※ 引述《glorz (血管里流的是茶)》之铭言： : By Maggie Lin, RN, TAIWAN : The dark moment of nurses in Taiwan. : By jkljkl999 | Posted April 14, 2012 | Taipei : CNN PRODUCER NOTE : The working environment of nurses in Taiwan has entered an extremely serious situation due to working environment changes. : Taiwan National Health Insurance system seems created a wonderful medical market which is very easily to obtain treatment with low bill for everyone. In the end, all of hospitals are impaired by medical staff shortages and Taiwan government even didn't know what the real problem is! : Because of National Health Insurance System, resulting low salaries of nurses, long working hours without pay, and high nurse patient rate. Few days ago, we saw the news from CNN reported that The National Health Insurance System in Taiwan is a successful policy, which is a big joke. Especially The United States seems planning to set up a similar policy. We strongly recommend that journalist and the government officials in the United State should come to Taiwan a couple of days for field trip, and then : they would be able to understand how the insurance system has pushed the majority of medical workers into a huge hell. : When all of medical personnel in hell, the patient must be very close to the hell definitely. : When all of the medical workers in an unhealthy working environment, the patient must to facing a high risk care quality, because in Taiwan, every nurse should take care of at least eight patients in morning shift, even more. Over twelve patients in afternoon shift and almost take care of nearly twenty patients in night shift! That’s pretty incredible. : Nurses in Taiwan are not only superwomen or supermen, but are also patients. Staff shortages happened in past ten years, the trickiest thing is that Nurses do not have right to sick anymore, only because of nurses shortages. Taiwan's hospitals manager will not let their nurse get a sick leave if the nurse still able to walk even in public hospital system. : The Nurse’s working hour in Taiwan often over ten hours every shift, even more. However, the hospital did not give overtime fee; they only give nurses unreasonable pay to buy their break off. The medical environment of the culprit was created by the National Health Insurance System. : I want to tell all my friends around the world that it’s not a good thing for you to let your government implement this kind ridiculous policy in your country. : TAGS: taiwan, national, health, nurses, system, insurance : GROUPS: Election 2012, Sound off 我相信最黑暗的时候还没有到来 其实医疗从业人员都知道最核心的问题就是国家对医疗的支出赶不上民众对医疗品质 的要求，政府并没有从根源处理问题，反而用评监的手段逼迫医院做假资料、利用压 榨医疗人力的方式来达到先进国家的医疗品质。 本来医疗支出没人家多，却要求无限制的就诊、检查，一卡在手、通行无阻，住院期 间最好可以全权交给护理人员把屎把尿，你又不是汶莱皇室，怎麽可能。不过当年的 政策买票成效太好，导致历来执政党都不敢动这一块的改革，於是乎修修补补，一年 又一年，而医疗从业人员的状况越来越糟糕，导致各个专业纷纷使出其他求生存的怪 招。 很多医生就去走医美，或是从健保项目里面去想办法 很多药师当起密医，卖起处方药，或是加入连锁药局，连尿布都卖 很多护士索性不跟你玩这个游戏，直接离职，加入别的行业 我们的健保从来没打算处理病患的道德危机（医疗滥用），却把这个成本加诸在医疗 人员上面，制造医疗人员的司法危机，於是乎，医师人人都是健保小偷，护士个个都 是草莓族。 加入劳基法有办法解决这个问题吗？ 我很悲观，目前讨论的方向完全偏离问题的核心，就算纳入劳基法，资方可以玩的手 段依旧太多，只有反应医疗原本应该有的价值，才有可能让人力回归常态。例如，提 高病房费与加收护理照护费，让护理这一块的收入能到应有的水平，才有可能找到新 的人，例如病患住院一天健保给付从伍佰调到一千五，再加上分级的护理照护费，就 能有二到三倍的人力，并且能改善护理的薪资水平，而不致於影响到其他专业领域。 否则就现有的改善计画，增加的护理人力、医师人力，再加上油电等涨价导致的营运 成本垫高，却未改善源头，亦即未改善台湾总体医疗支出的比例，等於拿其他医疗人 员的获利来转支出这一块，医疗薄利化的时代即将会到来，人力是够了，但是这样的 低收入，最终会迫使更多医疗人员走向其他行业，特别是医师这一块。 想想，加了人，能不减薪吗？水电物资的涨价已经造成很多医院营运上的压力，医院 可是24小时空调开启，难道以後为了省电，我们就把病人推到走廊晒太阳？还是都带 去麦当劳喝饮料？（台湾需要的不是省电、省油达人，而是治国达人） 这一篇文章让我看到了一个简单的CNN投书，可以占据版面的效果。 或许，过去医疗界从事的方向都错了，我们应该跟国际人权组织合作/ 国际媒体，揭 露台湾医疗人员工作时数比起富士康血汗工厂更不遑多让的事实，揭露我们的医疗薪 资远远低於应该有的价值（诊察费一个人两百多，却要负担误诊可能造成的天价赔偿 ，比例原则何在？这就好像手机贴钻，贴歪了要赔iphone一样荒谬），能够产生的效 应大多了。 在国际媒体争取话语权，会比在台湾已被大头垄断解释权的媒体更具有可行性，翻译 回台湾来也更具杀伤力。 或许往後其他议题也可以比照办理。 -- --

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