如果药房只做老人家的药,是很头疼, 因为这是鸡肋, 弃置可惜, 因为他们一般要吃3 - 4 个药, 每个药每90 天的supplies 药房能赚的钱可以让你哭(政府还能给药房多少利润??), 如果你是东主 或药剂师! 但是他们是非常非常的麻烦, 三天两头药剂师要根他/她医生大电话换药,因为他们每办法承受副作用(很多时候是心里作用), 每天他们可以大无数电话去药房,反正药剂师的服务是免费的, 不用白不用!然后医生一般会叫他们吃一些政府不包的药, 那时候他们就变本加厉的在根药房讨价还价,连他们应该给的co-payment $6.11 or $2.0 per Rx or deductible $100 per year.他们都不愿意给, 都要药房来承担, 好像药房赚了他们很多钱一样。 (pharmacies collected all Co-payment and deductible and submit it to the government, if the senior are not willing to pay, the pharmacies still need to help them to pay for the government, the government cannot waive off it, sometimes, the pharmacies has no choice as this is a business, senior will threaten the pharmacists: "if I have to pay my co-payment, I will change the pharmacy" ) now the small independent started to closed down as they cannot survive, and in the future, only big chain left, then they can do whatever they want to do. Hopefully this day come soooooooooon so the pharmacy students /pharmcists can survive.
The ontario government has not paid the pharmacists as what they do for the doctors, that's the reason the pharmacists salary has to depends on the dispensing fee. So far, I haven't see any 配药费 more than $11.99, where do you see 20来块配药费? Also, most of doctors are not screening for the drug interaction, the pharmacists has to do it, there are so many problem Rxes everyday in a pharmacy, pharmacists are not counting the pills (eventhough sometimes they have to do it too) as what you thought which may happened in many countries, if the patinets has any trouble because of the drug interaction, the pharmacists has to take the responsibilites, that's why they have to spend so many years in the university. The dispensing fee has not incresed in the past 20 years, most of cases, pharmacy cannot get dispensing fee fully paid, for those whose medication paid by the taxpayer, the pharmamcy cannot get $11.99 ..... the government paid much less than that and pharmacies has to waive off the difference. ......if you really step into the pharmacists real life, you will undertand their pain.
Your pharmacists will appreciate so much if you are not yelling at them when your MD need to be contacted before your Rx dispensing. It's for your own benefit (safety reason).
Learn a bit more about the canadian health care system if you want to. In China, the pharmacists just followed what the doctors order and dispensing, they really don't care what's it, they don't even check drug interaction, dosage...... because they need not take any responsibility. But in Canada, it will be so much different......
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dyno
2014-04-21 22:47
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回复 Xin Ru Rong:check drug interaction, dosage----------这些难道不能交给计算机做吗 ?
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Xin Ru Rong
2014-04-22 11:03
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回复 dyno:What? your computer can screen the drug interaction? Did the computer knows pt is on Zocor and his/her Dr. just Rxed Biaxin XL 1000mg once daily will have a potential risk to make him/her die?
Have a great day
既然有医保:为什么加人只看医生不买药