According to informed sources, more than 80% of foreign ambulances around these large hospitals do not have formal first-aid qualifications and licensed doctors, and most of them are privately owned. Some so-called ambulances affiliated to foreign hospitals have not passed the annual inspection of local vehicles and health departments for many years, which is illegal operation.
As early as 20 12, I paid attention to the "black ambulance" chaos in Beijing. Four years later, Major Crimes Unit 37 found that this phenomenon still existed. According to the staff of Beijing Emergency Center, there are not enough local pre-hospital emergency vehicles, and regular ambulances cannot meet the needs of patients for long-distance transportation. Facing the blank market, black ambulances gathered around hospitals frequently appear, competing with regular ambulances for patients.
According to industry insiders, choosing an unqualified "black ambulance" cannot guarantee the interests of patients and their families.
An unannounced visit to the Beijing Black Ambulance: It is said that the living and the dead are not qualified to pull the Beijing News (ID: xjbdxw)
Weaving "recommendation network" inside and outside the hospital
654381October 9 to1October 7, Crime Squad No.37 pretended to be the family members of patients and visited many major hospitals in Beijing. It is not difficult to find a private ambulance.
In Jishuitan Hospital, as soon as an ambulance was needed, a person from the vehicle management office became familiar with it and took Major Crimes Unit 37 to a shop next to the south gate of the hospital. The store said that the ambulance he introduced was private and the vehicle was absolutely fine, "just like a regular ambulance". Later, he took out his mobile phone and asked the reporter to "dock" with the person driving the ambulance.
The name of the person who answered the phone is Ma. He said that all his cars are regular ambulances, which are fully equipped and can be accompanied by doctors. Doctors "all come from hospitals" and have a doctor's license. If the patient has an emergency during transportation, the doctor can give first aid immediately. If medicine is needed, it needs to be added to the agreed delivery fee. Mr. Ma promised that he could see the car in advance, pay a deposit after seeing the car, and go to the hospital to pull people. If you use Big Ben, it's about 20 yuan per kilometer.
On the 37 th, the major crimes unit wanted to find another car on the grounds that Mr. Ma's quotation was too expensive, and then another vehicle manager provided a mobile phone number. The other party calls himself "Director Bai" and can provide private ambulance, which is only one kilometer away from 5 yuan.
Asked about the nature of vehicles, Director Bai admitted on the phone that all ambulances in Beijing were irregular except 120 and 999. Why can private ambulances be accompanied by doctors? "If there is a doctor, there are many people. There's nothing on the doctor's license. Don't listen to their nonsense. " "Director Bai" said on the phone.
The above-mentioned vehicle manager told Major Crimes Unit 37 that almost all the shopkeepers nearby can help find private ambulances, and the other party usually gives the shopkeepers one or two hundred yuan or the equivalent of cigarettes and alcohol. "Can't say it's an intermediary. If you help introduce business, people will thank you. "
At the 30 1 hospital, a cleaner told the major crimes unit 37 that if you want to find a private ambulance, you should go to the security guard in the emergency department. The security guard will contact the owner of the private ambulance, provide a business card or meet directly. "Private ambulance owners will ask security guards to help contact customers and introduce one to get 200 or more."
Sure enough, after Major Crimes Unit No.37 came to the emergency department to briefly explain its purpose, a security guard pulled Major Crimes Unit No.37 to a corner of the emergency building of the hospital. Then a man in a brown jacket came up and introduced himself.
65438+ 10 month 17, 30 1 In front of the internal medicine building of the hospital, Jin AL386L car transported "critically ill patients" who were falsely accused of heart bypass.
The man said that regular ambulances charge 25 yuan per kilometer for transporting patients, and they only charge 20 yuan. Ambulances are equipped with doctors and nurses. If the patient needs medical treatment during transportation, an extra fee will be charged. Asked about the nature of the vehicle, the man even said: "We are all regular. How to get a license plate if it is not regular? We are a 30 1 hospital car. "
In response to the man's statement, a security guard in the underground parking lot revealed that the ambulance of 30 1 hospital had no license and could only transport patients inside the hospital. Therefore, the ambulance outside the hospital is either from other places or a private ambulance to "lie down". The security guard handed the reporter a business card and said that he could contact this person if he wanted to use the car.
