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物理治療免轉介提案 物理治療學會批仍須醫生診斷 與目前分別不大

物理治療免轉介提案 物理治療學會批仍須醫生診斷 與目前分別不大 (stheadline.com)

政府計劃修訂輔助醫療業條例,容許物理治療師和職業治療師可在指定情況下無須醫生轉介而直接為病人提供服務。物理治療學會及社區組織協會對有關建議均表示失望,認為未能做到真正的免轉介。

物理治療學會會長彭耀宗在電台節目表示,免轉介可以讓病人有自主權,選擇看醫生或直接尋求物理治療,可以為病人及醫療系統節省金錢和時間,更快得到更適切治療,讓病況能得以盡快改善。

彭耀宗說,《醫療業條例》修訂後兩種情況都必須要經過醫生的診斷,包括物理治療師直接提供服務、事後須通報家庭醫生等途徑,跟目前做法分別不大。他指出現時收到的轉介信,很多都只列出症狀問題,例如頸痛、背痛,而非醫學診斷,物理治療師都須作出篩查及評估。他又提到,物理治療師管理委員會轄下工作小組經過業界討論,就有關問題草擬建議書並於今年初提交政府,但跟立法會文件內容有很大落差。

彭鴻昌:方案建議為物理治療師加入許多框架
社區組織協會幹事彭鴻昌同樣指物理治療免轉介能便利巿民。如果就已知病患仍要求在12個月內取得診斷信才能免轉介,對病人會較麻煩,時間上未必遷就到。他認為要發展基層健康網絡,病人有問題應可以盡快尋求治療,不一定要經醫生,任何一個服務提供者也應是進入網絡的第一個接觸點,包括物理治療師。

彭鴻昌又稱,物理治療師經過訓練,有能力判斷及分辨甚麼情況下可以接受治療,甚麼情況要盡快轉介醫生。但方案建議令人感到對物理治療師的專業訓練未夠信心,因此加添許多框架限制他們提供治療的情況,尤如一位運動本來跑得很快,但又限制他不准跑。他認為文件的大方向是支持免轉介,或是先有很多限制,令到起步安全及穩妥些,期望之後再檢討,下一階段可考慮擴大適用範圍。

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Print time:  24 Jun 2024, 01:00:14