台灣醫界病了嗎?

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Rocky  於 2003/05/28 06:31
台灣醫界病了嗎?

前些時候,美國越南外交官子弟送到台灣來就醫,據說是CDC極力推薦台灣的醫療素質.
沒想到不久,SARS院內感染沸沸騰騰,搞得醫界面子全失!

30年來,台灣街頭外科診所全部絕跡,真是世界奇觀!我朋友他老子當年在頭份開外科診所,光病床就有250床,現在整個台灣居然找不到一家?太戲劇性點吧!

早年哪家內兒科沒病床?李登輝去日本就醫,那兒的診所排場,大家還記得嗎?
看看台灣的診所,比起人家簡直算擺攤子!

如果民眾為了大醫院交叉感染,強忍病痛不敢就醫,何不回想當年情況?當病患分散就醫,
院內感染是否輕得多?長年以來,醫界朋友一直警告院內感染始終存在,連美國都很難免,
他們回家有人居然不敢把鞋子穿進家門.

為什麼會演變成這種怪現狀?我想是勞健保設計有問題!
大醫院給付比小診所高得多,很多難症不許小診所操作---台大主任開業被認為沒能力治療,
他的徒子徒孫在大醫院卻可以,荒謬吧!
大醫院一次可開3個月藥,小診所則限三天,叫病患如何選擇?

國民黨幾十年來一直在認真扮演推手,幾十年來民眾也習以為常;張博雅和葉金川當年在健保初辦,
不但設計甲乙丙表,一直在努力搞差別待遇;並且還裝出一副愛民姿態,努力查辦診所超收費用,
離譜的是不收掛號費一樣被處治!他們難道不懂市場機制?只要病患覺得值得,為什麼要干涉加碼?生意太差,要少收費用,又有何不可?

同級醫院一樣給付標準,哪個醫師還想增加設備,改善醫療素質?會想高薪召聘素質好的護士?
不同級醫院不一樣給付標準,小診所還有多少生存發展空間?微薄的給付,不在短時間看大量病患,
哪能賺錢養家?忙著應付白道黑道勒索,外加醫療糾紛,台灣醫師還真歹命!外科一直召不到質優量足的後進,實在是無法開業,只能留在大醫院接受財團予取予求.

終結小診所,改成大醫院於是變成醫界唯一發展之道.秀傳和敏盛都是如此.
但有多少醫師有能力啊?

SARS是醫界的浩劫,但也是轉機.如果因此可以給醫界一點修正,還醫護一些公道,
那麼殉職醫護就不算白白犧牲了!


NO:289_1
跑路者  於 2003/05/28 07:18
Re:台灣醫界病了嗎?

不用打問號。因為那是肯定的。

錯誤的政策是其一。

但台灣醫師的養成卻是最大的問題。專業素養很高,但人文素養卻相對低落。

邱淑媞即是一例,或許她有專業能力,但她的眼中看到的是疾病?
還是病患的靈魂,或是醫院內所有員工的人格?


NO:289_2
acoco  於 2003/05/28 10:17
Re:台灣醫界病了嗎?

Rocky
與其說台灣醫界病了,不如說台灣政界瘋了;無可救藥
醫界是執行者,政界是決策者;一群瘋子訂的法律周延性是可想而知的


NO:289_3
Rocky  於 2003/05/28 10:24
Re:台灣醫界病了嗎?

>>> 但台灣醫師的養成卻是最大的問題。專業素養很高,但人文素養卻相對低落。

有具體證據嗎?學理工的就比較好嗎?
是台灣通病,還是醫生超爛?
我認識的醫師怎麼都不是如此?


NO:289_4
henryhsu  於 2003/05/28 10:35
Re:台灣醫界病了嗎?

台灣的醫生人文素養會低??
還是你自己自卑感作怪??

=============================================
但人文素養卻相對低落。


NO:289_5
跑路者  於 2003/05/28 10:53
Re:台灣醫界病了嗎?

看清楚,我是說「相對」!