Known as "the dead and the living" can pull.
In addition to the strict recommendation network, Major Crimes Unit No.37 found in the investigation that in some hospitals, some private ambulance operators claimed that they could pick up patients at will and provide different levels of services, and "the dead and the living" could pull.
At Tiantan Hospital, when the Major Crimes Unit asked a security guard if there was a private ambulance on No.37, a middle-aged man next to him immediately got up and said that he could help the reporter find a car.
The man dialed a phone and waited for nearly 10 minutes. A man with short hair and strong body appeared in front of No.37 of the major crimes unit, took out a small card and handed it to the reporter, then turned and left. The words "Beijing Emergency Center Ambulance Long-distance Team (Long-distance Special Delivery)" are printed on the card, and the address indicates that there are service stations around major hospitals in Beijing.
Number 37 from major crimes called according to the phone number on the business card. The other end of the phone said that their vehicles are regular ambulances, which are divided into ordinary and luxury types. Ordinary type is not accompanied by emergency personnel, while luxury type is "Big Ben", which belongs to intensive care type, equipped with various emergency equipment and accompanied by medical staff.
A security guard told Crime Squad No.37 that there were more than a dozen vehicles introduced by the gang, but in Tiantan Hospital, there was only one private ambulance. The man with short hair who had just arrived was the owner of the ambulance, and an ambulance with the word "嗮嗮" was his car in the parking lot.
Crime Squad No.37 then found the "S" vehicle in the parking lot, and the man sitting in the cab was the man with short hair just now. He denied that he was the owner of the ambulance, saying that he was just waiting near the hospital to "find a job". When the ambulance came, he helped the patient up. However, the short-haired man assured Criminal Police No.37 that using their ambulance would relax him, because an agreement would be signed before using the ambulance to ensure the safe transport of patients.
The owner of a shop in front of Tiantan Hospital revealed, "Other private ambulances can't get in if they want to. This piece belongs to them. " The boss said that you can use an ambulance in Tiantan Hospital and look for "S" in the parking lot. Moreover, these vehicles are very capable, and the dead and the living can pull them.
At Friendship Hospital, No.37, Major Crimes Unit, I received a similar introduction. "The car is in the East Fourth Ring Road. You can come 40 minutes early. It can not only drive into the hospital, but also into the railway station. The license plate has 120, flashing lights and a regular license plate. They are all affiliated with hospitals in Langfang. " In Friendship Hospital, a private ambulance owner who was called "big and tall" by people around him introduced it to Major Crimes Unit 37.
He said that he started to be a private ambulance in Friendship Hospital on 200 1, and now it's 16. Now there are three ambulances, all of which are "Big Ford", just like the regular ambulances of 120. Because of the long-distance running, both cars have been used up, and I plan to buy two more.
"Tall" revealed that not only the living can pull, but also the dead can pull, and they colluded with their families in advance. First, they pulled the body out of the hospital with a vehicle specially designed to pull the dead, lied to the hospital that they would pull it to the crematorium, and then changed into their ambulance halfway, pretending to be a first aid to pull people out of the field. "Pulling the body out of the venue is illegal transportation of the body. Family members must cooperate with us to make up lies in order to pull the body out. "
"Severe patients" are not mistaken.
Is the private ambulance really that "magical"? During the investigation, No.37 of the Major Crimes Unit pretended to be the patient's family and personally experienced the journey of "black ambulance" to transport the patient.
Previously, at 30 1 hospital, a nurse gave a contact information to No.37 of the major crimes unit, and the other party was an ambulance salesman named Zhang Wei.
