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BANGKOK 18 March 2019 20:29
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Private hospital patients ‘free to buy medicines outside’

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Private hospital patients ‘free to buy medicines outside’

By The Nation

 

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PATIENTS at private hospitals have the right to buy medicines elsewhere after getting a prescription from their doctors, according to the Health Service Support Department (HSSD).

 

The department, however, has no plans to force private hospitals to inform their patients of this right through announcements in their facilities. 

“Patients have long had the right to buy medicines outside hospitals,” HSSD director-general Dr Nattawuth Prasertsiripong said yesterday. 

 

He was speaking publicly in order to downplay speculation that the latest resolution from the Medical Facilities Committee (MFC) could make it impossible for patients to produce a prescription and get their needed medicine from drug stores. 

 

Last Thursday, MFC ruled that medicines be treated as among the medical services that doctors must take responsibility for. 

 

While MFC has recognised that patients have the right to buy medicines from outside hospitals, it has also absolved private hospitals of having to put up on-site announcements informing their patients of this right.

 

Nattawuth said his department would forward the resolution to a subcommittee established under the Committee on Product and Service Prices with the mission to prepare measures related to price control over medicines and medical-services. 

 

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Overcharging

 

The committee has assigned relevant organisations to gather opinions on price-control measures. Among these organisations are the HSSD, the National Institute for Emergency Medicine and Thai General Insurance Association.

 

“Between 60 and 70 per cent of patients at private hospitals are health-insurance policyholders,” Nattawuth said.

 

According to him, just two per cent of complaints about private hospitals that the HSSD had received last year were about high prices. 

 

Many non-governmental organisations have long complained about perceived overcharging by private hospitals. In one extreme case, a medical bill exceeded Bt23 million. 

 

“There are many complaints about medical-service fees. In one extreme case, the bill exceeded Bt23 million. A surgeon, for example, charges about Bt170,000 per operation,” Foundation for Consumers secretary-general Saree Ongsomwang said recently. 

 

Nattawuth said the HSSD, for its part, was responsible for ensuring that medical facilities provided a good standard of services. 

 

Source: http://www.nationmultimedia.com/detail/national/30364347

 

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 -- © Copyright The Nation 2019-02-19

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18 minutes ago, YetAnother said:

hospitals don't work that way; prescriptions are not given to patients, prescriptions are routed internally to the onsite pharmacies; then medicines are dispensed there and the prescriptions kept internally; in many cases patients are not told what the medicines are specifically for

I am always told and asked if pharmacy or I'll buy.  I buy viagra at the hospital because I don't want fakes.  Some times if a doctor forgets to discuss a prescription I refuse it at the cashier when paying the total bill for physician and drugs - no problem.  You must not have experience with all hospitals.  Probably only post about what you know for sure.  I deal with BDMS. 

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51 minutes ago, YetAnother said:

hospitals don't work that way; prescriptions are not given to patients, prescriptions are routed internally to the onsite pharmacies; then medicines are dispensed there and the prescriptions kept internally; in many cases patients are not told what the medicines are specifically for

You should ask your Doctor for a prescription, I never had a problem either with BDMS.

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The challenge is that Thai doctors do not have prescription sheets and when asked to refuse as it is hospital policy that you have to buy the drugs from them.  The system is kind of wack but it seems that high priced prescriptions i\s the way they make the money for the hospital.  

BNH is not bad it is the lower tier private hospitals that cause the issue.

 

I went into one hospital and asked for viagra and got told they do not stock it in the hospital and that the doctor could not give e a prescription as he had no means of writing them.

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I always give back the over priced panadol but loath to refuse others unless it is a refill from a second visit and I know of cheaper alternatives. 

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1 hour ago, kingstonkid said:

The challenge is that Thai doctors do not have prescription sheets and when asked to refuse as it is hospital policy that you have to buy the drugs from them.  The system is kind of wack but it seems that high priced prescriptions i\s the way they make the money for the hospital.  

BNH is not bad it is the lower tier private hospitals that cause the issue.

 

I went into one hospital and asked for viagra and got told they do not stock it in the hospital and that the doctor could not give e a prescription as he had no means of writing them.

I never had a problem.  The hospital doctors write prescriptions all the time.  Maybe try a better hospital.

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Used Bangkok Phuket Int. yesterday for the 1st and for the last time. Got fleeced as I paid for talking to the Doc for 2 minutes and getting some eye drops and pills THB 2600.-

Never again.

 

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2 hours ago, marcusarelus said:

I am always told and asked if pharmacy or I'll buy. 

I have never been asked this in any private hospital or clinic here. The assumption is always that the hospital/clinic will dispense medicines and charge accordingly. However, I always refuse their kind offer and have the items removed from my bill, and then I buy them elsewhere. The saving is often several hundred percent.


The only exceptions are some medicines which can only be dispensed by a hospital pharmacy and are not available elsewhere, and there one has no choice.

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15 minutes ago, spidermike007 said:

Bangkok Hospital adamantly refuses to honor this policy. They will not give a prescription, to purchase medicine outside. This policy is a travesty, and they should be brought to task for this, immediately. The profits they charge in their pharmacy are astounding. 

If by Bangkok Hospital you mean BDMS you are wrong as I've never had a problem getting a prescription.

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5 minutes ago, spidermike007 said:

Bangkok Hospital adamantly refuses to honor this policy. They will not give a prescription, to purchase medicine outside. This policy is a travesty, and they should be brought to task for this, immediately. The profits they charge in their pharmacy are astounding. 

I agree. The system used in most private Hospitals is to send charges for consults and prescription via internal server. The Patient victim is then required to pay all up costs before ever even seeing what is prescribed. Invariably the Pharmacist will give  information  as to the purpose of the prescription/s as well as asking about any known allergies  to such. As  stated the cost is assumed to be reclaimed  under  Medical Insurance in the  majority of  cases.

My experience in Government hospitals is that the patient is given the bill and expected to present it  at the in house Pharmacy. But again it is pay on presentation of  bill,  not after sighting prescriptions. An option  could be to over write the prescriptions before paying only the  service fees. Refusing presented prescriptions another  choice  but would  mean going back in a queue for a refund.( Or doing a runner to become a mark ! )

Given that the  vast majority of patients  would  have no real/ any knowledge of pharmaceuticals it is assumed there would be no rejection by the  patient  in either system.

I have seen it said that the private Hospitals  prescribe "better" medicines but I have found they issue  generics same as  Government Hospitals if there is one.

Street Pharmacies in general do not stock anything "special" and are not so willing to order in either.

But at Private Clinics they will offer best/recent/ new  generation medicines although at  high price. At least  you have  more opportunity  to discuss the cost versus merits or decline.

 

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The amount of money they charge for drugs in the hospital, Cocaine is cheaper

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I've never had a problem getting a prescription. as they type it out they also add the price.. if I say that is expensive, they tell me the cheaper Pharmacy to get the same med's... and will write the name of Med's and dosage for me to go there myself.  Not all med's are more expensive at the Hospital infect some are cheaper at the Hospital.

 

I get some at the Hospital and some outside....... The downside is that 'outside Pharmacy' med's are not on your file, so if you see another Dr they have no idea = I take a list of all the med's I take +  dosage 

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