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Is it right for a patient to see a doctor without paying the registration fee?

Medical care is a special service, the registration fee is first of all a respect for the doctor, is a recognition of the doctor's knowledge and pay. Our country currently sets the doctor's registration fee at a very low level. Before the medical reform in Beijing, a registration fee for an ordinary doctor was four dollars, and after the medical reform, the doctor's registration fee was raised to at least 50 dollars. Although it is said to be a big recognition of the knowledge of doctors, but in our country's existing health care system reform, no matter whether it is four dollars, or 50 dollars, the doctor's percentage of the draw is very low, for example, before and after the medical reform of our hospitals are to give the doctor a dollar. So although the registration fee income for doctors are not very meaningful, but as a respect for the level of knowledge of doctors, I think the registration fee is still inevitable, and after the registration, and the formation of a contractual relationship between the doctor, is a legally recognized behavior, and after the registration in order to form an orderly management, if you do not hang up, all go to the doctor's clinic, then the order will be chaotic, will disrupt the doctor's normal work. Will disrupt the doctor's normal work.

In fact, there are very few patients in the outpatient clinics who do not register for consultation, and the vast majority of patients are able to register consciously to buy medical records and then wait for the computerized system to call their numbers to the doctor's outpatient clinic for consultation. Nowadays, public hospitals have a very large number of outpatients, especially in larger hospitals, and the number of patients is even greater, so the time allocated to each patient is very short, and there is very little communication between the doctor and the patient. Despite the increase in registration fees, there has not been a substantial increase in patient acceptance, nor has there been a substantial increase in medical and nursing satisfaction, nor has there been a substantial increase in medical and nursing income, so health care reform needs to be carried out continuously and in depth.

Occasionally, I will come across some patients in outpatient clinics. When the doctor tells her that her illness does not need to be treated with medication, that she can be observed, or that the illness does not need to be treated with medication at all or that there is no specific medication that can treat her illness, some people will ask, "Well, then, aren't I seeing the doctor in vain? Can I get a refund for the registration fee?

At this time, if I communicate with the patient for more than five minutes, I am generally not too happy to give the patient a refund, even though he is a self-pay patient. Because the doctor's knowledge is also improved through continuous efforts to learn, registration is a respect for the doctor's knowledge.

But if this self-paying patient is more polite and by the way he dresses, is not a financially well-off person, chances are I will refund him the registration fee, because after all, $50 is a lot of money for him. But the prerequisite is that he treats me with respect and is not just a nuisance. But I can't afford to mess around with him, so I'll give him his number back as soon as possible, because there are still a lot of patients waiting to be seen.

One of the ways I look forward to seeing a doctor is to be able to implement an appointment system when patients come to the hospital to see a doctor, and to ensure that each patient's communication time is no less than 10 minutes, instead of the existing open clinic where all people can register for a consultation. But our national health care system will not allow this to happen, so health care workers in public hospitals will have to put up with it.

You do go to the doctor because you can't afford it, and I don't think many healthcare workers would care about that registration fee. If you have the ability but do not pay, I think this is not a question of right or wrong, this is a question of human attitude, I think the emergency departments around the country have met these things, to save people, but was maliciously owed or evasion of fees, which is not a big deal, some hospitals are good as Huang Shiran, so that these departments or doctors out of their own pockets to make up for the money, I think it is even more detestable than the arrears of fees, evasion of fees people. A while ago, it was also publicized that a village doctor had burnt hundreds of thousands of IOUs. I think this is simply ironic, who would burn the IOUs if they can get them back, and burn them instead to make a good name for themselves, and for the media to publicize it in this way, I think the starting point is just wrong, in the same way as encouraging learning from doctors who died suddenly. A few years ago, many media made a big fuss about provoking conflicts between doctors and patients, and the result is that the distrust between doctors and patients has now reached new heights. The damage caused by a wrong case does not lie in the case itself, because one person's non-compliance with the rules is going to give rise to more rules to uphold the rules, and in the end, it is everyone who suffers in the end, including you and me.

I often go to the hospital to see a doctor, sometimes for a consultation or to bring an acquaintance, most of whom I know or have been friends with for years. If I go to an outpatient clinic, I will register first, and I will definitely register for a specialist clinic. If you go to the department to see him, usually do not register, but must bring a pack of soft Chinese, not the amount of money, is to respect him.

Go to the hospital to see a doctor registration is necessary, but also less, if you do not register the doctor on the computer can not give you a prescription, or test orders. Even if you are hospitalized, try to give him a specialist number to show respect. My brother was hospitalized twice this year, once with a specialist number, and the other time the director was determined not to let the registration directly open the hospital bill.

Two days ago, I encountered such a situation: a middle-aged and elderly women with a two-year-old child to outpatient clinic, when according to the procedure is to pay the registration fee, but because the patient registration card is no money, taking into account the recharge at the crowd, the doctor gave the patient beforehand to see the patient, the results of the doctor, the patient is not ready to prescribe medication, do not cooperate with the treatment is just that the patient was ready to go, we said there is still registration fee is not given, the patient lied to go to the recharge! After the patient lied that he went to recharge his account, he never came back.