According to Zhang Wei, the ambulance runs one kilometer 10 yuan. There is a doctor and two drivers in the car. The doctor in the car is from a county hospital in Shijiazhuang. You can check the doctor's license. If you need first aid or medication on the way, the cost of first aid and medication will be calculated separately. There is a price list in the car, which will be charged according to the quantity and type of drugs. Emergency doctors also need to pay extra, but the medicine fee and the doctor's fee are "negotiable" and will not exceed 3,000 yuan. For example, from 30 1 hospital to Bozhou, Anhui, the total cost is about 10000 yuan.
In Zhangweikou, their company has seven or eight long-distance ambulances, and the ambulance license plate is hung in a county hospital in Shanxi. "The ambulances in the long-distance group are all affiliated with Shanxi Hospital. I didn't buy the car myself. Private people can't buy a car and modify it. Ambulances are special means of transportation. Ambulance vehicles in the county hospital are idle, and the leaders want to earn some extra money. Sign a contract with them and use the car. "
Zhang Wei said that a transshipment agreement will be signed before transporting patients. "This is a kind of insurance for both sides. The ambulance will bear the traffic accidents or minor problems in the car. "
Through Zhang Wei's introduction, the Major Crimes Unit contacted a person named "Liu Dui" in No.37 motorcade, and agreed to set out from the front of the internal medicine building of No.301Hospital on June 7 to transport a critically ill patient who lied that he had just finished heart bypass and needed ECG monitoring to a residential area in Tongzhou.
65438+1October 17 At 5: 00 p.m., an ambulance with the number plate Jin AL386L drove directly to the front of the internal medicine building of 30 1 Hospital. There are three people in the car, including two drivers, dressed in casual clothes. A staff member wearing a black uniform called himself a doctor, and the words "120 first aid" were printed on his back.
In the car, No.37, the major crimes unit saw oxygen bottles and several medical equipment. According to the staff in black uniforms, these instruments are sputum aspirators, ventilators and ECG monitors.
The above-mentioned staff claimed to be full-time doctors. At present, they specialize in running long-distance emergency intensive care vehicles. They used to work in the internal medicine department of their hometown hospital, and later stayed in Xingtai Hospital as a cardiovascular and cerebrovascular specialist and emergency department.
When Major Crimes Unit 37 asked to see his practice certificate, the "doctor" said that the certificate was in the bureau and he needed to ask Liu Dui for instructions. "Don't worry, we all have a certificate, can't fool around. 800 kilometers is a small job for us, and the farthest to send patients to Yunnan is 3,000 kilometers. "
After walking to Jingtong Expressway, due to traffic jam, ambulance No.37 of the major crimes unit has been driving on the bus lane, flashing warning lights. According to the "doctors" in the car, they are ambulances, and there is no limit to the number in Beijing. Theoretically, you can run a red light, but you won't run a red light unless you have to. "If you pull a patient, you can flash the light. If there are no patients when you come back, you can't turn on the flashing lights or take the emergency lane. "
Talking about the scale of the company, the "doctor" said that they ran more than 10 ambulances, and some of them ran downtown.
After arriving at the destination, the "doctor" charged 800 yuan fare to the No.37 Major Crimes Unit, and 200 yuan bedding fee was added because the bedding was disposable. Major crimes unit 37 asked if it was possible to issue an invoice. The other party said that the amount was too small to issue an invoice, only a receipt was issued.
Subordinate units admit "illegal operation"
Upon inquiry, the above-mentioned Jin AL386L license ambulance was registered under the name of Shanxi Jinyu Industrial Development Co., Ltd., and the registration time was 2065438+June 2006. Industrial and commercial registration information shows that the business scope of Shanxi Jinyu Industrial Development Co., Ltd. is computer network engineering; Automatic system control engineering; Interior decoration; Fabrication and installation of steel structure; Wholesale and retail of daily necessities, clothing, shoes and hats, household appliances and decorative materials.
