Patients overwhelm the beds in large hospitals and doctors urge people to stay at home – Taiwan Awakening News Networks

[Reporting from Taipei by Taiwan Wake News reporter Chien Chia-yu]There are no beds in hospital wards, and nearly 30% of them are patients with chronic diseases. Doctors are calling for the implementation of a stay-at-home system! Liu Boen, chairman of the Taiwan Long-term Care Medical Association, said at a press conference on the 22nd that many patients with chronic diseases can actually be cared for at home, and plans for “remote treatment” and “in-home hospitalization” have been improved, and family members have been trained to become caregivers. Physician Yu Nianzhu also said that early intervention prevention and treatment plans can enable patients with high blood pressure and high blood sugar to receive treatment earlier.

There is a shortage of medical staff and beds

Chen Juwang, vice president of the Taiwan Long-term Care Medical Association, pointed out that since the implementation of the national health insurance in 1984, the public’s satisfaction rate has been nearly 90%, but the satisfaction rate of medical staff is only 30%. The biggest problem is the “health insurance total system”. The cap on health insurance expenses has caused medical staff to be overworked and underpaid, resulting in the problem of manpower loss. As a result, more and more hospitals now have empty beds but lack of care manpower.

He also pointed out that current health insurance laws stipulate that health insurance items cannot charge additional fees. In the absence of funds, it is difficult for hospitals to introduce new medical technologies, which in turn leads to the problem of low medical quality. Chen Juwang called on the government to establish a public budget, give priority to health insurance points, and set different fee levels for health insurance benefits, such as partial self-payment and complete self-payment.

The grading system is completely broken

Yu Nianzhu, an attending physician at the Department of Endocrinology and Metabolism at Renai Hospital in Yilan, said that although the central and local governments continue to promote “graded medical care” and often promoted the concept of “go to clinics for minor illnesses and hospitals for serious illnesses,” the actual results are not good, and there are even ” “The bigger one is ever bigger”, the continuous increase of medical centers and the gradual shrinking of the number of community hospitals are contrary to the concept of hierarchical medical care.

For example, he gave the example of a 59-year-old woman who went to a local hospital for an examination because of abdominal pain. The diagnosis revealed that she had a urinary tract infection, but she was also diagnosed with diabetes. After comprehensive care from a nutritionist and a nurse, her blood sugar was controlled. Come down. Yu Nianzhu said that if the woman went to a large and crowded hospital, she might not be able to receive such careful care, and called on the government to pay more attention to the issue of “graded medical care.”

Planning to be hospitalized at home

Liu Bern said that due to insufficient medical manpower, there has been a shortage of hospital beds in clinical practice. However, 2 to 30% of the current hospital beds are for patients with chronic diseases. However, these patients can actually be treated at home, so the future long-term care 3.0 policy should also fully plan for “hospitalization at home”. ” package.

He pointed out that to study the feasibility of “hospitalization at home”, the current hospitalization standards should be revised first, and the configuration of “alternative wards” should be added in line with building regulations. At the same time, the professional depth and breadth of telemedicine should be established, as well as the standard process for in-home hospitalization. (SOP).

Liu Bern also believes that in the future, the government should also include “family members” in the care system, allowing family members to join the long-term care ranks after going through a standardized training process. This will not only make up for the shortage of caregivers, but also reduce the number of original caregivers and caregivers. Matchmaking time.