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Written by: Zheng Cuibi
2021-01-11 08:00
Last update date: 2021-01-11 08:00
The new crown pneumonia epidemic continues, and there is an outbreak in the day medicine ward of Princess Margaret Hospital. This shows that even if the patient does not need to be hospitalized, just staying in the hospital for a few hours may cause transmission.
Some surgeons reported that public hospitals referred patients to private medical institutions for endoscopy, but did not perform virus testing for the patient first, putting medical care at risk; if the patient is required to do the test by themselves, the patient has to bear it. More medical expenses, questioning why the Hospital Authority does not treat patients under the "Public-Private Partnership Project" with the same standard since the Hospital Authority will conduct tests for patients in public hospitals. "The Hospital Authority is only outsourcing procedures, not outsourcing. A patient!" The doctor also pointed out that the colorectal cancer screening program run by the Department of Health has the same problem.
Colonoscopy.
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Surgeon Lin Zhexuan, chairman of the Medical Care Integrity Peer, said that the new coronavirus can survive in the patient’s feces, and gastric and intestinal endoscopes are at risk of producing aerosol. Currently, if patients receive gastrointestinal endoscopes in public hospitals, they must Accept the virus test, but if the HA refers patients to participate in the "Public-Private Partnership Project" (PPP), they will not be tested first, and they will not be subsidized for self-testing. He believes that "the testing will certainly increase the number of doctors and nursing Personnel risk also increases the risk of contaminating the environment of the endoscopy center, thereby increasing the risk of cross-infection."
He criticized the Hospital Authority for not treating these patients equally. "The public-private partnership plan is to shorten the waiting period of endoscopes in public hospitals through outsourcing endoscopy services by the Hospital Authority. The patients are patients of the Hospital Authority. It’s just a procedure outsourced, not a patient outsourced!” He believes that even if a patient goes to the HA outpatient clinic to sample the bottle, he can get a free test, but the relevant service will take a few days before the test result is available. You may also be infected during the waiting period, which is not practical. The Hospital Authority is required to provide testing for patients participating in the PPP.
Surgeon Lin Zhe-xuan questioned why the Hospital Authority would not treat patients under the "Public-Private Partnership Project" with the same standard since it would test patients in public hospitals.
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In response, the Hospital Authority admitted that it had not provided testing for these patients.
The Hospital Authority stated that since the beginning of September last year, admission screening has been implemented in all specialties to provide virus testing for admitted patients. As for patients participating in the public-private collaboration plan, they can arrange virus testing by themselves if necessary.
From mid-March last year to November 30, 2,448 patients had undergone colonoscopy in private medical institutions, and since June last year, 776 patients had undergone gastroscopy in private medical institutions.
Colonoscopy.
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The Department of Health replied that from January to the end of November last year, more than 180 colonoscopy doctors provided colonoscopy services to approximately 5,540 participants who tested positive for stool.
The CHP is aware that some of the colonoscopy centers under the plan (especially those located in private hospitals) may require participants to provide negative test results for the new coronary pneumonia virus before undergoing colonoscopy.
However, since the plan itself does not set the requirements for virus testing, this test is not within the scope of the basic services of colonoscopy, so it will not be funded for virus testing in this case.
According to the Department of Health, it is understood that some colonoscopy centers do not have this requirement. Participants can discuss with the doctor and choose a suitable colonoscopy center to receive services.
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