GP 的 Consultation rebate 直接 减少， 还有这么多人 想做医生吗？

maxiaoc

Echo0531 发表于 2014-12-10 16:53
10分钟一个病人， 医生压力也是大的

他那里是说最少十分钟。
这对于广大病人来说是好事啊！

joeyzhu

xlin8703 发表于 2014-12-10 16:50
所以，average is nothing. average meant to include junior rates.

Nobody gives contract to junior.

joeyzhu

xlin8703 发表于 2014-12-10 16:52
Sure, if you think you are confident enough to self-diagnose and prescribe treatments accordingly. ...

Most scenario, pharmacist/any gp is more than enough to give you the advice.
For complicated or serious one,  I may visit the good one for the first consultation or required following, But to repeat the prescription, why I have to pay extra? If I need reference to c the specialist, why I have to pay extra? At least I won't and the rich won't either.

xlin8703

澳子 发表于 2014-12-10 16:47
这增加的收费环节是由什么部门什么人来执行？
是简单地交给医生5刀然后刷MC卡，还是付费拿bill去MCdept退钱 ...

xlin8703

joeyzhu 发表于 2014-12-10 17:00
Nobody gives contract to junior.

cdfei

现在的问题就是，那些稍微复杂的问题，GP不refer到医院或者急诊或者专家？不敢说全部，但大部分GP完全是起一个简单治疗和分流的作用，应该收更多一般的学生来做这种简单医生，成绩好的去做专家，当然把收入也弄的差距出来。

xlin8703

joeyzhu 发表于 2014-12-10 17:09
Most scenario, pharmacist/any gp is more than enough to give you the advice.
For complicated or s ...

xlin8703

joeyzhu 发表于 2014-12-10 17:09
Most scenario, pharmacist/any gp is more than enough to give you the advice.
For complicated or s ...

lulucai

xlin8703 发表于 2014-12-10 17:25
Like what you have just said above "if it is a more serious/complicated one, then you may visit a  ...

应该说自我诊断是很有用的，再加上各种测试，比如验血，x ray etc

其实那些gp，也就是起个开单子化验的作用。现在已经不是靠gp来确定病症了，都是靠化验。

lulucai

关于会计的收费，上面有人说了，很低的，而且那是老板收的钱，会计事务所是年薪3万的地方，还不如蓝领。

完全和gp是2个世界。我知道医学生毕业去实习就是7万了，累计几年经验都能去做15万最低工资的gp

而会计呢，过了20年1%的人可能做到财务经理，也就10多万

joeyzhu

xlin8703 发表于 2014-12-10 17:10
but junior does the job.

senior outsourced some simple tasks to the junior, having nothing to do with the original contract.
If you dunno, just say no.

joeyzhu

xlin8703 发表于 2014-12-10 17:25
Like what you have just said above "if it is a more serious/complicated one, then you may visit a  ...

how many percent is serious disease? do the math, OK? talking to dumb ass is so tired. r u having period or no regular sex for a long time?

kylelly

做医生除了赚钱以外，还是要有基本的做医生的兴趣和道德吧。如果只是为了高薪去做医生，不做也罢。

rebeccamy222

不是补贴只少5块吗？没有楼主说的从37块到12块那么大的幅度吧？

waterjuice

rebeccamy222 发表于 2014-12-10 20:02
不是补贴只少5块吗？没有楼主说的从37块到12块那么大的幅度吧？

请多看 慎重发言，好吗

rebeccamy222

waterjuice 发表于 2014-12-10 21:06
请多看 慎重发言，好吗

SMH：艾伯特政府的新看病付费政策相关问题与答案

1. 新的收费看病政策做出了怎样的修改

刷卡看病，政府给医生的回扣将会减少五澳元，除非这些病人有优惠卡和小孩。

医生可以自行决定，要不要收取病人这五块钱。


这个不对？

waterjuice

rebeccamy222 发表于 2014-12-10 20:09
SMH：艾伯特政府的新看病付费政策相关问题与答案

1. 新的收费看病政策做出了怎样的修改

没有不对，只是不全，缺乏深度分析。

请我吃饭，可以详细讲解

waterjuice

rebeccamy222 发表于 2014-12-10 20:09
SMH：艾伯特政府的新看病付费政策相关问题与答案

1. 新的收费看病政策做出了怎样的修改

刷卡看病，政府给医生的回扣将会减少五澳元，除非这些病人有优惠卡和小孩。

原来是 37.5 现在 是 16.95，打工者只有 11.95

同样刷卡，钱可是不一样的。 医生也可以不刷卡的，不是要病人多付。

coeur

shurman 发表于 2014-12-10 13:48
医生会自己向病人收钱的。
除非医生行业敞开招收医学学生， 象中国一样，三流的学生也可以学医。 ...