與他們自己的學養比高下,不是與其他人比。

這個也能扯上「自卑」?難道您身為醫師就該目空一切?
只是要你們多關心人而不是疾病而已。

一個教授帶領一群實習醫生圍繞著一個病人,大談這個病人的病理、後癒。
突然一個實習醫舉手發問:「請問這位病患女士貴姓芳名?」
包括教授所有人都愣住了,因為大家都忽略了病患的不安。


NO:289_6
henryhsu  於 2003/05/28 12:11
Re:台灣醫界病了嗎?

這句話就充份說明你的病態心裡!!

================================
難道您身為醫師就該目空一切?


NO:289_7
小黑  於 2003/05/28 12:50
Re:台灣醫界病了嗎?

henryhsu又再瘋一次~~~~以臨床的病態心理學而言
SARS果然會使一些瘋子更瘋!!
跑路者兄,他使用的是二行插針法,不用對於他的
問句理會,只要寫出你的表達即可,我支持你的論
點!

NO:289_8
i1974man  於 2003/05/28 16:18
Re:台灣醫界病了嗎?

台灣醫界真的病了
但是台灣人也都病了
人文素質不高是所有台灣新生代的通病
並不只有醫界如此

如何解決?
沒有人知道吧
只怪台灣上四百年來的人
都只是→→→過客


NO:289_9
小黑  於 2003/05/28 21:21
Re:台灣醫界病了嗎?

NO:289_8

牽扯蠻遠的!


NO:289_10
蘭陽醒師團  於 2003/05/28 22:11
Re:台灣醫界病了嗎?

告訴我

大病到大醫院
小病到小醫院

還是
小病到大醫院
大病到小醫院

還是
大病隨便看
小病隨便看
都可以看,錢多多,沒關係。

切蛋糕哪會切的齊?
嫌自己拿到比較小塊嗎?


NO:289_11
緋村劍心  於 2003/05/29 00:38
Re:台灣醫界病了嗎?

我感觸最深的是有些人上大醫院的心態

上中學的時候, 有一次老師不知道怎麼搞的說到牙齒, 問班上都去那裡看牙, 當然很多人都是去家附近的牙醫診所看囉! 結果有一位同學說她媽媽都帶她去台大看, 請大家猜老師接下來說什麼?

----->「難怪你的牙齒比較漂亮!!!」

難道其他人的牙齒都很醜嗎? 我們又不常讓老師看到牙齒~~, 這還是健保制度實施以前的事.

上大醫院在很多人心理是一種迷思, 總以為無論什麼毛病去大醫院就會治的比較好, 連帶的也覺得自己好像比去診所的人高一等, 健保制度把這種風氣推波助瀾, 大家心理想既然去大醫院和去診所的錢差不多, 藥又可以拿很多天, 何不如去大醫院?!

不過我們家的經驗是先去看名醫的診所, 名醫診斷了以後就會安排去他工作的大醫院做更進一步的檢查或安排手術, 這就是所謂的[院所分家]嗎? 很像院所分級說......


NO:289_12
yu  於 2003/05/30 22:51
Re:台灣醫界病了嗎?

***************
台灣醫界病了嗎?
***************
台灣醫界沒有病
台灣醫界只是......傳真機故障而已

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NO:289_522
levitra  於 2006/10/26 00:29
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levitra  於 2006/10/26 07:19
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viagra  於 2006/10/26 09:55
'Re:台灣醫界病了嗎?'

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levitra  於 2006/10/26 10:49
'Re:台灣醫界病了嗎?'

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viagra  於 2006/10/26 15:42
'Re:台灣醫界病了嗎?'

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NO:289_530
viagra  於 2006/10/26 17:10
'Re:台灣醫界病了嗎?'

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Phentermine  於 2006/10/26 19:42
'Re:台灣醫界病了嗎?'

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NO:289_532
Ultram  於 2006/10/27 08:03
'Re:台灣醫界病了嗎?'

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NO:289_533
Ultram  於 2006/10/27 08:47
'Re:台灣醫界病了嗎?'

