臥床7年沒看牙 清出一堆結石

[newshine]

臥床7年沒看牙 清出一堆結石
http://udn.com/NEWS/HEALTH/HEA1/6097946.shtml
聯合報╱記者洪敬浤／台中市南區報導】 2011.01.16 03:44 am

中山醫學大學口腔醫學中心推動口腔居家照護計畫，去年3月迄今已服務87人次，盼納入健保給付。到宅服務的牙醫師余權航說，不少癱瘓病患的口腔衛生堪慮，有些人臥床7年都沒看過牙醫，更有人清牙結石，清出不少小石頭。

民間監督健保聯盟發言人滕西華說，癱瘓、臥床的民眾繳相同健保費，享受的醫療資源卻最少，目前已有居家安寧、精神照護，口腔照護也應納入健保。

中山醫大院長周明勇曾到日本考察，當地推動口腔居家照護長達20年，中山醫大去年3月起推動口腔居家服務，服務對象為癱瘓臥床、領有重度身障手冊的患者，前天邀立委劉建國、田秋堇、陳節如等實地考察。

余權航說，有名57歲女患者中風7年，7年都沒看牙醫，到宅服務時，清出的牙結石彷彿小石頭，另名29歲男性車禍變成植物人，從他臥床以後，就再沒看過牙醫。

醫師表示，口腔居家服務健保不給付，平常醫師出診，除了診療費，還得付交通費，每次出診費用約3570元，但中山醫大只收300至500元，臥床患者的口腔衛生不佳，每名患者得花30分鐘治療與潔齒。

中山醫大估計，每年150人次服務經費，花費約60萬元，初步希望以試辦計畫專款提撥，並逐步擴展到全台。中央健保局表示，全台有多少癱瘓臥床患者，須納入居家口腔照護，目前尚未估算，但勢必排擠到其他支出，得審慎評估。

[a4451a]

植物人不是管灌飲食嗎 (咦)
下次也PO個新聞:
不該拒絕植物人開白內障與換人工關節

[newshine]

不只喔
在眼科來說
還有拔睫毛啦
眼結石處置啦
通鼻淚管啦
很多
很多喔
我就覺得牙醫師
真的是很厲害耶
很會找議題處理啦
(我不依) (我不依) (被咬了)

[image]

不只喔
在眼科來說
還有拔睫毛啦
眼結石處置啦
通鼻淚管啦
很多
很多喔
我就覺得牙醫師
真的是很厲害耶
很會找議題處理啦
(我不依) (我不依) (被咬了)

眼科出診很危險 因為沒有裂隙燈

一個臥床很久的男病人 兒子氣喘吁吁的抱他進來 指定要挑結石 因為上個月挑過 現在又顛顛啦

挑完後再用裂隙燈看看角膜 結果還有個小絲狀物在那裡磨啊磨啊 後來跟他說 不方便每次抱來的話可以幫拿人工淚液 可是 顛顛一定要回來看

出診只有替家屬省了抱來抱去的體力 可是醫療品質是不好的

然後原本1000元診療費暴增成3570～～等於全民出2570讓家屬不用帶去醫院＋次級醫療 這樣好嘛？

醫師表示，口腔居家服務健保不給付，平常醫師出診，除了診療費，還得付交通費，每次出診費用約3570元，但中山醫大只收300至500元，臥床患者的口腔衛生不佳，每名患者得花30分鐘治療與潔齒。

中山醫大估計，每年150人次服務經費，花費約60萬元，初步希望以試辦計畫專款提撥，並逐步擴展到全台。

[xkuk]

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