ミチバ
More プロフィール

Search

Calendar

<<　2012/02　>>
日 月 火 水 木 金 土
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29

トップページ

Doctors Blog

ブログの購読

新着コメント

新着トラックバック

< マイ手帳大賞No.9：「はっきりしていな... | メイン | 容疑者Ｘの献身 >
2008.11.08 22:00 |  診療  |  医療制度 / 行政  |  その他（医療関連）  |  ミチバ  | 推薦数 : 3

社会資源の活用を

・木曜前泊で、金、土の午前中は呼吸器関係の研究会、土の午後は振動病の研究会に参加しておりました。研究会に参加することは、モチベーションを挙げられるし、教訓になること、自分たちに足りないこと等、日常診療に流されて気がつかないことに気づかせてもらえます。

・呼吸器の研究会では、じん肺という病名で、生活保護を受けていた人が、ＭＳＷの介入で労災認定がうけられた事例を聞きました。この事例で思ったのは、まず、生活保護の診断書をうけとった福祉事務所がじん肺は労災の対象にならないかと思わなかったのか?また、その診断書を提出した医療事務は、何も思わなかったのか。医師は？といった思いをいだきました。労災になる疾患には敏感になってほしいなと思いました。ただ、これは医師や医療事務の個別の問題ではなく、システムとして、労災になる可能性がある病名を見た場合、なんらかの形で議論の俎上にのせるようなシステムがいるのではないかと思いました。

・労災に限りません。本来なら特定疾患になる特発性間質性肺炎が、なにも申請されていなかったり、身体障害者手帳がもらえるはずのＨＯＴの患者さんが、毎月高い自己負担を払っているとか、ときどき、私は経験します。労災にもどれば、アスベスト関連疾患というのは最たるものでした。いや、これだけ社会問題になったのに、スルーされている場合があります。医療機関は、社会資源がきちっと活用できるようなシステムを構築すべきだし、医学部や看護学校の教育でも、社会資源について十分教育してもらいたいと思います。（初期研修の要綱に、「社会資源が適切に利用できる」といったものがはいっているのでしょうか？）

・ちなみに思いつくままに、呼吸器疾患関係の社会資源を以下に書いてみます。

労災保険 

じん肺法

いわゆるアスベスト新法

特定疾患：ＩＰＦやサルコイドーシス、原発性肺高血圧症、特発性慢性肺血栓塞栓症

身体障害者手帳

健康管理手帳：じん肺、石綿、コークス、クロム、ベリリウムetc.

他にもあるでしょうが、酔っぱらって書いているので、こんなもんです。エンタの神様みなくっちゃ。

 

固定リンク | コメント (1) | トラックバック (43)

