ฟังจากปากหมอ ! รพ. รัฐ กำลังจะเจ๊งจริงไหม ? หลังขาดทุนยับ คนไข้กระทบอะไรบ้าง

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&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; คลิปจาก TikTok @penraiclub ของหมอโอม มีการเล่าถึงที่มาที่ไปของเรื่องดังกล่าว และผลกระทบที่คาดว่าน่าจะเกิดขึ้นหลังจากนี้เกี่ยวกับการรักษาที่ส่งผลต่อคนไข้โดยตรง&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; หมอโอมเล่าว่า จุดเริ่มต้นเรื่องนี้มาจาก สปสช. ลดเงินดูแลคนไข้ที่นอนโรงพยาบาล จากเดิมหน่วยละ 7,000 เหลือ 5,000 บาท และที่ผ่านมาโรงพยาบาลรัฐก็ประสบภาวะขาดทุนมาตลอด ต้องรับเงินบริจาคช่วยเหลือจากหน่วยงานข้างเคียง ฉะนั้นการลดเงินตรงส่วนนี้จะทำให้หมอทำงานลำบากกว่าเดิม&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; หลังจากนี้ สิ่งที่คาดว่าน่าจะเกิดขึ้นคือ ต้องลดค่าใช้จ่ายในการรักษาให้ได้ ซึ่งเกี่ยวโยงถึงคุณภาพในการรักษา เช่น ซื้อยาฆ่าเชื้อตัวแรงตัวอื่นที่มีราคาถูกลง ลดปริมาณการนอนโรงพยาบาลของคนไข้ แล้วพอเราเป็นหมอหน้างาน เราต้องรักษาตามนโยบายของผู้ใหญ่ แม้ว่าตำราการรักษาจะเขียนไว้แบบหนึ่ง รักษาจริงตามข้อจำกัดต้องรักษาอีกแบบ ทำให้หมอรู้สึกลำบากใจมาก หมอทั่วประเทศหมดหวังแล้ว&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; ส่วนการที่โรงพยาบาลรัฐจะเจ๊ง ยืนยันว่า โรงพยาบาลรัฐไม่มีวันเจ๊งแน่นอน เพราะเขาทำเพื่อดูแลประชาชน

Transcript

00:00Now, Ratchaburi Hospital is starting to collapse.

00:02Ratchaburi Hospital has lost 28 million baht for a month of treatment.

00:06In fact, the story before this, in case anyone doesn't know yet,

00:09the Ministry of Health and Welfare has reduced the money to take care of patients who come to stay in the hospital.

00:13From the same amount of 7,000 baht per unit, only 5,000 baht left.

00:15Actually, it used to be 8,500 baht, but now it has been reduced a lot.

00:17I have to say that before this, Ratchaburi Hospital did not make a profit in treating patients.

00:21Many hospitals today still have to live on donations from neighboring or surrounding agencies.

00:26Now, from 7,000 baht to 5,000 baht, it is heavier than before, right?

00:29Now, many hospitals are starting to complain that they are short of money.

00:33The more they treat patients, the more they are short of money.

00:35Now, let's think about what will happen next.

00:38Many people may think that Ratchaburi Hospital is going to collapse.

00:41But I can tell you that it's too easy.

00:44Ratchaburi Hospital is not going to collapse.

00:45But what they need to do is to reduce the cost of treatment.

00:49What will follow is whether it is the quality of treatment that is reduced.

00:53Suppose that the drug that is necessary for this disease

00:55may need to use a less expensive drug to reduce the cost of treatment.

00:59Or they have to reduce the number of hospital beds

01:01because the more patients sleep in the hospital, the more they are short of money.

01:04If the symptoms are not serious, we may have to sleep in the emergency room.

01:07At present, they are trying to promote that 30 baht can be treated anywhere.

01:11The better the service, the higher the cost of treatment, right?

01:14That is to say that what needs to be reduced may be the quality of treatment.

01:18The problem here is that when you are a doctor,

01:20you have to treat according to what the administrator has reported.

01:23The text may be written like this.

01:24But according to the restrictions, they will tell you in another way.

01:26For example, the doctor in front of work is very stressful

01:28when he has to take care of patients due to some restrictions.

01:32We have to see what will happen next.

01:34Who thinks this should be fixed?

01:36Please give me some suggestions.

01:37Doctors all over the country are very desperate right now.

01:40I want the treatment of patients to be the best.

01:43Ah, this is true. The doctor does not argue.

01:44All doctors want to treat patients as well as possible.

01:46I don't want you to think about the cost of treatment.

01:48Ah, this is not possible.

01:49Ratchaburi Hospital is short of money.

01:51What country are you in?

01:52Ah, Thailand.

01:53Short of money?

01:54Does this unit have to make a profit?

01:56Isn't it the unit that does not contribute to making a profit?

01:58From the previous clip that said that Ratchaburi Hospital is short of money.

02:00Everyone has a lot of opinions.

02:02I have to tell you directly that everyone may misunderstand

02:04that Ratchaburi Hospital is trying to make a profit.

02:06What is short of money?

02:06It is short of money from the real treatment money

02:09and the money borrowed from the government.

02:12In fact, Ratchaburi Hospital has never made a profit.

02:14But I have to say that in many hospitals,

02:16the development is quite slow.

02:19The number of patients is increasing.

02:20But the operating room is the same.

02:22The examination unit is the same.

02:23The number of doctors has not increased.

02:25So what?

02:27If the hospital is short of money,

02:29where will they get the money to buy medicine to take care of you?

02:31Ratchaburi Hospital does not make a profit.

02:33They do it to take care of the people, as everyone says.

02:36It's true, I'm not arguing.

02:37But not having money in the system

02:39or not having money in the hospital

02:41makes the operation

02:42and taking care of patients in various places worse.

02:46I have to say that the unit that is short of money,

02:47if they want to develop or create something new

02:50to take care of the people,

02:51they don't have the money to spend.

02:53In many hospitals, they only stay in one place.

02:56For many years,

02:57everyone has seen it.

02:59Personally, I agree with the first person

03:01who wants the best treatment for patients.

03:04All doctors think like this.

03:06But when there is no money to support,

03:07where will we get the medicine from?

03:09We have to produce it ourselves.

03:10We don't have to buy it from a medicine company.

03:11We have to build more pharmacies.

03:12In the end, we have to spend money anyway.

03:14I myself really like the pregnancy certificate.

03:16Because it helps people access health care

03:18without having to spend money.

03:20But I have to say that a good system

03:21really has a cost.

03:23And now there is a good policy announcement,

03:26but there is no money to support.

03:27So the hospital has to complain like this.

03:29If you see where you should get the money from,

03:31please leave a comment.

03:32I also want to know

03:33how we can solve this problem.

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