From this post, I will introduce the standpoints of people who are involved in this problem.
Reference: actual experience of a doctor which is wrote on Twitter.
(final edit: 2021/07/07)
Hi, I’m a doctor and I work at a Japanese hospital.
Recently, I was really angry toward one patient.
One night, I was worked as an on-call doctor and a man who is in his 50’s came to my hospital by using an ambulance. Of course, I thought it must be a serious case, so I carefully diagnosed him. However, while listening to his talking, I gradually felt angry because his way of using medical services is unacceptable.
The reason why he came to the hospital was a pain in his leg. When I receive an emergency call from an ambulance, I thought the problem would be born breaking or something so I waited for him to come to my hospital. However, when an ambulance arrived and I went there to escort him, he could walk naturally! Soon, I felt that he doesn’t have a serious disease, but I have to consult him as a doctor, so I did. Of course, his bone was not broken. Although he argued that his leg had been aching for three days, there wasn’t a serious issue.
I know the feeling of patients that they feel anxious about little pain because they are not specialists like me. So, I tried to understand him at that time. However, that was not the only problem.
When I diagnosed the patient, he smelled alcohol. So I asked him, and he said that he drunk alcohol with his colleagues before he came to the hospital. Since he got drunk seriously, he used an ambulance as a taxi. Of course, he couldn't come back home even though his leg work so we tried to call a taxi for him to come back home. However, he said that he has no money to pay for a taxi (also for our medical services). But we couldn’t give up there, so I asked if there is someone who can come for him. He said he doesn’t have a family so we suggest the option that he can call his friends. Then he said okay and he called somebody. At that time I was relieved but I was surprised again after that. Unbelievably, the person he called was the police!! Finally, the patient came back to his home, accompanied by the police, and my job for him was finished.
I couldn’t understand that he has money for a drink but he doesn’t have medical care. Because of him, an ambulance was used as a taxi and the efficiency of emergency medical services has down. I want to work for people who need help and I think if the number of people who use the ambulances as a taxi, the emergency medical system will be collapsed. In order not to occur those inappropriate use of ambulances, I strongly support the idea of charging ambulance fees.
Doctors have a lot of work to do even when they are not in a situation where they have to use an ambulance, but if elderly people use an ambulance as if it were their own leg, doctors will have more work to do and it will be harder for them. If more and more people use ambulances not for their original purpose, but just to make themselves comfortable, the urgency of using an ambulance will be lost, and it will become difficult to judge whether an ambulance is really absolutely necessary or not when it is called for. In countries that charge for ambulances, I believe it is to avoid such "wasteful" use of ambulances, but I think doctors should demand that ambulance users think and make decisions more rationally, regardless of whether there is a charge or not.
ReplyDeleteI think this is a very difficult problem. Not just that the doctors lose energy by the patients who call the ambulance when it’s not a serious injure or disease, but I heard that it costs about 45,000 yen for an ambulance to be dispatched once. That’s a lot of money, and I think they should start to charge from patients who ride the ambulance. For example in the United States, they have to pay for taking the ambulance.
ReplyDeleteI imagine that more people have been using emergency services, including ambulances, over the last year and a half due to anxiety about COVID-19 and the mistaking of suspicious symptoms for those of the Corona virus. Actually, I know a few people who have gone repeatedly for testing even though they weren't seriously ill at all and didn't end up having COVID. Hopefully, there will be systems set up for triage so that less serious (or actually not ill at all) patients can be reassured before they get to the point of bothering a doctor.
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