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手术预估费高昂、一份医疗报告100元? 樟宜医院发文解释

by 蓝桑
12/03/2019
in 健康, 新闻, 时事, 社交媒体, 社区, 舆论
Reading Time: 1 min read
0

一名市民揶揄,公共医院似乎并不鼓励病患看病,不仅开出比实际费用高六倍的预估费用,交给保险公司的医药报告,也跟病患收100新元,令他感到不可理喻。

市民周晋国(译音)曾于2月26日在海峡时报论坛(ST Forum)上,非议樟宜综合医院的收费。

周先生的女佣,日前到樟宜医院动手术。女佣入院时院方告知,住C级病房的五天费用,估计高达1万5000到1万8000新元。不过最终女佣仅住院两天,费用仅2千930.70新元。

他对何以设定高昂的预估费用感到不解:“预估费用比实际费用高出六倍,有什么意义?”

他补充,“病患可能被高昂的预估费用吓着,打退堂鼓而选择不接受治疗”。

索赔医疗报告收100新元

此外,在所有收费中,他发现樟宜医院也向他征收100新元,用于付还职总英康( NTUC Income)要求下的的医疗报告。

“既然已经有一份住院病患的出院表格,清楚列明病患的医疗状况和程序,为什么保险公司还要一份医疗报告?”他认为,撰写医疗报告不像很复杂的任务,何以要征收100元?即便专科看诊也没那么贵。

他呼吁政府管制这些医院对于医疗报告的收费数额。

根据病患背景进行预估

樟宜综合医院与东部医疗联盟首席财务官,林丽娜(Lim Lee Nor)于昨日(3月11日)针对周先生的不满作出回应。

她解释,院方的手费,乃是根据动手术病患过去的医疗费,以及其居民身份作出预估。

“若手术并不复杂,而且住院较短,最终的费用就会比原本的预期费用少。”

她补充,“周先生担心病患会因为无法负担预估费用,进而不接受治疗。我们可以向周先生保证,新加坡人拥有各种适合他们的医疗融资计划和津贴”。

病患可免费索取出院简报

关于医疗报告的收费,林丽娜指出,其实该收费已包含“行政费”和“医生专业服务”,以检阅患者的医疗记录,并根据需求定制报告。

“如果只是索讨基本信息,例如入院日期和原因,可以免费索取一份出院简报。对于所引起的不便,我们深感抱歉。”

为何由病患付费

网民在本社英语站的脸书也留言,质疑保险公司要的医疗报告,为何要叫病患买单?

网民Farhan Abas认为,病患已经付了看诊费,报告应是属于病患的。整个医疗过程就是诊断、治疗、用药和发医疗报告,这理应是我们要落实智慧国的标准。即便如果有特别需要客制化医疗报告,也理应有征收100元或较低收费的选项。对医疗报告收费,也有如拒绝让病患了解自身病况,或者作出决定例如是否要转介到其他医院治疗等。

报告费用过于昂贵

有者留言认为,准备一份报告要100元,甚至比专科咨询费还贵。他们也怀疑有关的花费是因为病患是外国人,所以费用才比较昂贵。

他们也建议简化这个索赔程序,或许能将保险索赔报告与医院账单自动生成。“保险公司需要提出医疗索赔的标准要求,让医院能够提供这些信息。”

Ameedee申诉新加坡的医疗系统太复杂了,每个医院,甚至私人诊所都有自己的收费服务。网民建议新加坡医疗服务可以向日本看齐,国立医院的收费更便宜。

预估费用也考量治疗风险

当然,也有网民为较高的预估费用做解释。

他指出,预估费用总是比较昂贵,因为手术时期和手术后,根据每个病患的状况和恢复情况,总会有并发症和更多治疗的风险。院方不能给你最便宜和最准确的数额,因为在医疗和手术治疗过程中,任何事情都能发生。

网民表示,有关的预估费用并不是为了阻止病患求医,而是要尽可能的透明和现实。“如果医院给你较低的预估费用并向你做了保证,但是医疗过程中出现了一些状况而你需要付更多的费用,你会如何做?可以肯定的,会有更多的法律案件和来自社交媒体的抱怨。”

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