Chapter 520 Exploring Medical Marketization(1/2)
The hospital is supposed to be a quiet place, but there are two departments that cannot be quiet at all.
One is pediatrics, and the patients are all children. When they cry, they are not controlled by their parents at all, so when the pediatrician comes home from work one day, his ears are buzzing.
The other one is the emergency department.
It's said to be an emergency department, but it's exactly like a wet market.
The 120 ambulance here rushed the emergency patients to the emergency room, followed by the cries and shouts of the patients and their families, the doctors giving verbal orders, the nurses checking the medicines, the interns shouting for help, and the monitoring machine dripping.
There was a loud clicking sound.
After leaving the emergency room, there is an emergency clinic next to it. Good guy, there are more people here.
At night, there may be only one or two doctors in each department, and the queue can stretch two miles.
When there are many patients, order becomes chaotic, and when you are sick, you are already in a bad mood, so patients quarrel with each other, patients quarrel with doctors, patients quarrel with nurses, etc. Anyway, it is no different from a vegetable market.
It's okay to have a quarrel, but when I encounter an unreasonable patient, it's the person who throws things, the person who hits the doctor, the person who stops the fight, the person who calls the police, and the person who watches the fun and chats.
Oh~~~
More lively than Deyun Club.
The emergency room is like a vegetable market, which reflects from another aspect that there are many emergency patients.
With more patients, how can we get less business?
Besides, those who come to the emergency room at night are either seriously ill or urgent. In short, the more anxious you are, the less afraid you are of spending money.
When the time comes, a complete set of blood tests, B-ultrasound, CT and biochemistry will be available, and all imaginable tests will be carried out, and the test fees will go up. This machine will produce money like a money printing machine.
Chen Qi doesn’t even need to cross the river by feeling the stones. All he needs to do is learn how hospitals in later generations were run and how they made money. The ready-made experience is there.
Hospitals in later generations have taken full advantage of how to make money and strive to drain every patient's wallet. This is no joke.
Isn’t there an internet joke where a nouveau riche gets into a taxi and yells at the taxi driver:
"Take me immediately to the most expensive place in your city. I'm not short of money."
As a result, when the upstart got out of the taxi, he saw the driver pulling him directly to the hospital.
Although this is a joke, it also reflects from another aspect that hospitals cost money like water and are not affordable for ordinary people.
Some people are probably going to scold you after reading this, you are a black-hearted dean, you are a black-hearted doctor.
It’s not bad. More than 1,200 employees of the Vietnam-China People’s Hospital are waiting for food, waiting for wages to support their families in Hukou. Where does the money come from?
They are all responsible for their own profits and losses. Chen Qi was secretly instructed by his superiors to explore a pilot hospital for "medical marketization". He could only keep his eyes on the money.
The hospital's money is the patient's money. Fortunately, the workers have public medical care.
However, it is not particularly safe, because many state-owned factories have closed down or are half-dead. Workers have to advance their medical expenses themselves and then reimburse them centrally. But in the end, it is unclear whether they will be reimbursed.
Farmers are the worst off. They only pay for themselves. After planting for a year and selling the millet, it may not be enough to pay for a hospital stay.
Fortunately, with the deepening of reform and opening up, the central Vietnam region, as a coastal area, has relatively good economic conditions and is relatively wealthy, which provides convenience for Chen Qi to find money.
If you live in the central and western regions, where everyone only has one pair of trousers for the whole family, there is nothing you can do even if you want to squeeze out money in such a ghost place.
Comrade Lao Guo thought for a long time while holding the teacup, and then nodded heavily:
"Okay, anyway, the business is completely left to you. You can do whatever you want. We are old and our thinking cannot keep up with the times. In the future, the People's Hospital will still have to rely on you."
Comrade Lao Guo still has his own worries.
Although the People's Hospital is very large and has many employees, it is a large tertiary hospital.
But this is not a group fight, the more people the better.
More people means more wages you have to bear every month, and you will be under greater financial pressure.
Calculating the wages and bonuses of current employees, pensions of retired employees, medical reimbursements of employees, operating expenses of hospitals, etc., it really makes Lao Guo worry about his hair turning gray.
For ordinary employees, whoever becomes the dean is all the same. The key depends on whether you can make money and whether you are willing to pay.
After one year, if the personal income of employees has increased, you will be a good dean.
If it falls, you are a bad dean, it’s that simple.
President Guo tried his best to prevent the People's Hospital from losing money and not owing employees wages, but that was all.
】
As mentioned earlier, hospitals in the 1980s were in the midst of reform and change, and could also be said to be in labor pains.
When Chen Qi was the director of Huangtan Health Center, he could not even pay his basic salary every month at the beginning. This was a common financial situation for small hospitals.
Now that I have become the director of the behemoth Vietnam-China People's Hospital, financial constraints are still the main theme.
Chen Qi has gone to the finance department to check the financial situation of People's Hospital. It is purely a food finance job. It is enough to pay wages every month, and then it is gone.
