Medical Careers : How to Become a Doctor
Mortgage pay: Medical services is ascended have a competition " strong result " arena
Be weighed by expert coronal " TV hospital " , for a time " accost " patient eyeball. However good times don‘t last long, these hospitals are new species no less than rises abruptly like its miracle same, begin to step down to build altar meticulously along with even if. Value, sincere letter, morality... become people to denounce to the hospital for a short while topic. A few days ago, shanghai some hospital hits on market of medical services write down " heavy fist " : Take the lead in will overdrawing, mortgage easy method of sexual intercourse of this kind of risk to introduce medical establishment be pregnant with to treat a field. "Mortgage pay " is what type of this new device performs on arena of medical services " leg of beautiful fist embroider " true still " strong result " have a competition?
"Is medical services mortgaged " can you go much further?
To this hospital this one practice, opinions vary inside course of study, each hospital showed cautious attitude generally to law of this one party, and broad consumer person it is to be interested very.
Mr Liu expresses answer dawn college of medicine, medical services charge is mortgaged is a Shuang Renjian, it can reduce a patient on one hand the pressure when paying an operation fee, strive for more market share for the hospital; On the other hand, also can create very great pressure to the hospital. Because the patient degree of saturation of itself of a lot of hospitals is not tall, come the patient that the courtyard sees a doctor is to be hard up more, if execute medical services charge to mortgage again, be afraid on have enough to meet need of administrative cost, capital, steam again the hospital is met become quite passive.
And the author is in Shen Cheng each are big the hospital interviews many patient to feel very fresh to mortgaging payment randomly, think to mortgage payment, it is to was a patient to offer to just be carried out to the courtyard actually supervise, the platform of judge, the service to the hospital is at a loss what to do no longer when quality and medical services level are dissatisfactory, also need not touch war greatly, finally 20 % - the medical charge of 40% became square to the courtyard executive punishment " ace " , this square to the courtyard nature is a kind of aeriform supervisory peace treaty bundle. As the hospital, want to assure to mortgage payment integrality, must raise sincere letter to spend ceaselessly.
What Mr Zhang analyses doctor occupational is engaged in in Shanghai more into manage, he thinks, treat infecund medicine charge to mortgage pay to be mortgaged with other medical services have its specialty, former therapy effect is very apparent, whether be pregnant is not the hospital said to calculate merely, patient oneself also can feel the effect; Latter therapy effect is opposite more ambiguous, the hospital has active right, be like occurrence cure error, to result of appraisal of final unskillful and faulty medical or surgical services, the hospital has a variety of reason, contrary, because serve satisfaction to medical services, do not have the standard of rigid, make the services that must succeed again, individual patient also can seek a ground easily and refuse payment medical expenses. "Medical services mortgages maneuverability strong, but hospital risk is relatively big also " Mr Zhang frankness says.
"Be careful patient ill will is defaulted! " somebody offers well-meaning advice to the hospital, our country‘s current individual credit system had be notted build, whether to remand cost of medical services of a huge sum is total by the patient " awareness " and " conscience " . Although the autograph has,mortgage a contract, bilk Zhang to want to bear legal responsibility, but the road that demand repayment is boundless, litigant itself is very troublesome also. In holding the person that pessimism is talked, have more very person think, unless the hospital collects fees,mix into water is divided and do not care to defaulting a part, will hamper badly otherwise the normal movement of the hospital. Once be immersed in,demand repayment lair, be sure to affect the reputation of the hospital, more go against long-term competition.
As we have learned, to carry out " mortgage pay " , this courtyard once negotiated with the intermediary orgnaization such as bank, insurance collaboration, but the other side because the risk is too big, give decline.
Does the hospital do mortgaged risk to have how old? Can the patient escapes pay or unjustifiable refuse payment? Shanghai some hospital Dean Zhao says, the basis looks from check of ancient Chinese medical classics for years, the curative effect after the course is treated is apparent, ill will defaults a phenomenon very few, even if really economic difficulty is not returned temporarily on, half an year or the metropolis after a year fills in time on. Actually, although be not done,mortgage, also meet somebody is owed escape, this is in a hospital not rarely seen, among them some escaping the person that pay is not to pay really give money, must not do it soon. Use instalment now, alleviate their an extremely urgency, still can decrease likely escape the person that pay.
Adjusting control doctors and patients concerns " invisible hand "
From apparently look, mortgage paying is to alleviate merely it seems that the patient pays the economic function of pressure. However, the reporter discovers in interview, this is the change of payment not just, it is the heavy major key that the position affects between doctors and patients is rectified more.
Say from economic meaning, mortgage extended reimbursement time, and do not need to pay interest, reduced the patient‘s burden really; And a few patients think the most important is, this kind is mortgaged let oneself master active advantageous position.
