服务费的推开,患者跨科开药的需求有所增加。市卫计委半月前曾为此发文允许专科医师可酌情跨科开处方。
医改“满月”,记者采访10家医院发现,半数已能酌情跨科开药,仍有部分医院未开展这一服务。
医改后跨科开药需求增加
4月8日,北京市启动医药分开综合改革,取消挂号费、诊疗费,新设医事服务费,并推行药品阳光采购。昨日,记者从北京市卫计委了解到,截至5月10日,北京药品阳光采购已节约费用约4.7亿元,不少市民享受到了药费下降的福利。不过,也有市民看到医事服务费相对上涨,希望跨科取药时能少挂号。
清华长庚医院急重症部部长陈旭岩说,医改之后,提出跨科开药的患者有所增多,有些患者甚至希望一个号能把三四个科室的药都拿齐。“以前患者觉得就多掏几块钱,不在意多挂几科,现在挂号花费多了。另一点也涉及技术含量的问题,如果医生给他诊断、治疗、建议,他们觉得挂号的钱值了,有些病人病情在稳定期,反复看了多次,会觉得找医生就是为开方子,只开一科的药,不值”。
半数受访医院可跨科开药
针对类似现状,4月下旬,市卫计委出台关于进一步改善医疗服务工作的补充通知,对医生跨科开药给出明文规定。通知中提到,满足代开其他专科的处方属于连续治疗、病情无进展、不需要调整治疗方案(包括药品、剂量、时间)等条件的前提下,专科医师可以开具非本专业疾病诊疗处方。
文件下发已近半月,有多少医院可跨科开药?近日,记者通过实地探访、电话咨询等方式,详细了解北京8家三甲医院、2家二甲医院的开药情况。其中,三甲医院中清华长庚医院、北京老年医院、友谊医院等能酌情跨科开药,受访的2家二甲医院都可跨科开药。
老年慢病患者希望多开药少跑腿
记者走访发现,主动提出跨科开药需求的不少为老年患者。家住菜市口的82岁市民刘女士说,她患有心脏病、高血压、糖尿病,肾也不太好,需要服用大量药物,要分别去心内科、泌尿科、内分泌科等科室取药。“没法一次把药拿完,而且一次也只能挂两个号,三天两头老往医院跑。”
陈旭岩也称,提出需求的主要群体的确是老年病人,一般重叠高、糖、冠、脑等慢病,及男性前列腺增生等症状,需要长期用药。普仁医院神经内科副主任医师刘楠介绍,很多老年患者病情较为稳定、长期吃药,有些腿脚不好,多次挂号的时间和经济的负担较大。
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