Private hospitals appeared in the 1980s, but it wasn't until China opened up its healthcare market in September 2001 that private hospitals began to really develop on a large scale.
Survival of private hospitals
Read: 20Date: 2006-1-521:51:51
Background of the survey
On the one hand, there are overwhelming advertisements, and on the other hand, there are frequent exposures in the media. From the rise of 2000 to now, private hospitals have been plagued by integrity crisis. So, private hospitals now operating conditions, medical standards are good or bad
, the public to what extent can accept it? With this series of questions, the reporter recently investigated the private hospitals in Beijing.
Revealed - survival
Many hospitals are burning money
● About 20% of private hospitals are on the verge of closure, and many investors hold a speculative mentality
Reporters visited Beijing's five private hospitals, are not seen in public hospitals are often crowded with patients. Xiao Zhengquan, president of Beijing Beiya Hospital, believes that the annual flow of a private hospital reached 50 million to 60 million, profits accounted for 3 to 6 percent of the flow of water even if the operation is very good. According to his estimation, about 20% of private hospitals in Beijing are on the verge of closure. Liu Changping, president of the Beijing Chaoyang District Association of Non-public Medical Institutions, said: "The reality is that the operation of the relatively good private hospitals are also micro-profit, many hospitals are burning money. But there are many investors with a speculative mentality, only consider the short-term benefits, the use of unreasonable means to make money in a short period of time, then the hospital will change hands."
Expert analysis: Yu Zonghe, former director of the Department of Medical Affairs of the Ministry of Health, said most private hospitals are indeed experiencing difficulties, but the medical level of private hospitals, the business situation is still good. In fact, the state has been strongly supportive of private hospitals, such as private hospitals have three years of tax incentives, private hospitals to become a designated unit of health insurance threshold, no different from public hospitals.
Revealed-advertising
Big departments crazy advertising
●Many departments are contracted, big departments a year advertising costs more than a million yuan
July this year, the Beijing Municipal Bureau of Industry and Commerce of the illegal medical ads to focus on cleaning up, but so far, "men's, gynecological treatment center The reporter learned that a private hospital in Beijing, which specializes in treating liver disease and whose advertisements are often censored, spends 50 million yuan a year on advertisements.
A media advertising department, Mr. Li introduced, the vast majority of medical advertisements are hospital departments, these departments are contracted, in the advertising industry, there is a "large department", "small department" of the statement, the large department refers to male and gynecology, "male department", "gynecology", "male department", "gynecology", "gynecology", "gynecology", "gynecology", "gynecology", "gynecology". Gynecology, "men's center", "gynecology center" to a large extent is the treatment of sexually transmitted diseases, such a disease charges can be up to tens of thousands of dollars, such as some other common diseases charge over a thousand dollars is good, large departments are more willing to advertise than small departments, large departments a year's advertising costs certainly The large departments are more willing to advertise than the small ones, which must spend more than a million dollars a year on advertising.
Expert analysis: Liu Changping, chairman of the board, said that medical advertising is not allowed to exist in foreign countries, but there are too few private hospitals in China that insist on not advertising, which will lead to competition in advertising instead of competition in the level of medical care that should be provided by the hospitals, and a lot of advertising costs must be shifted to the patients. Yu Zonghe hit the nail on the head when he pointed out that private hospitals often advertise in terms of "specialty features" and "diagnostic and treatment centers," which is a way to trick patients, and that private hospitals are simply not comparable to large public hospitals in many areas, let alone the international leader.
Revealed - medical level
Mysterious prescription swallowed gold such as
●Secret prescriptions not only devour the patient's money, and may even make the condition worse
Treatment of uterine fibroids suggested reliable
The reporter had accompanied a uterine fibroids patients went to the two private hospitals for medical treatment, and the doctors of one hospital explained the patient's condition in detail, and recommended that the patient The doctor in one hospital explained the patient's condition in detail and advised the patient to go to a large public hospital for examination in order to formulate a medical program that best suits the condition. A hospital doctor suggested that the patient only need to do regular checkups to understand the changes in the condition on the line, the doctors of the two hospitals did not prescribe drugs. Haidian Women's and Children's Hospital, Pan Junfeng, vice president, told reporters that uterine fibroids are a common gynecological disease, the cure is relatively simple, but the effect of medication is not obvious, if the fibroids have not reached a certain size, regular ultrasound observation is the most economical way, but want to have children with this disease will be a little bit of a problem, so the doctors of these two hospitals to mention the recommendations are reasonable.
