Chaoyang District Private Medical Insurance Hospital

Private hospitals appeared in the 1980s, but it was not until China opened its medical market in September 2001 that private hospitals began to develop on a large scale.

The survival status of private hospitals

Private hospitals

Reading: 20 Date: 2006-1-521:51:51

Investigation background

On one side, there are overwhelming advertisements, and on the other side, there is frequent media exposure. From their rise in 2000 to the present, private hospitals have been plagued by integrity crises. So, what is the current operating status of private hospitals? Is the medical level good or bad? To what extent can the public accept it? With this series of questions in mind, reporters recently investigated private hospitals in Beijing.

Revealing the secret of survival conditions

Many hospitals are burning money

●About 20% of private hospitals are on the verge of bankruptcy, and many investors have a speculative mentality< /p>

The reporter visited five private hospitals in Beijing, and none of them saw the crowding of patients that is common in public hospitals. Xiao Zhengquan, president of Beijing Beiya Hospital, believes that a private hospital's annual turnover reaches RMB 50 to 60 million, and if the profit accounts for 3% to 6% of the turnover, it is considered to be well run. According to his estimate, about 20% of private hospitals in Beijing are on the verge of bankruptcy. Liu Changping, president of the Beijing Chaoyang District Non-Public Medical Institutions Association, said: "The reality is that private hospitals with relatively good operating conditions are still making small profits, and many hospitals are burning money. However, many investors have a speculative mentality and only consider Short-term benefits, using unreasonable means to make money in a short period of time, then changing hands of the hospital.”

Expert analysis: Yu Zonghe, former director of the Department of Medical Affairs of the Ministry of Health, said that most private hospitals have indeed encountered this problem. It is difficult, but private hospitals with excellent medical standards are still doing well. In fact, the state has always strongly supported private hospitals. For example, private hospitals have a three-year tax preferential period, and the threshold for private hospitals to become designated medical insurance units is no different from public hospitals. < /p>

In July this year, the Beijing Municipal Administration for Industry and Commerce conducted a centralized cleanup of illegal medical advertisements, but illegal medical advertisements such as "Andrology and Gynecology Diagnosis and Treatment Centers" and "Treatment of Various Difficult and Miscellaneous Diseases" are still common. The reporter learned that a private hospital in Beijing that specializes in the treatment of liver diseases and whose advertisements are often inspected has an annual advertising fee of 50 million yuan.

Mr. Li from the advertising department of a certain media said that most medical advertisements are placed by hospital departments. These departments are contracted. In the advertising industry, there are also "big departments" and "small departments" In this term, large departments refer to andrology and gynecology. "Andrology Center" and "Gynecology Center" largely treat sexually transmitted diseases. The charges for such diseases can reach tens of thousands of yuan. For example, some other common diseases can charge more than a thousand yuan. That's right, large departments are more willing to advertise than small departments. The advertising expenses of large departments must be more than one million yuan a year.

Expert analysis: President Liu Changping said that foreign medical advertising is not allowed to exist at all, but there are too few private hospitals in China that insist on not advertising, which will lead to advertising competition to replace the medical care that should be done between hospitals. Level competition, and a large amount of advertising costs will definitely be passed on to patients. Yu Zonghe pointedly pointed out that private hospital advertisements often appear with words such as "specialty characteristics" and "diagnosis and treatment center", which is a way to defraud patients. Private hospitals cannot compare with large public hospitals in many aspects, let alone Talk about taking the lead internationally.

Revealing the Secret·Medical Level

Mysterious Prescription Swallowing Money

●The secret prescription not only consumes the patient’s money, but may even worsen the condition

Reliable recommendations for treating uterine fibroids

The reporter once accompanied a patient with uterine fibroids to two private hospitals. A doctor from one hospital explained the patient’s condition in detail and suggested that the patient go to a large public hospital. Check to determine the best medical plan for your condition. A doctor at one hospital suggested that patients only need to have regular check-ups to understand changes in their condition. Doctors at both hospitals did not prescribe medicine.

Pan Junfeng, deputy director of Haidian Maternity and Child Health Hospital, told reporters that uterine fibroids are a common gynecological disease. The cure is relatively simple, but the effect of taking medicine is not obvious. If the fibroids do not reach a certain size, regular B-ultrasound observation is the most economical option. method, but it will be a bit troublesome for people who want to have children suffering from this disease. Therefore, the suggestions given by the doctors in these two hospitals are reasonable.

