20 19 Tianjin medical and health-institution interview: 20 19 medical structured interview (XIII)

? 20 19 Tianjin Hospital Recruitment | Physical Examination Announcement and Publicity Summary (continuously updated)

A patient with cerebral hemorrhage, after filming in a small rural hospital, went to a big hospital for treatment. The big hospital asked the patient to take another film, and the patient had difficulties at home. What should you do if you are a doctor in a big hospital?

Reference answer

Cerebral hemorrhage is a very dangerous disease with high early mortality. Most survivors have different degrees of dyskinesia, cognitive impairment, speech dysphagia and other sequelae. The patient's illness is unfortunate, and the family economy is very difficult and pitiful. I will try my best to help patients tide over the difficulties in accordance with relevant regulations.

First of all, I want to judge whether the patient really needs to make a new film. Under normal circumstances, the reason why patients transferred to another hospital are required to re-film is to avoid mistakes in the films brought by patients, such as the wrong films given by the original hospital or the wrong tapes brought by themselves, which hinders the diagnosis of the new hospital; The second is to get the latest information about the patient's condition. Therefore, if we can ensure that the film really belongs to the patient and the shooting time is not far away, there is no need to re-shoot, and I can save this fee for the patient accordingly.

Secondly, if the patient's condition develops rapidly and it is really necessary to take a new film for diagnosis, then I will report to the leader in time to explain the patient's financial difficulties. Generally speaking, there are two ways to solve this problem. One is to reimburse part of the expenses with the patient's medical insurance; Second, if the expenses other than medical insurance reimbursement are still huge, you can apply for funding from relevant funds. Therefore, I believe that with the efforts of the hospital, the financial difficulties of patients will be solved.

Finally, I will seize the time and try my best to treat patients. At the same time, it can calm patients' emotions, so that patients should not have too much anxiety regardless of illness or economic problems, and cooperate with our treatment with peace of mind.

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