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published in(发表于) 2016/5/5 6:04:36
Beijing armed police corps hospital material exposure: they fool patients,

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中文

Material exposure within the armed police corps hospital in Beijing: they are teasing patient-Wei Zexi, armed police corps hospital in Beijing, Department of Putian hospital-IT information

Yesterday, suffering from hepatitis b Yang Liu Zhen (not his real name) to armed police corps hospital in Beijing found that the hospital "liver" Tingzhen. Armed Police Corps Hospital Medical Director Xu Dawei said in Beijing that the departments were cancelled, departments are external doctors, nurses, and hospitals to terminate the contract.

▲ The admissions procedure, written on the note. Jinghua times, Zhang Heng photography

The same day, reporters in Beijing, armed police corps hospital "liver" found a name for the material of the admissions procedure. The 12-page material details in open tests before the review stage, the admissions process, diagnosis and treatment, physicians how to do everything possible to retain patients, how to get patients with skills of trust, to spend money to buy medicine at the hospital.

Department abruptly canceled referral in patients with no

Yesterday afternoon, suffered from hepatitis b Yang Liu Zhen to armed police corps hospital in Beijing found that the hospital "liver" Tingzhen, only 2 out of the nurses in the box. The hospital switchboard operator tell Liu Zhen, Department of "foreign cooperation Department". Liu Zhen said that prior to this, he has treated here for two years, spending more than 200,000.

The liver section for Liu Zhen questioned outsourcing, armed police corps hospital in Beijing said Xu Dawei, Director of the Medical Department, the Department is not outsourcing, but section 3 physician, 3 physicians assistants and nurses are all external. Xu Dawei said as the hospital internal adjustments, liver is cancelled, all doctors in the Department left, and hospitals to terminate the contract.

Liu Zhen made two demands, is to meet with the attending doctor Liu details; second, asked the hospital to do a check. Xu Dawei agreed to resolve within a week, said Doctor Liu now telephone is on the hospital could not be reached.

At the front desk in the Department, reporters found a book entitled I am not teaching you play dirty tricks--GUI guzi psychology books. In this this book of next, reporter also found a copies the Department material, this copies name for reception program of material total 12 page, points three step, each step fine is divided into dozens of article accounts, detailed introduced has in open laboratory single Qian, and reception process, and clinic review, stage, doctor should how retain patients, gets patients trust, to success opened drug of skills. Material number painted on the key lines and key number, and clouds of similar training notes hand-written script.

They persuade patients to buy drugs

Keep patient, to open a small prescription to prevent loss

Part of the material called "open laboratory must explain the following work", is divided into 7 categories, each item also has a number of small items. Mentioned in the entry, after the patient is registered, when the doctor accepts, if necessary, palpation of liver and spleen, the patient should do less, patients much simpler to do. Patients trust doctors, that a doctor responsible for the diagnosis and treatment of patients with very, very seriously. Patient in the clinic analysis the reason for treatment failure, reflecting their own levels, allow patients to think you have the knowledge.

Material written, 95% patients were treated at other hospitals, or taking other drugs to treat hepatitis b, particularly by some clinics and manufacturers cheat, which manufacturers boast of their high efficiency, the effect of magic. Doctor if you are using the above methods, the patient will think when a clinic to see a doctor the same (Wang Po, selling, and egos) said that effective and, finally, there is no cure. Especially patients in other place was cheat had, to visits Shi hold with suspected attitude or somewhat lost confidence, then doctor if on above theory made perfect, and full of analysis, patients will think you said have is has truth, while let patients see cure of hope, makes patients think you than other doctor more has advice, can see problem, medicine certainly better, is for following open prescription of work playing good based, while also will made patients of trust.

The fifth patient in our hospital laboratory test results, finish what work should pay attention to in order to prescribe? Answer wrote, for example, simply explain the need for medication, eating pills, injections that will never do. If it means that the previous work done, because not doing work for this session, the patient may be lost.

Now someone taking notes wrote this article, when you prescribe for patients, not him as before the drug can be opened with a series of drugs. Virus patients have drug companies buy out.

After entering the prescribed interpreter, tone of the material requires care for the patient to help patients choose medicine. Materials, said doctors need to know, you can choose two, one is directly used primary prescription procedures, patient retention, wait for the referral plus large prescription; the second is to open the big prescription or wrong judgement free "selective" programme, which provides a programme offering patients the choice of expensive and cheap. Such as "half a month XX, XX also has half a month". This can prevent the loss of patients due to wrong judgement and prescribe.

Material suggests that early diagnosis also did not take medicine can't tell him a month a small course, or more money next time and so on. No pharmacy said it would scare him!

Ensure that sell drugs

Develop strategies so that patients receive treatment

Patients ask me how long does it take to cure this disease, how much will it cost money? Information, answered, whether clever will directly affect the patient can accept the treatment program. Reply must have the best, worst, worst best policy to cope with the past.