There are tricks in treating femoral head necrosis

At the entrance of a private hospital specializing in the treatment of femoral head necrosis, the reporter met Mr. Zhang from Inner Mongolia. He came after seeing the hospital's lecture on TV. Mr. Zhang told reporters: "After he got sick, he went to many big hospitals in Beijing. The doctors asked him to have surgery, but even if he had surgery, he might relapse. The doctor at this hospital said that in this case, I can just take medicine." , he immediately prescribed a course of medicine worth more than 1,000 yuan."

An orthopedic doctor from a tertiary hospital in Beijing told reporters that he had heard about the above-mentioned private hospital, and their hospital also accepted patients. There are patients who have not been cured and come here. Dr. Zhou introduced that Western medicine and Chinese medicine have different views on how to cure femoral head necrosis. In their hospital, there is a complete set of indicator systems to determine how far the disease has progressed and which treatment plan should be adopted, but few private hospitals can do this. Among the patients with femoral head necrosis he received, some could not be cured even after spending 20 to 300,000 yuan, and some had bad medicines. Dr. Zhou reminded patients that some doctors prescribe steroid hormones to patients, which have analgesic effects. In the short term, patients will feel that the pain is relieved and their mental status becomes better. However, this is masking the condition and even making it worse. The condition worsened.

Expert analysis: Vice President Pan Junfeng of Haidian District Maternal and Child Health Hospital said that he learned that some private hospitals that claim to treat infertility often have no uterus, or bilateral fallopian tubes are blocked, etc. and they cannot get pregnant at all. Patients are prescribed huge sums of medicine, and it is impossible to get pregnant by taking medicine. And it's often difficult for patients to identify them because the doctor's background is never revealed.

Most of the doctors are retired doctors

Dr. Liu, who is in his 60s at Tongren Changhong Hospital, said that he used to work in a military hospital in Jinan and applied for a job at this hospital after his retirement. A doctor Li from the gynecology department of the hospital told reporters that she came to Beijing with her husband in her early years and worked as a doctor in a factory and mine hospital. She retired two years ago and applied for a job at Tongren Changhong Hospital.

Dean Wang of Dongfang Boda Hospital said: "In Dongfang Boda, there are many doctors who have retired from the army, and doctors aged 45 to 70 account for one-third of the total number of doctors. A doctor from a tertiary A hospital The doctor told reporters that among the doctors in private hospitals he knew, there were also the "Beijing drifters", that is, many doctors from public hospitals in other places wanted to come to Beijing to try their luck. They came here when they saw the recruitment information. These people are generally in their thirties. , the medical skills are also passable.

Expert analysis: Yu Zonghe believes that it is a reality that private hospitals have difficulties in recruiting talents, so they must hire some old doctors. If the hospital hires doctors who have retired from regular large hospitals, Then the medical quality of the hospital is still guaranteed.

Revealing the secrets of medical charges

High prices and low prices are confusing

●Free registration fees and low examination fees. It may be a cover-up

From the five private hospitals visited, the reporter found that the registration fee was generally lower than that of public hospitals, with the highest being only 3 yuan. One hospital reported "zero registration fee." I visited three private hospitals to treat the same dermatitis disease. The doctors at the first two prescribed drugs for about 30 yuan, which were lower than the prices in public hospitals. The reporter had previously visited three large public hospitals to treat dermatitis, and the price was the highest. One doctor prescribed medicine for 147.9 yuan, and the other two doctors prescribed medicine for more than 50 yuan and 40 yuan respectively.

The reporter went to the third private hospital, and a male doctor suggested an intravenous drip: "According to my prescription, every time you take an intravenous drip, you will see immediate results half an hour later. Once a day, the disease can be 100% cured in 7 days. "The reporter learned that the daily cost is about 50 yuan, and the cheapest medicines are prescribed.

In the same hospital, a gynecological patient told reporters that she only described it verbally. After checking her condition, the doctor formulated a treatment plan without any examination. A seven-day course of treatment would cost at least more than 1,000 yuan. The doctor also said that one course of treatment might not be enough.

Expert analysis: Yu Zonghe said, Since private hospitals have fewer staff and lower costs, the cost of medical treatment can indeed be reduced.

However, patients should be wary. Free registration fees and low examination fees may be a cover. If they have doubts about the price, patients should choose to visit more hospitals to learn more about the situation.