These concern of year of doctors and patients is more intense, doctors and patients each other distrust: On one hand, the courtyard just does not believe a patient, it is with respect to the requirement before executive cure the patient advances normally debt; On the other hand, the patient fears the doctor treats endless job more again, must fill in to the doctor " red bag " the sureness in heart of in an attempt to.
Medical services charge is mortgaged begin to devote oneself to to adjust doctors and patients to concern, leave 20 % - more than of 40% , put the hospital passive position from active position, gave a patient active advantageous position, let a patient supervise a hospital to provide a service better, the doctor does not fulfil his duty the patient is OK money of refuse payment beyond; Deferred payment, after making the patient can be being treated, be opposite undertake evaluating with medicine or operation quality and effect, decide next whether consign beyond money.
Medical services sale a revolution
As we have learned, procedure of traditional complete outpatient service is commonly: Patient registration -- doctor first visit -- pay fee (the examination is expended) -- examination (B exceeds, pat piece etc) -- doctor subsequent visit (the examination reports) -- pay fee beforehand (cash pledge) -- be in hospital (or operation) ; And mortgage payment flow seeing a doctor to be: Patient registration -- expert outpatient service -- pay fee (the examination is expended) -- examination (B exceeds, pat piece etc) -- doctor subsequent visit (the examination reports) -- plan of doctor formulate diagnosis and services -- sign mortgage an agreement, pay head pay -- be in hospital, examination, with medicine -- be pregnant remaining sum pays the share inside a month -- place pays odd specified amount inside a month after production.
Look suddenly, "Mortgage pay " just change on time paying fee and means, achieve thereby alleviate function of patient economy pressure; Hospital respect, through " mortgage pay " means, attract more patient, share of market of more of race to control.
Apparently look, it is payment change only, and this kind of change is in fact true " it is a center with the patient " integral medical services, from medical services character, service the respect such as quality and price advantage wants to have higher demand, after the patient is enjoying this service, feel " satisfactory " , this service just has complete value, patient and hospital are achieved " double win " situation, also set higher threshold for industry competition at the same time.
In last few years, the development of civilian battalion hospital of our country is swift and violent, already had at present of all kinds civilian battalion hospital many 1500, present a good the look of things that sends flourishing. However, because cure is protected, medical services equipment is examined and approve wait for policy, talent to introduce and the element worry such as hospital brand, in letting be in market competition crack personally mostly the hospital chooses " crash " the road of sale: Advertisement of many large area puts in -- product of the company that pack or service, make its have professional figure -- retain adviser or the figure spokesman, indirect product that pack or service... common occurance of phenomenon of false, exaggerated conduct propaganda.
Wrap around personally of beautiful jacket " body " it is such delicate in health as before. Accompanying the problem such as service of management, medical services to expose, face medium " expeditionary " , appear can‘t bear biff. What course to follow of hospital sale, cause an expert to pay close attention to extensively, think consistently: To go after long-term market competition ability, sale of medical services should be not performed again " leg of beautiful fist embroider " , and should return to medical services to serve quality " strong result " go up than going all out.
The expert thinks, medical services the product idea that is a whole, what medical establishment offers is a kind of service, namely medical services. Regard medical services as a kind service " product " . To medical services character, core interest is ability of sickness make a diagnosis and give services, this is the essential place of patient go to a doctor, it is medical services most the content of core. A good medical services must be can of cure the sickness to save the patient, this any moment won‘t be changed. In the process that provides a service, should will " product " will look as a whole, on the foundation of the core interest that satisfies a customer ceaselessly, improve ceaselessly " product " quality, provide outspread service more as far as possible, let a client feel earning is more than expectation, only such, client ability gets satisfaction.
"Medical services is mortgaged pay " serve sale as medical services of a whole, build in good quality (professional, excellent facilities and masterly technology) , good service (before examine, after examine with factitious this service idea) and over reasonable price basis, core is ability of make a diagnosis and give services namely, it is value of whole service chain Chongzhongzhi is heavy.
At the same time it serves the place in value catenary to involve innovation of technology of diagnosis and services, medicines and chemical reagents to purchase to medical services, the many link such as service of outpatient service, be in hospital, logistics have promote improve function, namely from tiring-room, downstage outspread all the time to the client, in any link occurrence problem, may affect the integral result of sale, make this service loses partial value thereby.
Medical services is mortgaged pay the service brings sale of medical services era of sale of Wu of real quality kimono, it is afterwards holds patient mentality pure ‘ pack ‘ after sale another revolution, although can be begun in partial domain only at present, but it is ‘ it is a center with the patient ‘ give a patient to be explored benignantly active advantageous position.
Civil / Doctor Chen
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