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Recruitment of nurses


Wind30
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Turbocharged
2 hours ago, Victor68 said:

My personal experience is, when I go as private patient with insurance, doctor recommend many things. Check blood, check cholestral, scope, MRI, scan, etc. Even at SGH as a private patient. Now I am jobless, I go polyclinic, everything seems ok no need to make referral. Suddenly I am fitter and healthier 😆 How to address this, I also don't know. 

Totally agree. This is what I hope the reform can fix. 

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4 minutes ago, Wind30 said:

I thought more money will go to gp? My layman idea. The demand for gp will go up, and that is always good for pay right?

my main beef is current kpi is how many sick people u cure right? What is your kpi?? Do u even track outcomes? Or as long as provide treatment, is it considered done?


I always feel there must be some form of outcome tracking and paying for health and quality of life vs just dispensing treatment. 

Have to see what the scheme details are. I don't think anyone in primary care is really jumping for joy.

What is KPI? Only MOH is interested in KPI. 

Why does a single GP explicitly need to track outcomes?
If the patient is healthier and is still functioning in their later years, that's personal outcome. That is mostly based on your individual risk and some part of it is amenable to modification.

The reality of medical treatment is based on a number to treat. All the major interventions that improve an entire population is based on numbers that an individual patient may or may never see the benefit.
All your most well established population health improving medications and treatments have NNT at about 20-30. So in a scenario you are giving aspirin to prevent more heart attacks/strokes, your treatment will prevent 1 major incident in maybe 20-30 people. This is the same as your blood pressure, your cholesterol, your diabetes medications. 

Just like there will be smokers happily puffing away at age 80+, even though smoking increases your direct mortality in very clear ways.

Would the individual ever see the benefit as it pertains to him/her? It's almost certainly not in the way you envision medical treatment to be. The overall numbers really don't matter at all to the individual. 

 

 

 

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3 hours ago, Victor68 said:

My personal experience is, when I go as private patient with insurance, doctor recommend many things. Check blood, check cholestral, scope, MRI, scan, etc. Even at SGH as a private patient. Now I am jobless, I go polyclinic, everything seems ok no need to make referral. Suddenly I am fitter and healthier 😆 How to address this, I also don't know. 

From your experience, Health is Wealth is salah. 

Must reformulate to Health = 1/Wealth. 😁

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3 hours ago, Victor68 said:

My personal experience is, when I go as private patient with insurance, doctor recommend many things. Check blood, check cholestral, scope, MRI, scan, etc. Even at SGH as a private patient. Now I am jobless, I go polyclinic, everything seems ok no need to make referral. Suddenly I am fitter and healthier 😆 How to address this, I also don't know. 

That time my wife went to private hospital for a small op. 

Nurse: got insurance?

Wife: yes.

Nurse: cover everything?

Wife: yes.

Nurse: okay! ward A!

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Just now, Stratovarius said:

That time my wife went to private hospital for a small op. 

Nurse: got insurance?

Wife: yes.

Nurse: cover everything?

Wife: yes.

Nurse: okay! ward A!

U got insurance cover everything still want ward C meh? 

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3 hours ago, Victor68 said:

My personal experience is, when I go as private patient with insurance, doctor recommend many things. Check blood, check cholestral, scope, MRI, scan, etc. Even at SGH as a private patient. Now I am jobless, I go polyclinic, everything seems ok no need to make referral. Suddenly I am fitter and healthier 😆 How to address this, I also don't know. 

U go private they detect early

 

u go polyclinic they wont detect until final stage

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2 minutes ago, Thaiyotakamli said:

U go private they detect early

u go polyclinic they wont detect until final stage

Long long time ago, due to elevated GGT, my GP refer me to polyclinic for further check.

In summary, it takes 6 months from polyclinic to SGH and there is nothing wrong.

That 6 months involves 4 appointments only.

