PLACEBO EFFECT apa itu dan kaitan dgn BPJS. selama komeng ane update

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PLACEBO EFFECT apa itu dan kaitan dgn BPJS. selama komeng ane update

ovonelpotpal

09-01-2014 01:48

PLACEBO EFFECT apa itu dan kaitan dgn BPJS. selama komeng ane update

sebelumnya saya minta maaf bila menurut agan2 disini saya dianggap agak kasar.
hot thread saya sebelumnya
hot thread emboli plus updatenya updatenya

daripada bikin hot thread bagaimana cara bikin mie ala mahasiswa, yang menurut ane
mie dicampur apa aja juga enak, misal dicampur sapi saus tiram, atau campur ayam disuwir2, campur fu yung hai,
enak aja

atau bikin hot thread, agan gak usah minum susu.. gak usah makan nasi sekalian,
orang luar juga banyak gak makan nasi.

atau bikin hot thread mie itu sehat.. ane copas dari komen orang, ingat kasus buyat, penduduk menderita penyakit kulit,
dikatakan bahwa ambang batas pencemaran masih dibawah batas, tp kan penduduknya terpapar terus, dan merkuri kalau sudah masuk ke dalam tubuh untuk dikeluarkan butuh lama,
meskipun dibawah ambang batas, kalau ditimbun tubuh terus, lama2 jd diatas ambang batas tubuh.
sama seperti makanan pengawet, dilihat dulu pakai pengawet apa, gak semua perusahaan juga nulis dikemasannya,
butuh berapa lama tubuh untuk mengeluarkannya..
mie banyak gizinya, baygon lu kasih vitamin juga banyak gizinya..

SEBELUMNYA SAYA SETUJU BAHWA MASYARAKAT INDONESIA HARUS DIJAMIN KESEHATANNYA..
TP LIHAT SISTEMNYA GANN.. SISTEM JELEK OTOMATIS, ORANG2 BAIK DIDALAMNYA JADI JELEK.

Apa itu placebo?

Quote:

Today, we know that patients who are given empty injections or pills that they believe contain medicine can experience improvement in a wide range of health conditions. This kind of fake or empty medicine is often called a placebo, and the improvement that results is called the placebo effect.

The placebo effect is an example of how our expectations and beliefs can cause real change in our physical bodies. It’s a phenomenon that we don’t completely understand. But we can see it working in all kinds of ways, and all kinds of circumstances.

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Kasarannya placebo itu obat kosong

Cara kerja placebo?

Quote:

Placebos have been shown to work in about 30 percent of patients, and they've been used by doctors for ages. In fact, they were often the only thing that a doctor could offer to relieve suffering, other than his or her attention and support. Some researchers believe that placebos simply evoke a psychological response. The act of taking them gives you an improved sense of well-being. However, recent research indicates that placebos may also bring about a physical response. In light of this, some people don't see anything wrong with a doctor prescribing a placebo. After all, he or she is doing it to help the patient. But others see the practice not only as harmful, but unethical, deceptive and possibly even illegal.

During the study, the participants had a total of 450 migraine attacks. Each time they were provided with one of the six available treatments: two were made with positive expectations (envelopes labeled "Maxalt"), two were made with negative expectations (envelopes labeled "placebo"), and two were made with neutral expectations (envelopes labeled "Maxalt or placebo").

But within each of these conditions, the envelopes contained either the placebo or Maxalt. The patients then reported their pain experiences.

"When patients received Maxalt labeled as placebo, they were being treated by the medication — but without any positive expectation," Burstein said.

For both placebo and Maxalt, patients reported great pain-relieving effects when the envelope was labeled "Maxalt." This suggests that a positive message and a powerful medication are both important for effective clinical care, the researchers said.

Bodily memories

The placebo effect is centered on the idea that a person’s expectations and beliefs drive changes in symptoms, even though they have received a sugar pill or a sham treatment with no effect. Knowing that they have received a placebo changes their expectations, which is expected to alter the placebo effect.

However, people in the study also reported pain relief even when they knew the pill they were receiving was a placebo, compared with no treatment at all.

This finding "contradicts the medical beliefs," Kaptchuk said. "Because in medicine, we think you have to think it's a real drug for placebo to work. But apparently, the body has memories, or an embodied awareness, which operates below the level of consciousness."