After the experience, contact Liu Dui again as a reporter. "Liu Dui" claimed that Jin AL386L license ambulance was indeed owned by Shanxi Jinyu Industrial Development Co., Ltd., but he denied that it was operated illegally. He said that the car belonged to a friend of his and had never transported patients.
After repeated questioning by No.37 Major Crime Unit, "Liu Dui" finally admitted that he did go to No.3010/7 June, 65438 and received money. "Maybe he only charged a few hundred dollars for gas." But he later said that the car only came to Beijing occasionally to earn some extra money.
On the 37th, the Major Crimes Unit then contacted Manager Zhao, the relevant person in charge of Shanxi Jinyu Industrial Development Co., Ltd., who said that Jin AL386L license ambulance did belong to their company. Manager Zhao revealed that this car originally belonged to a coal mine in Linfen, Shanxi. After their company acquired the coal mine on 20 12, the car became their company's asset. "To be sure, this car is not qualified to transport patients, but the coal mine is used to transport the injured to the hospital to deal with emergencies."
As for the identity of "Liu Dui", Manager Zhao said that he was a former employee of the company. As for why he can contact the illegal operation of vehicles, he still needs to report and investigate to the leaders.
In fact, not only the true identity of Jin AL386L license ambulance is unqualified "black ambulance", but also a large number of foreign license ambulances found in No.37 Major Crime Investigation Brigade belong to some foreign county hospitals after inquiry.
In Jishuitan Hospital, an ambulance with license plate number R2N953 was found in No.37 Major Crimes Unit, belonging to Dacheng County Hospital of Traditional Chinese Medicine in Langfang, Hebei Province. A staff member surnamed Li, who is in charge of managing the hospital ambulance, told Major Crimes Unit No.37 on the phone that the car was actually his own. After buying it from an ambulance manufacturer in Shenyang, it was attached to Dacheng County Chinese Medicine Hospital. "Our county towns are all like this, and private ambulances all have the name of the hospital."
"There are too many private ambulances, and there are many patients in Beijing, Shanghai and Tianjin. Everyone runs like this. " The staff surnamed Li said.
A person in charge of a relevant law enforcement department revealed that more than 80% of the foreign ambulances around these large hospitals do not have formal first-aid qualifications and medical practitioners, and most of the vehicles are actually privately owned. The so-called ambulances affiliated to some foreign hospitals have actually failed to pass the annual inspection of local vehicles and health departments for several years, which is illegal operation.
"If there is an emergency or traffic accident in the process of transporting patients, the affiliated hospital will not be responsible." The person in charge said that in this case, the rights and interests of patients and their families are completely unprotected.
The long-distance transshipment market is in short supply.
65438+1October 16, Major Crimes Unit No.37 visited several wards in the internal medicine building of 30 1 Hospital. Most patients said that they received more than one "long-distance ambulance" card, but few patients questioned its legality. Some patients also said that the price of private ambulances was too expensive and the safety could not be guaranteed, so they encountered a temporary fare increase by drivers.
A Shandong patient said that in 2009, he escorted a colleague to 30 1 hospital for treatment. After his family gave up treatment because of renal failure, he found a private ambulance to escort him back to Shandong, with a journey of more than 600 kilometers, with each kilometer in 3 yuan. "It was not bad at the time, and there was no other cost."
During the transportation, the ambulance driver asked the patient's family members to pay the highway toll, otherwise they would not drive, and the family members had no choice but to accept it. When he returned to his hometown in Shandong, it was getting late and the driver asked his family to solve his accommodation problem. The family suggested that the driver stay in the company's cooperative hotel, but the other party immediately refused, calling it "unsafe" and asked his family for 300 yuan and left.
A patient from Wang Xing, a native of Bozhou, Anhui Province, was hospitalized because of hip ligament problems. During hospitalization, a long-distance ambulance salesman who claimed to be an Anhui native came to the ward. The salesman told Mr. Wang that this kind of long-distance ambulance is a "long-distance group" of 120 emergency center, and the safety can be completely assured. Because it's a fellow villager, it can be cheaper. Back to 4 yuan and Bozhou, Anhui, it only costs more than 3,000 yuan per kilometer. On second thought, Mr. Wang thought it would cost him more than 2,000 yuan to find a car to go home, so he agreed to use this long-distance ambulance.