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9 minutes ago, Thaiyotakamli said:

U go private they detect early

 

u go polyclinic they wont detect until final stage

Private is everything like to do more than do less, and also fast fast do and fast fast know the outcome. The other time when i go private see gastro specialist, the doctor suggest to do MRI than CT scan, since MRI can see everything more clearly and accurately. And i ended up pay much more lo. Luckily insurance can cover everything. Lol.

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53 minutes ago, Thaiyotakamli said:

U got insurance cover everything still want ward C meh? 

got, cos i dun like to sleep alone [laugh]

 

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19 minutes ago, Jman888 said:

got, cos i dun like to sleep alone [laugh]

 

LOL. Wait until the other person in your cubicle is dying slowly. That happened in my hospital stay in 2019.

Sutra chanting music on reloop while he is gasping away for few days. 

U must be a pretty sound sleeper to get any sleep in a shared cubicle. I probably only sleep max 5-6 hrs a day during the stay. 

I also had insurance but sgh didn't have isolation beds available (at least for non vip). 

 

Edited by Lala81
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6 minutes ago, Lala81 said:

LOL. Wait until the other person in your cubicle is dying slowly. That happened in my hospital stay in 2019.

Sutra chanting music on reloop while he is gasping away for few days. 

U must be a pretty sound sleeper to get any sleep in a shared cubicle. I probably only sleep max 5-6 hrs a day during the stay. 

I also had insurance but sgh didn't have isolation beds available (at least for non vip). 

 

This is why best is to stay one person ward in a hospital if possible. Unless not available then no choice lo.

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1 hour ago, Stratovarius said:

That time my wife went to private hospital for a small op. 

Nurse: got insurance?

Wife: yes.

Nurse: cover everything?

Wife: yes.

Nurse: okay! ward A!

Mine even better. Was consulting my ACL op then my orthopedic ask me what insurance i have. I'm also not sure so called my agent on the spot. Then he spoke to my insurance agent. If you didn't know, you will have thought that it's 2 insurance agents having a chat. 

At the end of the call, the ortho was all smiles, said i got myself very good coverage. So he arranged another doc to assist in the op too. So I had 2 docs to perform my surgery. 

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Supercharged
1 hour ago, Thaiyotakamli said:

U go private they detect early

 

u go polyclinic they wont detect until final stage

Similar thing with car. Bring to AD, big issue , small issue all want to replace and change.

Bring to workshop, he only tells you those that really need to change. 

 

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Supercharged
45 minutes ago, Lala81 said:

LOL. Wait until the other person in your cubicle is dying slowly. That happened in my hospital stay in 2019.

Sutra chanting music on reloop while he is gasping away for few days. 

U must be a pretty sound sleeper to get any sleep in a shared cubicle. I probably only sleep max 5-6 hrs a day during the stay. 

I also had insurance but sgh didn't have isolation beds available (at least for non vip). 

 

Errr...SGH ward A is single one right? 

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1 minute ago, Starry said:

Errr...SGH ward A is single one right? 

They don't allow people to contaminate their single beds lol. 

No I was lodged in b1. 4 bedder. I wasn't allowed to be in A ward. 

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Just now, Lala81 said:

They don't allow people to contaminate their single beds lol. 

No I was lodged in b1. 4 bedder. 

last week my wife went for her surgery, though she opt for B1 cos she also scare to sleep alone [laugh]

but they told her that B1 was reserved (maybe for covid [sweatdrop]) and might downgrade her to B2, end up put her in A after the surgery.

 

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17 minutes ago, Matoonia said:

Mine even better. Was consulting my ACL op then my orthopedic ask me what insurance i have. I'm also not sure so called my agent on the spot. Then he spoke to my insurance agent. If you didn't know, you will have thought that it's 2 insurance agents having a chat. 

At the end of the call, the ortho was all smiles, said i got myself very good coverage. So he arranged another doc to assist in the op too. So I had 2 docs to perform my surgery. 

Quite a lot of ortho ops need two doctors. Your joints need to be manipulated in certain positions. 

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