One possible mechanism for this effect could be that the body is conditioned to react positively in medical situations, Kaptchuk said.

"We know from other studies that the symbols, the rituals and the words of medicine activate the brain to release neurotransmitters that change the experience of illness. It activates centers in the brain that modulate many symptoms like pain and nausea and fatigue," he said

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Kasarannya mempengaruhi psikis agan sehingga otak mengeluarkan neurotransmitter yang mempengaruhi pengalaman nyeri agan. jadi agan merasa udah enakan.
Tapi begitu dibilang yang dikasih itu obat kosong, diatas dibilang org2 mengalami nyeri lagi.

Nah apa hubungannya Sama BPJS.
Sebelumnya saya Kasih credit dulu buat agan 'comment'
Sistem bpjs yg dibuat jelek oleh pemerintah.

1. Kalau Dana kesehatan murah otomatis obat sama pemeriksaan terbatas.
Dilihat aja, untuk satu kasus penyakit, ditanggung berapa, lama rawat berapa. ada beberapa yg gak ditanggung, alias harus bayar. cuman ane gak tau kalau yg gak ditanggung itu bayar, tanggungan bpjsnya gugur apa gak.

2. Sulit untuk memberikan obat bagus dan pemeriksaan canggih. Karena dananya dibatasi., Kapan majunya ilmu kedokteran diindonesia.
Misal. laparoscopi tidak dipakai, pakainya laparotomy, irisan diperut lebih lebar. CT scan dibatasi. Usg hamil dibatasi, misal agan mau tahu jenis kelamin, buat apa.
agan bpjs ikut kelas 1, itu untuk kamar bukan untuk obat dan pemeriksaan canggih

3. Pembodohan dokter masa depan. Karena kasus yg dirujuk ke rs pendidikan terbatas. Otomatis sistem pendidikan terhambat. Oke bisa di rs jejaring, tp pasti ilmu beda, krn ilmu lebih update di rs pendidikan.
Ibaratnya kasarannya, dokter umum masa depan gak tahu namanya panu, krn panu mana dirujuk ke rs pendidikan.

4. Gaji direksi bpjs Dan bawahannya ratusan juta (tau aja). Sedangkan pelayan kesehatan kerja lebih dari buruh, gaji tukang sampah. Jampersal banyak pulang habis melahirkan dijemput mobil pribadi. Sama aja korupsinya.

5. Dananya sisa bakal kemana? Kalau ikut asuransi swasta, jangka waktu tertentu, gak sakit uang kembali, malah bisa seperti menabung. Kalau bpjs (uang agan gak dibalikin), uang pasti sisa, bakal kemana. Anggap target 125jt orang ikut kelas 3 semua. Sebulan 2 trilliun, setahun 24 trilliun.
emoticon-Bingung (S)

apa bisa buat dana kampanye emoticon-Bingung (S)

6. Seolah2 dibayar byk. 5000 org x rp8000=40jt. Itu utk dokter, obat, lab, Bidan, dsb. agan sakit batuk, demam, anggap 10% yg sakit, anggap klo berobat umm 50rb. 500x50rb= 25juta. Ternyata belum sembuh 10% aja. 25jt+25jt=50jt. Pas wabah gmn?

7. yang ini ane belum jelas. kan untuk kasus penyakit harus bertahap. Agan gak boleh langsung rujuk ke rumah sakit tipe A. masalahnya gak ditanggung BPJS kalau dikerjakan, katanya.
Misal: kalau kecelakaan, pasti dicari rumah sakit terdekat. kalau pas salah rujuk, padahal operasi bisa di rs tipe C, apa harus dibalikin lg tuh pasien, soalnya kalau dikerjain gak ditanggung sm BPJS

Berikut untuk dokter BPJS Cara praktek placebo effect/ efek plasebo bila dana habis..
1. Ambil 1 gelas air putih..
2. Bacakan jampi2 atau doa2. Boleh disertakan dgn efek asap.
3. Berikan ke pasien. Jgn lupa bilang, mudah2an sembuh Pak, Bu.
Kalau dibilang malpraktek, bilang berdasar sumber diatas 30% pasien merasa sembuh.