Treating necrosis of the femoral head is tricky
At the entrance of a private hospital specializing in the treatment of necrosis of the femoral head, the reporter met a Mr. Zhang from Inner Mongolia. He rushed here after seeing this hospital's lecture on TV. Mr. Zhang told reporters: "He got sick and went to many big hospitals in Beijing to see, the doctor asked him to operate, but even if the operation, may also recur, this hospital doctor said, I'm in this situation to take medicine on the line, and immediately prescribed a course of more than 1,000 yuan of medicine for him."
Beijing, a tertiary hospital, an orthopedic doctor Zhou told reporters that the above-mentioned private hospital he had heard of, their hospitals have also received over there did not cure and come over to the patient. Dr. Zhou introduced, necrosis of the femoral head how to be considered cured Western medicine and Chinese medicine have different views. In their hospitals, there is a complete set of indicators to determine the development of the disease to what point, to take that kind of treatment program, but few private hospitals can do so. In his reception of necrosis of the femoral head patients have spent two to three hundred thousand dollars in the outside world has not been cured, there are medication to eat bad. Dr. Zhou reminded patients that some doctors prescribe medicines to patients will contain steroid hormones, which have analgesic effect, in the short term patients will feel pain relief, mental status become better, but this is to cover up the condition, and even make the condition worse.
Expert analysis: Pan Junfeng, vice president of the Haidian District Maternal and Child Health Hospital, said he has learned that some private hospitals claiming to treat infertility often prescribe huge sums of money for patients who have no uterus or whose tubes are blocked bilaterally and who simply can't get pregnant, and that it's impossible to get pregnant on the basis of the medication. And it's often hard for patients to recognize them because those doctors' bottom line prescriptions are never revealed.
Doctors are mostly retired
Dr. Liu, who is in his 60s at Tongren Changhong Hospital, said he originally worked at a military hospital in Jinan and was recruited to come to the hospital after his retirement. A gynecologist at the hospital told reporters that she came to Beijing with her husband in the early years and worked as a doctor at a factory and mining hospital, and was recruited to Tongren Changhong Hospital after retiring 2 years ago.
Wang, president of Dongfang Boda Hospital, said: "In Dongfang Boda, the military retired more doctors, 45 to 70-year-old doctors accounted for one-third of the total number of doctors. A tertiary hospital doctor told reporters that he knew the private hospital doctor and "northern drift a family", that is, many foreign public hospital doctors want to come to Beijing to break through, see the recruitment information will come over, this group of people are generally in their thirties, the medical profession is also good.
Expert analysis: Yu Zonghe believes that the introduction of private hospitals is the reality of the difficulty of talent, so you must hire some of the old doctors, if the hospitals are hired from the regular hospitals retired doctors, then the hospital's quality of care is still guaranteed.
Revealed - medical fees
Price high price low fog
● Free registration fee, low examination fees may be a front
From the visit to the five private hospitals, the reporter found that the registration fee is generally lower than the public hospitals, the most is only 3 yuan, there is a hospital to play "zero registration fee! ". Reporters to see the same kind of dermatitis disease in the name of visiting three private hospitals, the first two doctors are prescribed about 30 yuan of drugs, are lower than the price of public hospitals. Before the reporter had visited three public hospitals to see the dermatitis, the highest one prescribed 147.9 yuan of drugs, the other two doctors were prescribed more than 50 and more than 40 yuan of drugs.
The reporter came to the third private hospital, a male doctor suggested an IV: "According to my prescription, you every play a drip, half an hour after the immediate effect, once a day, 7 days of this disease can be 100% cured." The reporter learned that the daily cost is about 50 yuan, but also prescribed the cheapest medicine.
Also in this hospital, a gynecological patient told reporters that she just verbally described the condition, the doctor did not give her any examination, the development of a treatment plan, a course of treatment for seven days at least have to spend more than 1,000 yuan, the doctor also said that a course of treatment may not be enough.
Expert analysis: Yu Zonghe said, private hospitals, due to fewer staff, low cost, the cost of seeing a doctor can indeed come down some. But patients should be wary that the free registration fee and low examination fees may be a cover, and if they are skeptical about the price, patients should choose to go to a few more hospitals to learn more about the situation.