I think first of all, this is the patient's own quality of the problem, for personal interests did not take into account that this is actually inappropriate, do not respect the doctor's work, do not trust the doctor's ability, but also lie to avoid, and the child is the first teacher of the parents, the two-year-old child may not understand anything now, but if the parents do not lead by example, later in the child's education will inevitably be out of the bias, it is clear that this is not conducive to the growth of the child, take a step back, if not cooperate with the treatment, at least should be given to the doctor should be paid for their labor. The child's growth is detrimental. To take a step back, if you don't cooperate in treating the disease, you should at least give the doctor the pay for his or her labor that he or she deserves. People such as these should improve their moral quality, realize that there should be a basic respect and trust between people, and set an example for their children.

Of course, the hospital should have to develop better medical consultation rules and procedures, for example, the first registration and then see a doctor, to a certain extent, to avoid conflicts between doctors and patients. Moreover, the patient at the moment if there are really difficult, special circumstances, the doctor should be to see the doctor, registration fee put down for the time being. If more understanding and tolerance is established between doctors and patients, social harmony can be enhanced.

I hope each of us do our part, enjoy our rights and respect each other.

Author: Song Yanqi

Definitely not right, this behavior should be condemned. Respect for the labor of others is a prerequisite for their own respect; however, in today's society, there are a lot of people who take advantage of the clever; the convenience provided by others as a "matter of course", eating up the "trust" between people.

There are few such people, but this trend must not be allowed to grow.

Now the public hospital diagnosis and treatment of information technology, see a doctor must be online appointment time, no "registration" is not into the day of the diagnosis and treatment procedures, if you hang up the number, three times, to be included in the "dishonest" list, basically does not exist! Basically, there is no such issue as "charges" and "refunds".

To the hospital to see a doctor's "registration fee" in essence and we take the train, take the plane to "buy a ticket" a reason, "no ticket on the car" is also called "fleeing from the chestnut! "is illegal behavior," the "registration" is not only the maintenance of medical rules order, respect for doctors pay, but also responsible for their own diagnosis and treatment behavior, in essence, the patient to fulfill the "registration" obligations, enjoy the hospital to the In essence, the patient to fulfill the obligation of "registration", the hospital to give the right to "diagnosis and treatment behavior is responsible for", some people interpreted as a legal "contract" relationship is reasonable, the maintenance of their own rights and interests.

Some people think that the doctor did not prescribe drugs, did not open the checklist should return the registration fee, this perception is too naive and too shallow. "Diagnosis and treatment" is not to the market "to buy food", to the catty price, he is a physician knowledge and experience, after a comprehensive analysis and judgment of the results, should be happy for their own body is not a big problem, how will be entangled in the refund of the registration fee?

There are also people who think that it is not necessary to register with a doctor for "consultation", which is also biased. There is an appropriate ratio between the consultation time of a doctor's outpatient clinic and the number of patients who have made appointments, and if it is unreasonably taken up, it will result in delayed consultation, so that the patients behind them will not be able to consult the doctor according to the appointed time, and the doctors of the clinic will not be able to finish their work on time. This is not a case of doctors being "stingy", but patients being "self-righteous".

As a matter of fact, if you want to ask a question, you can register for a "counseling clinic" with a full-time doctor to answer your concerns, just as you have to pay a "counseling fee" to talk to a psychiatrist about your psychological problems. Can't it be free, you may ask? Yes, you can. Please wait for the hospital's "Three to the Countryside" to conduct the "Free Clinic" activity!

Anyone who says "health is 1, other are the subsequent O, we can not take the "registration fee" as more important than the health of the things to be entangled in it!

Investing in health must correct the ignorance of "paying for medicine"!

The hospitals may be able to afford it, but what about the doctors at the grassroots level? They may not be able to afford it, and it is not as if the registration fee is a lot of money. This is called standing and talking. We have been working for decades as rural doctors, the first 10 years or so after seeing the doctor does not pay at least tens of thousands of dollars. At that time, tens of thousands of more worth, now I'm sorry not on credit.

This kind of problem is nowadays with the spread of electronics. The first thing you need to do to see a doctor is to register, unless you are going to a doctor for a consultation and without prescribing medication or tests.

Today there are only a few places where you can handwrite a prescription, where the patient does not register and pays the bill directly by handwriting the prescription. At this time, it depends on your network of contacts, whether you are an acquaintance who takes you to the doctor, or you are a friend of a friend of the doctor.

Nowadays, for patients to see a doctor without paying, the situation is very, very rare, most hospitals are required to register first, so this problem is rare, and, the doctor has the right to ask the patient to register, or else can be refused to see the patient, because of our implementation of the system of responsibility for the first visit.



Therefore, if the above question asked by the questioner, then please advise the patient, try to let the patient registered for consultation, advice to persuade, otherwise you can refuse to see the patient. It also depends on the patient's specific situation, oh, do not generalize.

This is China's current relatively chaotic medical order, but also reflects the attitude of some people to the doctor, some people want to take advantage of a small advantage, but not the doctor's labor at ease, but also shows that the doctor's fee is quite low so that some people feel that the registration is not a big deal, so there are so much not registered to see the phenomenon of the disease, which is not seen abroad, most of the foreign countries to make an appointment to see a doctor first. Visible in our country's health care reform efforts to increase, the road is still long.

Of course not. But who hasn't seen a patient for free when they're a doctor, especially in a small place? On a night shift to see thirty or forty, at least three or four free of charge, the patient does not need to prescribe drugs, do not need to do the test, or have medication at home, to answer half a day's questions to go, how to collect the registration fee? Generally speaking, when I encounter this kind of situation, I will take it as a donation to do good deeds, and if I let them pay, and then pester them, it will add a lot of trouble. Most people think that counseling is supposed to be free, so we don't want to bother with it and just leave after answering the questions.

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