Information and interpretation method for patients in early, the best policy: the disease can be cured, treatment is very effective, half a month to clear results. But obviously must come to visit after work, do not think, obviously without treatment after work, nor that he was so much or think well discontinue treatment. Because the virus can replicate, treatment half half wasted, you know! Full-dose prescription for doctor and judge for yourself if, or open a small dose of a prescription.

If patients do not want to take drugs, available hand. If the patient repeatedly asked how long to cure the problem, you can answer: illness daily admissions of patients like you a lot, usually half a month can obviously work, but everyone has different levels of absorption of the drug. For example, I examines a patient the other day, I expect 3 months to heal, he has a month to heal. So, I as a doctor, feeling the same as you, all hope of cure as soon as possible, but now you've never used one day, so I can't say that too absolute, but it can tell you for sure, take half a month will be significantly improved.

Information, if the patient is no longer asking how long can cure, quickly changed the subject. For example, ordered the patient to go home note, and so on.

Materials suggest, please don't make the big three: one is to avoid answering the question directly, such as 3 months to heal; second is to avoid giving a direct answer for a long time, such as the estimated 6 months to cure, such patients will be economic accounts according to so long; the third is avoided not sure of the answer, such as a try, such as cure, hard to say. But for complex patients can say check for complex patients was glad he lost.

When asked if he could cure the patient, and it should be said that we are a normal hospital, not allowed to "cure". We can only say that the sure cure, we will tell you sure; not sure, we'll let you have mastered. Most gullible people like you, because only quack quack (Hotel quack) to make such a commitment.

Root tips

To allow time for the patient to take sheets

After the patient in the detection of DNA, doctors can't let patients test results of telephone calls, because it would lose the chance of patients taking drugs. Information by telephone to tell patients the results means lost opportunities to explain to patients, it means a loss of the chance of patients taking drugs, should be refused on various grounds with phone results. For example, "our Department Office hours are not answering the phone," "patients every day, busy at work and couldn't get away." Must advise patients to report here, we can according to the test report explaining the harm, in which patients attach to illness, for medical treatment.

Material finally stated, for new patients when prescribing, doctors should consider which patients can drive large prescription, which patients can open small prescription. In prescription should be noted that accumulated a wealth of experience, make accurate judgments, and to remind doctors to pay more attention to summarize, contrast material. Materials list the following prescriptions of patients not to drive too big: dressed in rags, the disease did not care, mistrust of doctors, which is evident in the admissions process is to know not to prescribe medication for the treatment, lack of respect for doctors, indecision would like to see a doctor and do not want to take drugs.

Thanks to IT the information users specifically small 7 contributions


武警北京总队医院内部材料曝光:他们是这样忽悠病人的 - 魏则西事件,武警北京总队医院,莆田系医院 - IT资讯

昨天,患有乙肝大三阳的刘镇(化名)来武警北京总队医院复查时发现,该院“中医肝科”竟然停诊了。武警北京总队医院医务处主任徐大伟称该科室被取消,科室医生、护士均为外聘,已和医院解除合同。

▲《接诊程序》上写满了笔记。京华时报记者张恒摄

当天,记者在武警北京总队医院“中医肝科”发现了一份名为《接诊程序》的材料。这份12页的材料详细介绍了在开化验单前、接诊过程、诊疗复查等阶段,医生如何千方百计留住患者,如何得到患者信任、从而花钱在医院买药的技巧。

科室突然取消患者复诊无门

昨天下午,患有乙肝大三阳的刘镇来武警北京总队医院复查时发现,该院“中医肝科”竟然停诊了,只有2名护士在往外搬箱子。医院总机客服人员告诉刘镇,科室系“对外合作部门”。刘镇说,此前,他已经在这里治疗了两年、花费20多万。

对于刘镇质疑的中医肝科外包问题,武警北京总队医院医务处主任徐大伟称,该科室没有外包,但科室3名医师、3名医师助理和多名护士全部为外聘。徐大伟说,由于医院内部调整,中医肝科被取消,科室医生全部离职,已和医院解除合同。

刘镇提出两点诉求,一是和其主治医师刘医生见面详谈;二是要求医院为其做一次检查。徐大伟同意一周内解决,并称,刘医生目前电话停机,医院也无法联系上。

在该科室前台,记者发现一本名为《我不是教你玩阴的——鬼谷子的心理学诡计》的书。在这本书的旁边,记者还发现一份该科室材料,这份名为《接诊程序》的材料共12页,分三大步,每大步细分为数十条目,详细介绍了在开化验单前、接诊过程、诊疗复查等阶段,医生应该如何留住患者,获取患者信任,从而成功开出药品的技巧。材料上多处被画上了重点线和重点号,并且密布类似培训笔记的手写字迹。

他们这样劝说患者买药

留住病人,先开小处方防止患者流失

该材料第一部分名为“开化验单之前必须解释下列工作”,分为7个大项,每个大项下面还有多个小项。条目中提到,病人挂号后,医生接诊时,必要时根据情况做肝脾触诊,病人较少时应该做,病人多时简单做。要使患者充分信任医生,认为医生对患者诊疗过程很负责,很认真。就诊时替病人分析以前治疗失败的原因,体现自己的水平,让病人认为你很有知识。