トラックバック

この記事のトラックバック URL

http://blog.m3.com/OEM/20081108/1/trackback

トラックバック一覧

2011
The blog was how do i say it… relevant, finally something that helped me. Thanks [続きを読む]
posted from Final Countdown 2011.10.17 15:29
2011
Hi, i think that i saw you visited my site so i came to “return the favor”.I'm attempting to find th... [続きを読む]
posted from blackheads 2011.10.21 03:03
Nature Herbal World
Great web site. Lots of useful info here. I’m sending it to some friends ans also sharing in delicio... [続きを読む]
posted from retinoic acid acne 2011.10.22 06:51
Fishing
I’ll right away grab your rss feed as I can't find your e-mail subscription link or e-newsletter ser... [続きを読む]
posted from kayak trolling motor 2011.10.22 08:42
Wedding Planning
This internet website is truly a walk-through for all of the info you wanted about this and didn’t k... [続きを読む]
posted from Wedding Dress 2011.10.23 06:33
2011
F*ckin’ tremendous things here. I am very glad to see your article. Thanks a lot and i'm looking for... [続きを読む]
posted from Puss In Boots Full Movie 2011.10.31 02:01
2011
It’s really a great and helpful piece of information. I am glad that you shared this helpful informa... [続きを読む]
posted from Watch 11-11-11 Full Movie 2011.10.31 10:37
2011
Great – I should definitely pronounce, impressed with your site. I had no trouble navigating through... [続きを読む]
posted from Watch 11-11-11 Online 2011.10.31 12:17
2011
After all, what a great site and informative posts, I will upload inbound link – bookmark this web s... [続きを読む]
posted from make money online 2011.10.31 21:13
2011
What’s Happening i'm new to this, I stumbled upon this I've found It positively useful and it has he... [続きを読む]
posted from San Diego Houses Rent 2011.11.01 21:34
2011
Wonderful web site. Lots of useful information here. I’m sending it to a few friends ans also sharin... [続きを読む]
posted from Tummy tuck cost 2011.11.08 02:45
2011
I’ve read some good stuff here. Certainly worth bookmarking for revisiting. I wonder how much effort... [続きを読む]
posted from Mortgage calculator with taxes and insurance 2011.11.09 22:56
2011
Hello! I could have sworn I’ve been to this blog before but after browsing through some of the post ... [続きを読む]
posted from Accounting Basics 2011.11.14 10:19
2011
Good write-up, I am normal visitor of one’s site, maintain up the nice operate, and It's going to be... [続きを読む]
posted from Accounting Basics 2011.11.14 10:50
Used Cars
Great web site. Plenty of useful info here. I’m sending it to a few friends ans also sharing in deli... [続きを読む]
posted from Used Cars 2011.11.16 08:42
2011
It’s actually a great and helpful piece of info. I am glad that you shared this useful information w... [続きを読む]
posted from Statesville Ice Cream 2011.11.19 00:11
2011
I’ve recently started a website, the info you provide on this website has helped me tremendously. Th... [続きを読む]
posted from Asian Tiger Mosquito 2011.11.19 10:42
My Business: Used Cars NJ
Great – I should certainly pronounce, impressed with your site. I had no trouble navigating through ... [続きを読む]
posted from Used Cars NJ 2011.11.19 11:53
2011
I haven’t checked in here for some time as I thought it was getting boring, but the last several pos... [続きを読む]
posted from Twilight Breaking Dawn Part 2 2011.11.19 13:03
2011
I haven’t checked in here for a while as I thought it was getting boring, but the last several posts... [続きを読む]
posted from Twilight Breaking Dawn Part 2 2011.11.22 04:17
2011
Greetings! Very helpful advice on this article! It is the little changes that make the biggest chang... [続きを読む]
posted from acompañantes 2011.11.24 10:35
Source’s
[...]My coder is trying to persuade me to move to .net from PHP. I have always disliked the idea bec... [続きを読む]
posted from Octopus Tattoo 2011.11.27 07:19
Recent, Blogroll Additions
[...]that is the end of this Post. Here you’ll find some sites that we think you’ll appreciate, just... [続きを読む]
posted from Music of Mexico 2011.11.28 07:16
Heya {i’m|i am} for {the primary|the first} time here. I {came across|found} this board and I {in finding|find|to find} It {truly|really} {useful|helpful} & it helped me out {a lot|much}. {I am hoping|I hope|I'm hoping} {to give|to offer|to provide|to present} {something|one thing} {back|again} and {help|aid} others {like you|such as you} {helped|aided} me.
I used to be suggested this blog by my cousin. I'm not sure whether or not this publish is written v... [続きを読む]
