1. There are limitations on reimbursement by local health insurance;
2. Hospitals believe that the patient's condition can be effectively treated in their own hospitals;
3. Some hospitals have target limitations on the number of people who can be transferred to other hospitals;
4. Other reasons. When the service conditions and capacity of a medical institution are not sufficient for diagnosis or treatment, the insured person can be transferred to a higher level medical institution for further consultation and treatment.
If a hospital refuses to issue a transfer certificate without a valid reason, the patient or his/her next of kin can file a complaint with the health department or file a civil lawsuit directly with the people's court.
Factors affecting hospitals' reluctance to issue transfer certificates:
1. Stability of patient's condition: if the patient's condition is stable, the hospital may not consider it necessary to transfer the patient;
2. Allocation of healthcare resources: hospitals may be strapped for resources and may discourage patients from transferring to other hospitals in order to conserve resources;
3. Restrictions of healthcare policies: some regional healthcare policies may have specific limitations or requirements for transferring to other hospitals. Medical policy restrictions: Some regional medical policies may have specific restrictions or requirements on transfer;
4. Medical cost issues: Transferring a patient to another hospital may involve additional medical costs, and the hospital may be concerned about the patient's financial burden;
5. Medical liability issues: Hospitals may be concerned about liability for medical problems that arise after transfer;
6. Poor communication between patient and physician: Inadequate communication between the physician and the patient may result in the hospital being reluctant to issue a transfer. may lead to the hospital's reluctance to issue a transfer certificate.
In summary, reasons for hospitals' reluctance to issue transfer certificates may include local health insurance reimbursement restrictions, the belief that patients can be effectively treated in their own hospitals, target limits on the number of transfers, and other reasons. When a medical institution is unable to provide appropriate diagnosis or treatment, the patient may be transferred to a higher level medical institution. If the hospital refuses to issue a certificate of transfer without a valid reason, the patient or his/her next of kin may file a complaint with the health department or file a civil lawsuit directly with the People's Court.
Legal basis:
Hospital Work System
Article 30
(1) If a hospital is unable to treat a patient due to the limitation of technical and equipment conditions, the patient can be transferred to another hospital only after discussing the case within the department or proposed by the head of the department, and then the medical department reports it to the dean or the vice-president in charge of the business for approval, and then contacting the hospital of the transferring hospital in advance to get the consent.
(2) Provinces, municipalities and autonomous regions hospital patients (including outpatients) need to be transferred to foreign hospitals for treatment, should be proposed by the hospital section chief, the dean or vice president of business agreed to report to the provincial, municipal and autonomous regions Department of Health for approval of the formalities. Acute infectious diseases, leprosy, mental illness, paraplegic patients, shall not be transferred to foreign provinces and cities for treatment.
(3) patients transferred to the hospital, such as the estimate of the possible aggravation of the disease or death on the way, should be retained in the hospital to deal with the stabilization of the condition or the danger of passing, and then transferred to the hospital. Heavier patients should be escorted by medical personnel when transferring to the hospital. When a patient is transferred to a hospital, a summary of the patient's medical record should be transferred with the patient. When a patient is discharged from the transferring hospital, a summary of treatment should be written, submitted to the case room, and returned to the transferring hospital. A patient transferred to a nursing home shall bring only a summary of the medical record.
(4) The transfer of patients must be agreed by the transfer department consultation. Before the transfer, the attending physician will prescribe a transfer order and write a record of the transfer, notify the hospitalization office to register and transfer the patient to the department according to the contact time. The transferring department needs to send someone to accompany to the transferring department and explain the relevant situation to the duty staff. The transferring department will write a record of the transferring department and inform the hospitalization department and the nutrition room.