Review on the Straits Time Article:
Tame doctors’ greed and protect patients (30 Sept 2009)
There has been much buzz on the newspapers recently about doctors who have been negligent in their prescriptions. Although stiff penalties have been imposed by the Health Ministry, there are still a good number of doctors who fall into the web of greed. These unethical acts pose threats not only to the reputation of the doctors, but also to the lives of their patients.
In the past five years, 23 doctors have been hauled before the Singapore Medical Council (SMC) and penalized for dispensing sleeping pills indiscriminately. Subutex drugs, meant for curbing heroin abuse, were also freely dispensed to patients?however the drugs ended up being abused.
Several people such as Madam Halimah Yacob (Jurong GRC) and Salma Khalik (Straits Times Health Correspondent) have suggested the separation of prescription from sale. Pharmacists, trained to check doctors? prescription, would help maintain patient safety by ensuring that the appropriate drugs are dispensed to the patients.
It has been agreed that it would be highly inconvenient for patients to go down to a pharmacy after consulting a doctor to get their medication, compared to the one-stop service patients are exposed to locally. However, this may not be applicable to drugs such as sleeping pills or obesity drugs. These drugs are not needed urgently by patients, but still can be easily abused if doctors are lax in prescribing them.
The Straits Time report also suggests that there could be an identifying of pharmacy-only drugs or the registering of patients who are prescribed such drugs, to prevent doctor-hopping.
The current dispensing system has been kept by the Health Ministry in order to ensure the convenience of patients. However, Health Minister Khaw Boon Wan has suggested that doctors provide patients with a clearly written prescription, and then leave the patient to decide where to obtain his medication.
Another good way of preventing greed by doctors while keeping the current system of practice would be to enforce transparency in bills from private clinics that itemize the costs of consultation, tests and drugs.
Review by: Selina Lim & Belinda Tan (Year 1)
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Time to apply what we have learnt in PR1103!