posted from Asian Tiger Mosquito 2011.11.30 02:23
{Hey|Hello} There. {I found|I discovered} your {blog|weblog} {the use of|using|the usage of} msn. {This is|That is} {a very|an extremely|a really} {smartly|well|neatly} written article. {I will|I’ll} {be sure|make sure} to bookmark it and {come back|return} to {read|learn} {more|extra} of your {useful|helpful} {information|info}. {Thank you|Thanks} for the post. {I will|I’ll} {definitely|certainly} {comeback|return}.
Asian Tiger Mosquito [続きを読む]
posted from Asian Tiger Mosquito 2011.11.30 14:42
Go Public
[...]right here are a handful of hyper-links to web sites we link to for the fact we think they’re w... [続きを読む]
posted from plissegardiner Stockholm 2011.12.01 07:47
Asian Tiger Mosquito
Hey, you used to write fantastic, but the last several posts have been kinda boring… I miss your sup... [続きを読む]
posted from Accounting Basics 2011.12.01 12:10
{Pretty|Attractive} {part of|section of|component to|portion of|component of|element of} content. I {simply|just} stumbled upon your {blog|weblog|website|web site|site} and in accession capital {to claim|to say|to assert} that I {acquire|get} {in fact|actually} {enjoyed|loved} account your {blog|weblog} posts. {Any way|Anyway} {I’ll|I will} be subscribing {for your|on your|in your|to your} {augment|feeds} {or even|and even} I {fulfillment|achievement|success} you {get entry to|access|get right of entry to|get admission to} {consistently|persistently|constantly} {rapidly|fast|quickly}.
Asian Tiger Mosquito [続きを読む]
posted from Accounting Basics 2011.12.01 13:16
2011
Hi, Neat post. There is a problem with your web site in internet explorer, would check this… IE stil... [続きを読む]
posted from Accounting Basics 2011.12.03 23:30
2011
Good – I should definitely pronounce, impressed with your web site. I had no trouble navigating thro... [続きを読む]
posted from Accounting Basics 2011.12.04 09:37
2011
After all, what a great site and informative posts, I will upload inbound link – bookmark this web s... [続きを読む]
posted from metas y objetivos 2011.12.14 09:17
2011
Great website. Plenty of useful info here. I’m sending it to some friends ans also sharing in delici... [続きを読む]
posted from replacement windows 2011.12.14 09:58
2011
hey there and thank you for your info – I’ve definitely picked up anything new from right here. I di... [続きを読む]
posted from The Girl With The Dragon Tattoo FULL MOVIE 2011.12.24 12:09
2011
It’s actually a great and helpful piece of information. I’m glad that you shared this useful info wi... [続きを読む]
posted from The Girl With The Dragon Tattoo 2011.12.24 22:18
2011
Heya i’m for the first time here. I found this board and I find It really useful & it helped me out ... [続きを読む]
posted from Asian Tiger Mosquito 2011.12.24 22:38
2011
I truly appreciate this post. I’ve been looking all over for this! Thank goodness I found it on Bing... [続きを読む]
posted from Asian Tiger Mosquito 2011.12.25 07:41
2011
I like the valuable information you provide in your articles. I’ll bookmark your blog and check agai... [続きを読む]
posted from seattle organic seo 2012.01.14 13:04
2011
Great wordpress blog here.. It’s hard to find quality writing like yours these days. I really apprec... [続きを読む]
posted from seattle organic seo 2012.01.15 11:01
will smith just the two of us
[...]here will get into the voice of the respective little types who claimed for being [...] [続きを読む]
posted from janome 8077 sewing machines reviews 2012.02.01 00:04
will smith scientology youtube
[...]Many of Lennox’s supporters and his family members assumed that the courts may [...] [続きを読む]
posted from graco trekko all-terrain stroller metropolis 2012.02.07 09:05
will smith mansion on wheels
[...]took the item. ” In reality, no matter whether it can be about your mouth officer, or tibia and... [続きを読む]
posted from bob revolution se single stroller best price 2012.02.08 23:22
will smith scientology
[...]cold concrete cell with saw dust covered floor [...] [続きを読む]
posted from panasonic arc 5 es-lv61-a 2012.02.09 10:36
2011
The blog was how do i say it… relevant, finally something that helped me. Thanks [続きを読む]
posted from wheels 2012.02.11 12:46

コメント

コメント一覧

多すぎてわかりにくい、使いにくい、というデメリットはあるかも。

でも役人にとっては利権天下りポストが増えるのでメリットなのでしょう。

>Paul Carpenterさま、コメントありがとうございます。
本当に制度が分かりにくいです。医療費みんなタダとしたら、一番分かりやすいと思います。
written by Paul Carpenter / 2008.11.10 08:50

コメントを書く

ニックネーム*
メールアドレス*
URL
内容*
※「利用規約」をお読みのうえ、適切な投稿をお願いします。