■Keywords

Private hospitals

Private hospitals refer to social funds entering the medical and health field, the identity of the operator is no longer the government, and the scale is 20 beds. the above medical and health institutions. Private hospitals appeared in the 1980s, but it was not until China opened up its medical market in September 2001 that private hospitals began to develop on a large scale. Most private hospitals were developed from private clinics, and some were separated through restructuring. Although the total number of private medical institutions at all levels in the country accounts for half of the country, the number of patients they diagnose and treat only accounts for 2.7% of the total number of patients treated by medical institutions nationwide. In China's medical market, which exceeds one trillion yuan each year, private hospitals account for less than 3%.

■Medical reminder

One disease and one department are mostly contracted

Identify department contracting: Contracting departments are mostly for the purpose of making money. Dean Xiao of Bei Ya Hospital reminded that when you go to a private hospital to see a doctor, if you find that the hospital's department categories are very narrow, and one department can be set up for one disease, most of the departments in this hospital must be contracted.

Beware of doctor's orders: In train stations and other places, patients from out of town who come to Beijing to see a doctor may encounter a doctor's order. If a patient from other places has a film bag sandwiched between them, he or she is very likely to be entangled by a doctor's order. Doctors usually say that they also come to Beijing for medical treatment. When you tell them which hospital to go to, they will tell you that the hospital has been closed down or that the medical level is too low. After seeing the patient, they believe it and then take the patient to the hospital he recommends. According to industry insiders, the ratio between medical care and hospitals or departments is often 50-50, and one medical care provider can often earn a car per month.

●Reporters explore the secrets

Affordable hospital

Is it really affordable

“You can get a B-ultrasound for ten yuan.” This is an affordable hospital Advertisements placed by private hospitals. The reporter came to the hospital and found that a black-and-white B-ultrasound only costs 10 yuan, and a color ultrasound only costs 40 yuan. The hospital's price list shows that the registration fee and some examination items below 10 yuan are free. A doctor at the hospital said: "We are an affordable hospital, and the examination fee is indeed low. You can do an electrocardiogram examination for 5 yuan. This price will definitely not cover the cost." However, the reporter also found during the investigation that one A patient had a superconducting painless abortion with a current price of 680 yuan and an original price of 1,000 yuan. In the past few days, the examination fee alone had already cost 700 yuan.

The reporter learned that there are now three private hospitals in Beijing that have adopted the parity policy. Dongfang Boda Hospital implemented the parity strategy in early April this year. President Wang of the hospital told reporters: "We are a newly established hospital. General hospitals do not have obvious specialty characteristics and do not have advantages in all aspects. Using low prices to open the market to attract patients is based on the long-term interests of the hospital. Although the hospital will increase the burden, it seems that this approach is relatively effective so far. President Wang said: "The hospital is applying to obtain medical insurance qualifications. Once the application is successful, the hospital's charges will not always be so low." President Liu Changping believes that the approach to parity is ultimately a short-term one. Behavior, "There is no other way. When private medical institutions are in recession, low prices may make the hospital's actual losses smaller. But if the hospital lowers the prices of some items and raises the prices of other items , just deceiving patients.”

●Random investigation

Private hospitals

Citizens don’t catch a cold

The reporter’s investigation found that private hospitals Most of the patients treated in the hospital are foreigners and migrant workers. Yu Zonghe believes that most of the people who go to private hospitals for medical treatment are self-paying people, the elderly without medical insurance, out-of-towners, migrant workers, and patients brought by medical care. However, private medical institutions also include hospitals and clinics that cater to high-end people, such as United Family Hospital and Vista Clinic. Their services and medical equipment are good, but the fees are not affordable for ordinary people.

The reporter randomly asked about 20 Beijing citizens on the street whether they were willing to go to private hospitals for medical treatment. Only one aunt said that private hospitals are good. The aunt said that she did not have medical insurance and it would be the same wherever she went to see a doctor. It happened that she She lives near a private hospital and went there twice to see patients. She found that the medical staff at the hospital were very friendly and the charges were very low. Even her daughter said that the charges here were much cheaper than elsewhere. Other citizens said that it was impossible to go to a private hospital. One uncle said: "There is a private hospital next to our community, but I never go.

Retired people like us all have our own designated hospitals for medical insurance. I would rather go there if I were farther away. And I heard that many doctors in private hospitals come from out of town, so I feel uneasy about treating patients in such a hospital. A resident who opened a shop next to the hospital told reporters: "We live next to it and don't go there to see a doctor. People from other places often come to see a doctor there, and a prescription costs several thousand yuan. Traditional Chinese medicine is not that expensive." "Many citizens have said that we feel that the hospitals advertised are not reliable, and you have to go to regular large hospitals to see a doctor.

Extended reading: How to buy insurance, which one is better, and step-by-step instructions to avoid it These "pitfalls" of insurance