But as a reborn person, Chen Qi knows that if the hospital wants to develop greatly, your equipment must be updated to keep up, but this requires a lot of investment.
This is also one of the main reasons why Chen Qi has not made any big moves in the hospital. One is that he is afraid of dissatisfaction, and the other is that he has no money.
So his idea is very clear: make quick money first and open the emergency department.
After a certain amount of capital has been accumulated, the Department of Gastroenterology and General Surgery will be developed, and endoscopic surgery will be launched and become a national pilot.
When you have both face and dignity, you can then comprehensively promote the development of the entire hospital. This is called "leading from point to point", one step at a time.
"By the way, Chen Qi, you are planning to build a new emergency department, so where are you going to place this emergency department? How will it be staffed?"
Chen Qi stood at the window, pointed at a small building next to the main entrance of the hospital and said:
"That small building looks just right to me."
Chen Qi is referring to a two-story small building along the street, which is not too big or too small.
It was originally used as a kindergarten for employees. After the kindergarten closed, it was temporarily rented out. It is now a clothing market.
Dean Guo took a look and agreed that this place was ready-made after all, and it only needed a little decoration, thus saving a fortune in infrastructure costs.
"What do you think about the personnel arrangement?"
Chen Qi has also thought about this:
"The position in the emergency department is quite special. Now I don't know which doctor or nurse is more suitable, so I decided to temporarily transfer some employees from each department and decide whether to retain them based on their daily performance. In addition, I plan to let the emergency department staff from the first surgery department
Zewen is temporarily in charge.
As for the ambulance, I will personally give the People's Hospital a van for the time being. It's just a second-hand one. Then I'll modify it, install a siren on the roof, and paint the body white. When we have money in the future, we can set up another one.
Professional 120 emergency center."
There are also many second-hand cars purchased by moldy countries in Chen Qi's space, including several vans, which are prepared for hospitals.
He has already donated a van to Huangtan Health Center before, and the one he has taken out now is his second one.
It doesn’t cost much anyway. Cars that are like treasures in China are just like that in evil capitalist countries. A second-hand van only costs a few hundred dollars.
When Comrade Lao Guo heard this, he was so moved.
After searching all the hospitals across the country, which hospital’s president would donate a car to the hospital?
The Vietnam-China People's Hospital actually has an "emergency vehicle", but this vehicle actually functions more like a mobile emergency vehicle, filled with medicines and surgical equipment.
Generally, the ambulance will set off only when there is an emergency or when a natural disaster requires continuous support from the People's Hospital.
Professional "emergency vehicles" are also available in the Yuezhong area, such as the Yuezhong Steel Plant and the Lizhu Iron Ore Plant.
I am a big dog owner, so I am not short of money, so I bought one specifically for the first aid use of my employees.
Anyway, the People's Hospital can't afford it. Now Chen Qi has donated one, which can be regarded as giving the future emergency department a big guy.
Nowadays, major matters in the hospital only need to be discussed with the director and the secretary, and the efficiency has been improved many times.
After the two discussed in the morning, they issued an announcement to the whole hospital in the afternoon about the establishment of the emergency department. For a while, the whole hospital was talking about everything.
The older people think that the new dean is fooling around, blindly learning from foreign countries regardless of national conditions.
The younger ones are dull and stupid, thinking that this is a matter for the upper class and they have nothing to do with it?
The really smart doctors have their calculations in mind. It is impossible for the new dean to make mistakes when doing things, and Chen Qi's past achievements are too brilliant.
Whether it is the General Surgery Department of Huangtan Health Center, the Cleft Lip and Palate Treatment Center or the Hand Surgery Center of the Fourth Hospital of Vietnam-China, any department he leads has become a star department without exception.
Moreover, the income of these departments is at the top of the health system, especially the cleft lip and palate center, whose income is even several times that of ordinary doctors.
So smart doctors and nurses already know that this is an excellent opportunity. Anyone who works in the emergency department also means that they have entered the eyes of the director, and their income is definitely top-notch.
At the same time, Chen Qi was already chatting with his four old subordinates, Yi Zewen, Zhang Xing, Chen Li, and Yang Xiuxiu, in the office.
"Lao Yi, when you arrive in the capital, first go to Professor Ning Mengzhu from the Neurosurgery Department of Union Hospital. I have already contacted him. Professor Ning will help arrange for you to visit the emergency department for study.
Let me tell you, Xiehe’s emergency department is the earliest and highest-level emergency department in China. Although I only gave you half a month, you must study hard, not only to learn medical skills, but also to learn their organization.
Management, medical treatment process, etc.
This time I went over to get acquainted with each other first. When I have the opportunity in the future, I will arrange for you to study abroad. We are all comrades carrying guns together. Good things will definitely happen without you, so you must pay more attention to the emergency department this time.
."
Yi Zewen accepted the letter of introduction and solemnly said:
To be continued...