中国是没办法。解放前没西医，解放后不是大跃进就是文革。整个医疗系统都没有储备人力。。。再早几十年，小地方，随便一个人都能当护士，稍微勤快点就能蹦跶成医生！

rebeccamy222

waterjuice 发表于 2014-12-10 21:11
没有不对，只是不全，缺乏深度分析。

请我吃饭，可以详细讲解

你的消息有链接吗？正确即可，不需要你的深度分析

waterjuice

rebeccamy222 发表于 2014-12-10 20:16
你的消息有链接吗？正确即可，不需要你的深度分析

http://www.abc.net.au/news/2014- ... -co-payment/5955012

Key points:

    Medicare rebate paid to doctors for some consultations will be reduced by $5 from July 1, 2015
    Incentives paid to doctors to encourage bulk-billing of concession holders and children under 16 to remain
    Doctors may choose to recoup the $5 rebate reduction from patients

    Government will change standard GP consultation items, with same rebate for six-minute consultation as 19-minute consultation

    Medicare fees will be frozen until 2018
    Changes will contribute $3 billion to Medical Research Future Fund

政府现在把 # 3 与 # 23 付一样的钱了。就是16.95

大家可以看看完了医生，要签字，那个上面就有 iTEM NUMBER　一般都是　＃　２３　也就是说　３７.０５.

看来你是死读书的。好像要做医生吧

MIRACLE315

waterjuice 发表于 2014-12-10 21:19
http://www.abc.net.au/news/2014-12-09/federal-government-dumps-gp-co-payment/5955012

Key points:

看了链接，只说了减5块钱，你highlight 红的那部分没说减那么多啊？

MIRACLE315

waterjuice 发表于 2014-12-10 21:19
http://www.abc.net.au/news/2014-12-09/federal-government-dumps-gp-co-payment/5955012

Key points:

6分钟本来就是23 啊

waterjuice

MIRACLE315 发表于 2014-12-10 20:32
看了链接，只说了减5块钱，你highlight 红的那部分没说减那么多啊？

你们自己去查，好吗。说了又不信。

Part of the trick is that it isn't the co-payment that saves the government money, it's the cut to the Medicare rebate. That cut was always going to be $5 per consultation. If doctors had had the ability to charge a $7 co-payment they would have got an extra $2 in their pockets. Now they won't.

Another part of the trick is that the government will now cut some rebates by much more. Standard so-called Level B consultations of up to 10 minutes currently attract a $37.05 rebate. Under the changes they will classified as Level A and attract $16.95 for the young and concession holders and $11.95 for everyone else.



http://www.smh.com.au/federal-po ... 0141209-123i8z.html

rebeccamy222

LEVEL A Straightforward cases e.g. Immunisation  $16.95

LEVEL B
Professional attendance by GP involving, where clinically relevant:
a) Taking a history*;
b) Undertaking clinical examination;
c) Arranging any necessary investigation;
d) Implementing a management plan;
e) Providing appropriate preventive health care;
in relation to one or more health related issues, with appropriate documentation
*Level B: taking a selective history

LEVEL B less than 20 minutes (see description above)  $37.05

Level A 和 Level B 的 standard 不一样啊, 楼主从哪里看到都按Level A 收费?

猫儿不笨

看不明白
改后 Level A 是不足10‘，Level B 是10-20’，是吧，你可能搞混了
若是6 个Leve B， 6x (37.50-5) =195, 若6人中有两个有concession card, 那每小时至少有205澳元了

猫儿不笨

waterjuice 发表于 2014-12-10 21:34
你们自己去查，好吗。说了又不信。

Part of the trick is that it isn't the co-payment that saves the ...

你还是搞混了一点：

原来Level A， 短于5分钟，Level B 5-20 分钟
拟新的Level A， 短于10 分钟，Level B 10-20 分钟

猫儿不笨

这个新规，对那些靠速度和量取胜的5‘GP打击打，原来5’，那他每小时看11个病人， medicare也奈何不得。新的就不同了。

waterjuice

你們又不是醫生，只要知道信息就可以了

過幾天醫生不是要開會討論

rebeccamy222

waterjuice 发表于 2014-12-10 22:32
你們又不是醫生，只要知道信息就可以了

過幾天醫生不是要開會討論

好像楼主是医生，过几天要开会讨论似的