Su­per hos­pi­tals not in line with med­i­cal re­form

China Daily (Hong Kong) - - COMMENT - SOME SU­PER HOS­PI­TALS

play such strong roles in the pro­vi­sion of pub­lic health­care that they cre­ate a prob­lem by di­vert­ing re­sources and drain­ing tal­ent from lo­cal hos­pi­tals. Le­gal Daily com­mented on Wed­nes­day:

In the so-called su­per hos­pi­tals there are about 10,000 beds with the world’s top med­i­cal equip­ment and more ex­pe­ri­enced clin­i­cal fac­ul­ties and health­care work­ers. In other words, the su­per hos­pi­tals have the best tal­ent, equip­ment and in­fra­struc­ture.

This means pa­tients flood to th­ese hos­pi­tals caus­ing man­age­ment prob­lems, dis­putes and other is­sues, and there is a si­phon­ing of tal­ent from grass­roots med­i­cal in­sti­tu­tions. And since the su­per hos­pi­tals use the lat­est med­i­cal equip­ment, they need to make “su­per” prof­its. The re­sult is an in­creased fi­nan­cial bur­den on pa­tients.

The di­rec­tion of med­i­cal re­form is to bal­ance the qual­ity of med­i­cal re­sources and rea­son­ably ap­por­tion pa­tients be­tween health­care fa­cil­i­ties. The su­per hos­pi­tals go against this by con­cen­trat­ing re­sources, and in so do­ing con­cen­trat­ing pa­tients.

As the ap­proach of the su­per hos­pi­tals and the di­rec­tion of the new med­i­cal re­form are not con­sis­tent, and they may form a mo­nop­oly over other small hos­pi­tals, they should be the fo­cus of the next step of med­i­cal re­form.

The scale of pub­lic hos­pi­tals should be clearly de­fined, in­clud­ing the num­ber of beds they pro­vide, the equip­ment they have, and the num­ber of doc­tors and other med­i­cal staff they em­ploy.

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