d*b
发帖数: 21830 | | w*********r
发帖数: 42116 | 2 远离DOWNTOWN，没有ER，UGENT CARE时间短，shabby的病人去起来不方便。
【在 d*b 的大作中提到】
: 到county的ER一看简直是地狱似的
| d*b
发帖数: 21830 | 3 upenn, nyp，mgh哪个不在downtown? 那里谁见过很shabby的病人？
【在 w*********r 的大作中提到】
: 远离DOWNTOWN，没有ER，UGENT CARE时间短，shabby的病人去起来不方便。
| w*********r
发帖数: 42116 | 4 他们可以把shabby的病人送到其它医院去。
【在 d*b 的大作中提到】
: upenn, nyp，mgh哪个不在downtown? 那里谁见过很shabby的病人？
| T*R
发帖数: 36302 | 5 HJBC
大傻你忽悠别的行，扯到医院的事，有我这护士在，轮不到你说话。
你去过UUNIVERSITY CHICAGO，RUSH UNIVERSITY HOSPITAL，UIC HOSPITAL，LOYOLA
HOSPITAL的ER吗？大都是你说的SHABBY病人。
这才是UC HOSPITAL决定关闭自己的TRAUMA CENTER，甚至关闭ER的决定。
UC HOSPITAL在CHICAGO排第一。
美国急诊医师协会为此还特地发表申明谴责UC HOSPITAL。 | T*R
发帖数: 36302 | 6 仔细读读下面的新闻吧。
University of Chicago Medical Center Is Failing Emergency Patients, Nations
Emergency Physicians Say; Urge Congress to Hold Hearings on the State of
Emergency Care
For Immediate Release
February 19, 2009
Laura Gore - (202) 728-0610, ext. 3008
Washington, DC - The American College of Emergency Physicians (ACEP) today
said the University of Chicago Medical Center is failing in its obligation
to treat emergency patients, citing drastic reductions in inpatient beds for
emergency patients and a recent news story about a 12-year-old boy attacked
by a pit bull who was sent to another hospital for surgery. With hospital
plans in place to reduce staffing and beds for emergency care even further,
the chair of medicine and the chief of emergency medicine at the medical
center have resigned.
ACEP expressed grave concerns that the University of Chicago’s policy
toward emergency patients is dangerously close to "patient dumping," a
practice made illegal by the Emergency Medical Labor and Treatment Act (
EMTALA), and reflected an effort to "cherry pick" wealthy patients over poor.
"The medical center is reducing emergency care access to its local community
, while at the same time, opening a ‘side door’ to a ‘specialty intake
area’ to provide emergency care to medical center private patients," said
Dr. Nick Jouriles, president of ACEP. "This is a dangerous precedent that
could have catastrophic effects in poor neighborhoods across the country.
Congress needs to hold hearings about the problems facing emergency patients
. If other community, non-profit hospitals follow this example and shift the
lion’s share of resources to its high-revenue elective patients and
procedures, it will leave many emergency patients virtually out in the cold.
The University of Chicago Medical Center is located in a poor neighborhood
whose residents have few, if any, other options for emergency care."
The boy in the news - Dontae Adams - is a Medicaid patient who the hospital
treated with painkillers and a tetanus shot but then refused to admit him
for surgery. His mother took him on an hour-long bus ride to another
hospital that admitted him and performed the face-saving surgery.
Dr. Jouriles took issue with a statement made by medical center spokesperson
John Easton that "sending Dontae into surgery too quickly would have
created a risk for infection."
"As a physician who has treated hundreds of animal injuries, I know of no
reason why early surgical intervention would increase infection risk," said
Dr. Jouriles.
In addition, Dr. Jouriles took issue with statements made by the hospital
that the Urban Health Initiative is helping patients with non-urgent care
find medical homes and that the issue was about patients with non-urgent
medical conditions.
"There simply are no other health care providers willing to care for most of
these patients," said Dr. Jouriles. "Many primary care providers are simply
not taking Medicare patients, let alone the uninsured or the underinsured.
Most clinics don’t have same-day laboratory or X-ray resources needed to
determine whether patients have emergency medical conditions. This is an
abdication of the hospital’s obligation to provide care to its community
and a fundamental assault on the safety net that emergency departments are
intended to provide. The University of Chicago Medical Center is receiving
considerable tax benefits as a non-profit hospital, with the expectation
that it will provide care to its community. If other community hospitals
follow suit, it will be catastrophic for the growing ranks of the poor,
uninsured and underinsured, especially during this financial crisis. Access
to lifesaving emergency care for all Americans is threatened."
According to reliable sources at the University of Chicago Medical Center,
the emergency department has one of the highest rates of emergency patients
leaving without being seen [10 – 15 percent with prolonged waits of more
than 14 hours up to three days for an inpatient bed] and one of the highest
ambulance diversion rates in Illinois. The plans being made are another step
in making sure people in the local community have no access to emergency
care. Only 12.1 percent of emergency patients are categorized as "non-urgent
" according to the Centers for Disease Control and Prevention.
"While we recognize that tough economic times demand sacrifices by everyone,
the latest moves by the university unfairly distribute the burden to the
poorest members of the community it serves," said Dr. Jouriles. "If anything
, these are times that demand the most from our hospitals and our emergency
departments, because these are the times when our patients need more care,
not less. My heart breaks for Ms. Adams and Dontae and the night of hell
they surely endured just to get Dontae the care he needed and deserved. This
should not happen to another family in America ever again. And Dontae Adams
had medical insurance! Imagine this story playing out with patients in
other communities who have no health insurance, a segment of the population
that grows every day as more and more people lose their jobs."
ACEP is a national medical specialty society representing emergency medicine
. ACEP is committed to advancing emergency care through continuing education
, research and public education. Headquartered in Dallas, Texas, ACEP has 53
chapters representing each state, as well as Puerto Rico and the District
of Columbia. A Government Services Chapter represents emergency physicians
employed by military branches and other government agencies. | T*R
发帖数: 36302 | 7 你知不知道美国救护车送病人是就近原则的，不管你保险在哪，医生在哪，还有你是否
清醒要求转哪，救护车只和最近医院联系，送你去最近的医院。然后你再说转院的事。
大多数你说的有名的医院，都在贫民窟附近。这在CHICAGO尤其是。 | T*R
发帖数: 36302 | 8 你有半夜去医院的经历吗？
ER病人大都是晚上去医院。白天空空荡荡，根本没人。你能看到屁SHABBY病人。 |
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