ความคิดเห็นที่ 3
ความคิดเห็นที่8
ประชาชนผู้รักชาติอ่านทางนี้ก่อน
ความล้มเหลวครั้งยิ่งใหญ่ของ Medical Reform ในประเทศเกาหลีที่ได้มีการเลียนแบบโดยการชักนำให้เภสัชกรทะเลาะกับแพทย์ก่อน และทำให้ประชาชนเืดือดร้อนจากค่าใช้จ่ายในการรักษาตัวเพิ่มอย่างหนักจนประธานาธิีบดีเกาหลีต้องออกมายอมรับผิด และเป็นความผิดครั้งใหญ่ของ คิม แด จุง
President Kim Dae-jung admitted the lack of preparation in the introduction of the new system. It is quite unusual for a President to acknowledge the failure of a national policy by himself. The failure of the medical reform may be recorded as the biggest policy mistake committed by the Kim Dae-jung administration.
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ความล้มเหลวของ พรบ ยาใหม่ ของเกาหลี ประธานาธิบดีเกาหลีใต้ยอมรับผิด
http://www.wtgf.org/journal0301/korea.htm
3. Medical reforms
On the 1st of August 2000, Korean government initiated a medical reform that demands a clear separation of the roles of doctors and pharmacists, barring pharmacists from selling drugs without a doctor's prescription. The new pharmaceutical law, a key to the government's medical reform program, also calls for a strict reclassification of prescription drugs and general (nonprescription) drugs, which pharmacists can sell without doctors' prescriptions. It gives doctors priority in choosing medications for the lists, while allowing regional doctors and pharmacists to negotiate to finalize the drug lists.
Doctors have long been accused of inducing patients to undergo extensive checkups and take unnecessary medicines in order to make up for low insurance coverage costs. Pharmacists have also come under fire for choosing drugs that bring them greater profit margins, thus leading patients to overuse medication.
The hard-won medical reform programs are, however, now in some kind of chaos because every negotiating participants are expressing that the reform programs fall far short of their expectations. Doctors and pharmacists have major differences on such contentious issues as substitute or arbitrary prescriptions and the classification of medicines. Protesting the government-initiated medical reform plan, disgruntled doctors went on strike in June 2000 for the first time in the nation's medical history. They also staged walkouts in August and October last year, disrupting the nation's health care system. It is still vivid in the memory of the Korean people that doctors refused to see their patients for months as a protest against the medical reform program to further their own interests, neglecting their duty to take care of ailing individuals. It is needless to say how much the people have suffered from the collective action of the doctors.
A revision bill of the Pharmaceutical Law, that have reached among government officials, doctors and pharmacists, has yet to be deliberated in the Legislation and Judiciary Committee of Korean National Assembly in the final plenary session of 2001. To help prevent possible negative side effects in the full implementation of the nation's new medical reform program, the government, medical and pharmaceutical circles should guarantee civic participation in all negotiations and implementation process so as civil rights can be protected. Consumers' enhanced awareness of health care could protect their rights to receive quality medical services at low costs.
One serious result of the medical reform is debacle in Korean Medical Insurance System, that is, Korea's medical insurance system is on the verge of collapse due to the increased financial burden after the introduction of the medical reform separating the roles of doctors and pharmacists. Regrettably, the government thought that the new system, which prohibits doctors from dispensing medication to their patients while banning pharmacists from prescribing medicine, would reduce people's medical expenses mainly due to the increased inconvenience. However, the results proved to be quite the opposite.
A shocking fact is that the government did not anticipate the situation that developed several months after the new system was implemented. Under the old arrangement, people suffering from colds or other easily-treatable sicknesses used to rely on drugs prescribed by pharmacists instead of visiting doctors. But, the new method, which prevents pharmacists from prescribing drugs, has made it compulsory for people to visit doctors before going to pharmacists for any kinds of drugs. The people have to visit doctors and pharmacists more frequently under the new system than under the old one.
In retrospect, the medical reform brought about a lot of difficulties including heavy financial burden for the Korean people. It touched off an unprecedented medical strike that drove people into an abyss of uneasiness for several months. As a way to placate the angry doctors, the government raised the charges for medical treatment on three occasions. The increase, together with the hike in the number of outpatients in hospitals, is mainly responsible for causing a financial debacle in our medical insurance system.
The new system is primarily aimed at reducing the abuse of drugs, mainly antibiotics, that is rampant among Koreans. However, the quantity of antibiotics consumed since the implementation of the new plan remain unchanged compared to that under the old system. It is apparent that the reform measure of this government ended in failure, only rendering a great deal of financial burdens and inconveniences on the people.
President Kim Dae-jung admitted the lack of preparation in the introduction of the new system. It is quite unusual for a President to acknowledge the failure of a national policy by himself. The failure of the medical reform may be recorded as the biggest policy mistake committed by the Kim Dae-jung administration.
The government is expected to announce soon a set of measures to relieve the financial strains in the medical insurance system, which will include plans to provide a government subsidy. The government will also reportedly announce measures to reduce expenditure by improving the insurance payment system. But these prescriptions are certainly short of bringing a fundamental solution to the troubled medical insurance system. Moreover, they are highly likely to face resistance from doctors and pharmacists as well as the public. p>
เภสชกรที่ไม่อยากเห็นประเทศไทยเป็นเหมือนเกาหลี
http://www.manager.co.th/QOL/ViewNews.asp?NewsID=2000000028025&PageNo=1&#Comment
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26 ส.ค. 46 21:28:53
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