injectibles

It is really sad that physicians need to be forced to be compliant with the policy in this way. However, it is not the policy at all. Rather, it is more scientific and evidence-based. IV drugs are required only in those circumstances: 1. There is no oral formulations available 2. Patients cannot eat food (GI problems, some neurological diseases etc) 3. When rapid onset of action of the drug is required (seizure, severe infection etc) In other cases, oral administration has at least comparable efficacy to IV (even in infections shown by many clinical studies) and has some advantages: 1. Avoid high peaks that are associated with more side effects 2. Avoid injection-related complications including infection and inflammation 3. Cheap In addition, most of the patients who need IV administration are not (should not be treated as) an outpatient. Therefore, the IV drug use by outpatient clinic cannot be justified in msot cases. In addition, the argument by KMA is not based on the scientific evidence, which they have to pursue. Their blame on the culture in Korea is also unacceptable given that physicians rather than the patients are an expert in medicine. If a patient asks an IV, an informed and learned physician should be able to persuade those patients not to take IV by explaining disadvantages of the IV drugs. Even a patient who has been treated with self-medications purchased from a pharmacy can be safely and effectively treated with oral medications if the patient can be treated as an outpatient as shown in the medical literature. Therefore, the argument seems to be based on emotion not on science and evidence. If they do not practice evidence-based medicine, then the government forces them to do so.