材料写道,95%的患者是在其他医院治疗过,或服用过其他治疗乙肝的药物,尤其是被一些门诊和厂家骗过,这些厂家多吹嘘自己的效率高、疗效神奇。医生如果用上述方法,病人会认为和以前的某门诊看病时一样(王婆卖瓜、自卖自夸的感觉)都说疗效好,最后还是没有治好。特别是病人在别的地方被骗过,来就诊时抱着怀疑态度或有点失去信心,这时医生如果对上述理论作出完美、完整的分析,病人会觉得您说得很有道理,同时让病人看到治愈的希望,使病人觉得您比别的医生更有高见,能看出问题,医术肯定更好,也是为下面开处方的工作打好基础,同时也会取得病人的信任。

接下来的第五条称,病人已经在咱们医院做完化验结果,应注意做完哪些工作后才能开处方?答案写道,例如,简单地讲解服药的必要性,吃吃药、打打针那绝对不行。如果这样处理意味着前面的工作白做,因为这个环节工作没做好,病人可能会流失。

这一条目下有人做笔记写道,给病人开药时,不能开他以前一样的药,可以开同一系列的药。有病毒的患者必须开公司买断的药。

进入开药的解释程序后,材料要求用关心病人的语气帮患者选药。材料称,医生心里要知道,可选择两种方案,一是直接用小处方办法,先把病人留住,待复诊后再加大处方;二是对可以开大处方的或判断不清的可用“选择性”方案,即提供一种贵的和一种便宜的方案让病人选择。如“有半个月xx元的,也有半个月xx元的”。这样可以防止因判断不清导致病人流失,然后开处方。

材料提示,初诊病人还没有拿药可不能给他讲一个月一小疗程,或下次来再多带钱等等。没有拿药说这话会把他吓跑!

确保卖药

制定策略让病人接受治疗

病人问我这个病需要多长时间能治愈,要花多少钱?材料称,这个问题回答是否巧妙将直接影响到这个病人能否接受我们的治疗方案。回答时要有上策、下策,上策应付不过去就用下策。

材料称,初诊病人的解释方法为,上策:这种病能治好,治疗效果非常好,半个月即可明显见效。但是明显见效后必须前来复诊,千万不能认为,明显见效后就不用治疗,也不能认为自己已经好了这么多或者自己认为好了就中断治疗。因为病毒可以复制,治疗一半留一半等于前功尽弃,知道吧!医生此时再自己判断是否开足剂量处方,还是开小剂量处方。

如果病人这时还不想拿药,可用下策。如果病人一再追问多长时间治愈的问题,可以回答:像你这样病情的病人我们每天接诊很多,一般半个月能明显见效,但每个人对药物的吸收水平不同。譬如说,我前几天接诊一个病人,我估计3个月能治愈,结果他一个月就治愈了。所以,我作为大夫,心情和你一样,都希望病人尽快治愈,但现在你一天都没使用,所以我不能说得太绝对,但有一点可以肯定地告诉你,服用半个月会有明显好转。

材料称,如果此时病人不再追问多长时间能治愈,要马上转移话题。例如,吩咐病人回家注意事项等。

材料提示,千万不要犯三大忌:一是避免直接回答问题,如3个月能治愈;二是避免正面长时间回答,如估计6个月能治愈,这样病人会根据时间这么长来算经济账;三是避免没有把握性的回答,如试试看、治治看、不好说之类。但是针对复诊病人可以说查查看,因为复诊病人不怕他流失了。

当病人问能否包治时,应该说,我们是正规医院,不允许“包治”之类。我们只能说,有把握治愈的,我们就会告诉你有把握;没有把握的,我们就告诉你没有把握。像你这样最容易上当受骗的,因为只有江湖游医(住旅店的游医)才能做这样的承诺。

开方技巧

须让患者本人来拿化验单

病人在接受检测DNA后,医生不能让患者电话查询检验结果,因为这样会失去病人拿药的机会。材料称,通过电话告诉病人化验结果意味着失去向病人解释的机会,也就意味着失去病人拿药的机会,应该以各种理由拒绝用电话告诉化验结果。例如说,“我们科室上班时间不让接电话”、“每天病人多,上班忙,走不开”等。一定要劝病人来这里拿化验报告,我们才能根据化验报告讲解危害性,使病人对病情产生重视,接受治疗。

材料最后注明,对于初诊病人开处方时,医生应该考虑哪些病人可以开大处方,哪些病人可以开小处方。在开处方时应该注意积累丰富的经验,做出准确的判断,并提醒医生多注意总结,多对照材料。材料列出,以下情况的病人处方不能开得过大:穿着破烂的、对疾病不重视的、不信任医生的、可接诊过程中明显看出是来打听不是来开药治疗的、对医生不尊重的、犹豫不决想看病又不想拿药的。

感谢IT资讯网友 陌小7 的投稿






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