Now the country advocates the implementation of community health services and hierarchical health care programs. Our professors and directors of tertiary hospitals visit community clinics. But it is true that there are small clinics that treat everything with antibiotics and hormones for quick results and good recovery. However, only a few community hospitals do this, while many private clinics do. The big hospitals have thousands of people lining up for outpatient care every day, with over a hundred colds and coughs in the middle of the night. Mosquitoes bite a bag every month, but also need to hang up the emergency department to take up resources.
In fact, community hospitals (clinics) and "big" hospitals are not much different. The doctors are the same, the drugs are the same. The difference comes when there is a real problem, and that is the difference in medical resources. Due to size constraints, it is impossible to store all kinds of testing equipment and medicines in a neighborhood like a hospital. Similarly, specialists don't stay in community hospitals.
Community hospitals can be trusted and private clinics depend on personal preference. You don't have to fetishize big hospitals. For example, if you have a fever and repeat it, you have to go to the community first. Three days and five days are not good, and then go to the next level of hospital, such as the city people's hospital. Go to the district hospital is not good, such as the district people's hospital. Go to the provincial hospital is not good, such as provincial medical university hospital, etc..
Some consumables and medicines are not reimbursed by the national health insurance. If more consumables and medicines are used out-of-pocket, it is better for the patient to pay more. For example, renal ureteral stone surgery, at the end of the use of flexible mirror no out-of-pocket consumables, most of the costs can be reimbursed, but the disadvantage is easy to have residual small stones; if the use of flexible ureteroscopes + placement of stone mesh baskets, the cost of flexible ureteroscopy sheaths and mesh baskets will be in the thousands or even tens of thousands of dollars at out-of-pocket expense, with the advantage of less residual stones, and then the risk of surgery is low.
Because community clinics are usually regular doctors, at least not indiscriminate use of drugs. Clinics are like business. The common cold pretty much clears up in a week or so. With some hormones, fever, nasal congestion, sore throat and other kinds of uncomfortable symptoms will be quickly relieved, harmful to the body. How does the average person know all this? They can only look at which doctor's prescription works fast, so they think that this person is medically skilled. I once met a patient with rheumatoid arthritis who went to the hospital. After taking the medicine prescribed by the doctor for two weeks, he went to the clinic to take the medicine. The medicine was taken for two years. Then a stomach perforation was surgically repaired and the joint was deformed. Needless to say, she must have taken hormones plus painkillers.