■ Keywords
Private hospitals
Private hospitals refer to the social capital into the field of health care, the identity of the operator is no longer the government, the size of 20 beds or more health care institutions. Private hospitals appeared in the 1980s, but it was not until September 2001 when China opened up its healthcare market that private hospitals began to really develop on a large scale. Most of the private hospitals were developed from private clinics, and some were separated through restructuring. While the total number of private medical institutions at all levels of the country has accounted for half of the country's total, their number of consultations only accounts for 2.7% of the total number of consultations in the country's medical institutions. In the annual more than trillion yuan of China's medical market this big cake, private hospitals accounted for less than 3%.
■Medical reminders
One disease, one section of the contracting
Identify the contracting department: the contracting department is mostly for the purpose of making money. North Asia Hospital's President Xiao tips, go to private hospitals, if you find the hospital's departments are very fine, a disease can be set up a department, the hospital's department is certainly more contracted.
Beware of medical care: in train stations and other places, foreign patients coming to Beijing to see a doctor may encounter medical care, foreign patients who clip the film bag, very likely to be medical care pestered. Medical care generally say they also come to Beijing to see a doctor, when you say out which hospital, they are told that this hospital has been closed, or medical standards are too low, see patients to believe that the patient and then take the patient to the hospital he recommended. Insiders revealed that medical care and hospitals or departments often 50-50, a medical care often January will be able to earn a car.
●Reporters to explore
affordable hospital
whether really affordable
"Ten dollars to do ultrasound." This is an advertisement of an affordable private hospital. The reporter came to the hospital and found that a black-and-white ultrasound is only 10 yuan, and the price of color ultrasound is only 40 yuan. The hospital's price list shows that the registration fee, some 10 yuan below the examination program are free. A doctor at the hospital said, "We are affordable hospitals, the examination cost of this piece is indeed lower, 5 yuan to do an electrocardiogram, this price is certainly not to recover costs." But the reporter also found in the investigation, a patient to do the current price of 680, the original price of 1,000 yuan of super-conducting painless abortion, a few days to the examination fee alone has spent 700 yuan.
The reporter learned that there are now three private hospitals in Beijing to play a flat-price signboard, Oriental Boda Hospital in early April this year, the implementation of the flat-price strategy, the hospital Wang told reporters: "We are a newly established general hospital, no obvious specialty characteristics, in all aspects do not have the advantage of opening the market to attract patients at a low price from the hospital's long-term interests. Consideration, although the hospital will thus increase the burden, from the current point of view, this approach is still more effective." President Wang said: "The hospital is applying for medical insurance qualification, once the application is successful, the hospital charges will not always be so low."
President Liu Changping believes that the practice about parity is ultimately a short-term behavior, "It's a no-brainer, and in the downturn of private health care institutions, low prices may make the hospital actually lose a little less. But if hospitals lower prices on some items and raise them on others, they are cheating patients."
●Random survey
Private hospitals
People do not catch a cold
The reporter's investigation found that the patients who came to private hospitals for treatment were mostly outsiders and wage earners. Yu Zonghe thinks, go to private hospitals are mostly self-funded people, the elderly without health insurance, outsiders, working people, medical care brought patients. But there are also hospitals and clinics in the private sector that specialize in the high-end population, such as United Family Hospital and Vistas Clinic, whose services and medical equipment are good, but whose fees are not affordable to ordinary people.
The reporter randomly asked 20 Beijing residents on the street whether they would like to go to a private hospital to see a doctor, and only one woman reflected that private hospitals are good, and she said that she did not have health insurance, and that it was the same wherever she went to see a doctor, and it just so happened that she lived near a private hospital, and she went to see a doctor there twice, and she found that the hospital's medical staff was very nice, and that the fees were very low. It is much cheaper than elsewhere. Other people said it is impossible to go to private hospitals, a moncler outlet online said: "There is a private hospital next to our neighborhood, but I never go. Like our retired have their own medical insurance designated hospitals, rather than far away I also go there. And I've heard that a lot of doctors in private hospitals are from overseas, so I don't feel comfortable visiting such a hospital." A resident who opened a store next to the hospital told reporters: "We live right next to it and do not go there to see a doctor, there are often foreigners on it there to see a doctor, prescribe a drug on a few thousand dollars, are Chinese medicine which is so expensive." Many people said, we feel that advertising hospitals are not very reliable, you have to go to the regular hospital to see.
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