In response to this situation, Han Chao, a staff member of the Vehicle Management Office of the Beijing Emergency Center, told the Major Crimes Unit No.37 that the city emergency center is mainly responsible for the pre-hospital first aid and large-scale activities of the citizens, and the long-distance transfer care of patients is not the main business.
According to Han Chao, most of the applications for long-distance business received by the emergency center are critically ill patients, and some patients have given up treatment and are eager to go home, with low requirements for medical care. Some orthopedic patients can't take other means of transportation because of their physical condition. These conditions are all non-emergency diseases. Some family members may choose a private ambulance outside the hospital when there is no car in the consultation 120 emergency center.
At present, only four teams of vehicles and personnel in Beijing Emergency Center are responsible for the long-distance transportation of patients. Because Beijing has gathered a large number of high-quality medical resources, patients all over the country have great demand for long-distance transportation. The existing vehicles and personnel are running at full capacity, but the demand is still in short supply. The emergency center can receive about 20 consultation calls with long-distance transportation needs every day. Han Chao introduced that foreign ambulances working outside big hospitals saw this market.
Han Chao introduced that regular ambulances have complete facilities and regular operations. These "black ambulances" on the market are difficult to meet the conditions in terms of vehicles, facilities and personnel. He said that on the regular ambulance's driving book, the column of vehicle type will say "small special bus" or "special operation vehicle", and the nature of use is obviously "ambulance". The day before the ambulance of the long-distance group in the emergency center leaves, the doctor on board will know the patient's condition in detail, judge whether it can be transported, go to the hospital, know the condition from the attending doctor, know the use mode of the ventilator that matches the patient, and prescribe the drugs that may be used along the way in the hospital. After that, the doctor on board will prepare all kinds of consumables to be used on the road in advance. For example, the estimated travel time is 10 hour, and consumables such as medicines and oxygen should be prepared if it exceeds 18 hour. "To put it bluntly, it is a mobile ICU."
Han Chao reminded patients to choose these private ambulances carefully.
The person in charge of the relevant departments of the Beijing Municipal Health Planning Commission said that in response to this phenomenon, the Health Planning Commission and relevant departments conducted several centralized spot checks last year, but for various reasons, the results were minimal. On the one hand, the management of ambulances in other places is at the place of registration, and the Health Planning Commission cannot directly manage them, so it is difficult to judge whether ambulances operate in Beijing for a long time. On the other hand, it is difficult for road law enforcement personnel to directly stop and examine patients because they cannot delay the treatment of patients, and the law enforcement of such ambulances involves many departments. For example, the Health Planning Commission can only manage the medical behavior in the car, which also increases the difficulty of law enforcement.
The Measures for the Administration of Ambulances in Beijing, which came into effect on February 20 13, clearly stipulates that "local medical and health institutions in Beijing must use ambulances in accordance with the relevant regulations of the state and this Municipality, and shall not modify, lend, borrow, resell, transfer, allocate ambulances or use them for other purposes without authorization, and shall not use ambulances from cancelled institutions or ambulances with non-local licenses to engage in medical services in this Municipality." However, this method does not mention that foreign ambulances are engaged in transshipment and rescue of patients in Beijing.
The person in charge told the Major Crimes Unit No.37 that the Beijing Municipal Health Planning Commission had communicated with the Health Department of Hebei Province some time ago, hoping that they would strengthen the management of local ambulances. However, he admitted to Major Crimes Unit 37 that due to market demand, it is difficult to eradicate the problem by relying solely on spot checks and law enforcement in Beijing. Only when medical resources are relieved outward can foreign patients complete treatment locally, and this phenomenon will be fundamentally alleviated.