Golden Member
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引用:
作者dmwc
還沒實施也是會倒貼,健保局會審核然後要醫生提報告,再來就是打折給付
日子久了這樣玩大家都累,所以才改 DRG
並非所有醫生都反對實施 DRG ,而是有些會影響比較大,像是急性併發症的,可能會因為醫院怕請超出額度就乾脆不準做處置,但慢性的就影響比較小而且受益,因為不用怕事後被砍額度
比較重要的是的是醫生會不會告訴病人選項
要是實施後醫生為了符合醫院政策,乾脆都截肢,而且也告知病患只能截肢,這才是恐怖的地方
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簡單說,醫療也是一種生意,今天加入健保的醫院只能在制度之下爭取最大的利潤
所以說 如果健保給付相同的金額,醫院為追求最大利潤,為何要建議接指?
很簡單的道理,醫師領醫院薪水,你想要他們能怎麼做?
自己貼錢救病人嗎? 一個兩個也許還能負擔,
但是每個病人都這樣 我想不會有哪個醫師願意這樣做的
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