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Ultram  於 2006/10/27 14:22
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Ultram  於 2006/10/27 17:24
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baccarat  於 2006/10/28 08:10
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phentermine  於 2006/10/28 10:57
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bingo  於 2006/10/28 11:28
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baccarat  於 2006/10/28 11:44
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baccarat  於 2006/10/28 12:33
'Re:台灣醫界病了嗎?'

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NO:289_558
ikea sofas  於 2006/10/28 13:22
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baccarat  於 2006/10/28 14:28
'Re:台灣醫界病了嗎?'

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bingo  於 2006/10/28 15:02
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baccarat  於 2006/10/28 15:21
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baccarat  於 2006/10/28 17:30
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baccarat  於 2006/10/29 07:46
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ikea sofas  於 2006/10/29 10:16
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baccarat  於 2006/10/30 10:32
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baccarat  於 2006/10/30 11:21
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baccarat  於 2006/10/30 12:15
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baccarat  於 2006/10/30 13:12
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phentermine  於 2006/10/30 14:08
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baccarat  於 2006/10/30 15:55
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baccarat  於 2006/10/30 17:44
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baccarat  於 2006/10/30 19:00
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sexpartner  於 2006/10/30 19:21
'Re:台灣醫界病了嗎?'

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bingo  於 2006/10/30 20:16
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baccarat  於 2006/10/30 21:14
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baccarat  於 2006/10/30 21:52
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baccarat  於 2006/10/30 22:11
'Re:台灣醫界病了嗎?'

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baccarat  於 2006/10/30 23:47
'Re:台灣醫界病了嗎?'

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baccarat  於 2006/10/31 00:04
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baccarat  於 2006/10/31 05:58
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online casino  於 2006/10/31 13:31
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baccarat  於 2006/10/31 19:10
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baccarat  於 2006/10/31 20:07
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phentermine  於 2006/11/02 02:05
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phentermine  於 2006/11/03 00:43
'Re:台灣醫界病了嗎?'

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NO:289_606
phentermine  於 2006/11/03 06:50
'Re:台灣醫界病了嗎?'

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NO:289_607
soma  於 2006/11/03 08:42
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phentermine  於 2006/11/03 10:31
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ultram  於 2006/11/03 11:24
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phentermine  於 2006/11/04 06:19
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phentermine  於 2006/11/04 11:13
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ultram  於 2006/11/04 12:45
'Re:台灣醫界病了嗎?'

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ultram  於 2006/11/04 21:29
'Re:台灣醫界病了嗎?'

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phentermine  於 2006/11/04 22:24
'Re:台灣醫界病了嗎?'

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NO:289_618
ultram  於 2006/11/05 00:16
'Re:台灣醫界病了嗎?'

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NO:289_619
phentermine  於 2006/11/05 06:47
'Re:台灣醫界病了嗎?'

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NO:289_623
sexpartner  於 2006/11/06 00:00
'Re:台灣醫界病了嗎?'

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NO:289_624
phentermine  於 2006/11/06 01:42
'Re:台灣醫界病了嗎?'

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phentermine  於 2006/11/06 10:16
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phentermine  於 2006/11/06 12:43
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ultram  於 2006/11/06 13:48
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NO:289_633
ultram  於 2006/11/06 22:38
'Re:台灣醫界病了嗎?'

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NO:289_634
phentermine  於 2006/11/06 23:49
'Re:台灣醫界病了嗎?'

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phentermine  於 2006/11/07 08:46
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ultram  於 2006/11/07 09:54
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ultram  於 2006/11/07 11:08
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phentermine  於 2006/11/07 14:52
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online casino  於 2006/11/07 16:08
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phentermine  於 2006/11/07 18:38
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NO:289_642
sexpartner  於 2006/11/07 20:01
'Re:台灣醫界病了嗎?'

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sexpartner  於 2006/11/07 20:46
'Re:台灣醫界病了嗎?'

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phentermine  於 2006/11/07 23:00
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NO:289_647
phentermine  於 2006/11/08 02:46
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