Private hospitals in the city's anti-epidemic neutral work, but after the outbreak why general anxiety?

Text . . . Tan Zhuoyu Wang Chen experienced SARS, experienced influenza, avian influenza, hand, foot and mouth disease, baby milk powder incident ... Of all the major public health incidents of the past 20 years, Cebu has not lost its chain.
private hospitals are very obedient to management, never as said outside, said that private hospitals only know profit-sane, can not be mobilized.
May 2020, just after the outbreak of Xinguan pneumonia, an official from the relevant departments of Jiangsu Province came to Cebu, a private hospital director Li Yang (pseudonym) ready to be scolded.
because in the past few years, the official has been consistently dissatisfied with the state of the relocation of all private hospitals.
many times before, Li Yang attended the meeting presided over by this cadre, heard him say that "some cities sold all the hospitals, the level is not high", the habit is to immediately bow his head.
but strangely, this time the official, after visiting a private hospital, said, "Yes, this hospital is better than the public hospital."
" Li Yang, who was present at the time, raised his head in surprise when he heard the praise.
If the scene had been in place two years ago, Li Yang might not have been so surprised.
after all, the era of all private hospitals has lasted more than a decade, although in 2013, the government spent $2.6 billion to rebuild a public hospital - cebu city first people's hospital, but the private hospital-led environment has not changed.
but in 2018, after a visit to the city, a "tang-tang city, there is no public hospital", led to the beginning of 2019, Cebu "in each county-level city to rebuild 1-2 public regional health medical centers (public hospitals)" campaign.
and Last year, Li Yang sold his new women's and children's hospital to the government as a public hospital.
the official suddenly made an "untimely" affirmation of the private hospital, according to Li Yang's guess, with the performance of the private hospital in the new crown outbreak.
the new crown epidemic that swept china, there were no serious consequences in Jiangsu Province - a total of 654 confirmed and zero deaths.
and the two cities with the fewest cases, Cebu and Zhenjiang, have no second-generation transmission cases.
, as in the past decade or so, this relocation to fight the epidemic of the main force, or private hospitals.
from 2006 to do more than a decade as the director of the city's medical director Zhou Donghao retired official lamented: "We have experienced SARS, experienced the influenza, avian influenza, hand, foot and mouth disease, infant milk powder incident ... Of all the major public health incidents of the past 20 years, Cebu has not lost its chain.
private hospitals are very obedient to management, never as said outside, said that private hospitals only know profit-stakes, transfer can not."
However, in the anti-epidemic neutral private hospitals, but after the outbreak is generally in anxiety.
Cebu People's Hospital is the largest private hospital in Cebu.
this article is taken by Tan Zhuo-chi.
and public hospitals as active as the private hospital on January 23, the eve of Wuhan seal, there are two or three thousand people returning from Wuhan, coupled with people from other places to return to the situation of epidemic prevention is very serious.
a Cebu CDC staff recalled that when the outbreak began, the leaders of Jiangsu Province and Cebu City were somewhat worried that more than 90% of the hospitals were private cebues can withstand the test.
the outbreak prevention and control stage outside the city, need to send doctors to the airport, highway to pick up foreign passengers, they first consider is the first people's hospital in Cebu City, this hospital was the only public hospital in the city before last year.
but city leaders are also worried that simply leaving the hospital will make it overburdened.
, they also prepared another largehospital, the Cebu City People's Hospital, to remove the list of people who took part in the fight against the epidemic.
, a private hospital owned by Jinling Pharmaceuticals, which is a major shareholder, handed over the list to the surprise of the officials in charge of prevention and control: "They take it very seriously, and the list is full of high-ranking, high-ranking doctors."
"so that the official persuaded them, responsible for transshipment prevention and control, do not need to send a job title too high people, "send some young lads, know the epidemic prevention and control and first aid knowledge can.
" then, the city's people's hospital officials almost every day to call the official, said they can always go to the front line.
the official felt guilty not to send them to the front.
during that time, everyone in the emergency department of the City People's Hospital carried two first aid kits to and from work every day to keep an emergency.
the third hospital in Cebu City, is a psychiatric-oriented private hospital.
before deploying in Jiangsu Province, they actively set up a 24-hour doctor hotline to provide psychological guidance to the quarantined personnel.
received a call from the city's prevention and control officials, the three hospital people are very excited: "We finally have a chance to contribute to the prevention and control."
"In general public events, psychiatric hospitals like this do not have the opportunity to draw, and they are not willing to be "absenters".
"When the government needs us, we (private hospitals) are very active, but for fear that the government will not let us participate."
"a director of a private hospital in Shaohong County explained his own somewhat insecure state of mind, "the government only send sending itself to work, only to say 'think of you as your own people'."
before and after Wuhan City, there were more than 400 returnees from Wuhan back to Shaohong.
the private hospital before and after the dispatch of more than two or three hundred medical personnel (accounting for one-third of the number of hospital staff) to every 10 days a cycle shift, and health committee, public security department sit, in the highway junction, isolation hotel on duty. The same is true of several other secondary private hospitals in
's Shaohong County.
Cebu City People's Hospital, will account for a quarter of the hospital staff of medical staff arranged to high-speed intersections, shopping malls and other places, and sent 17 intensive care units, ICU departments of senior doctors to infectious diseases hospital, nursing staff are also high erhigh.
one night, the infectious disease hospital urgently needed ECMO and ventilators, the city people's hospital received notice, overnight to send their hospital's first aid equipment to the infectious disease hospital.
" they (private hospitals) are real money, not talk about conditions.
" Zhou Donghao feeling.
in late January, the Cebu Health and Health Commission asked each county hospital to build a negative pressure ward (which can be used as an isolation ward), and the private hospital in Shaohong County immediately invested 5 million yuan to build a ten-bed negative pressure ward.
" later the government took the initiative to resupply us 2.3 million yuan, and also to 300,000 yuan a year maintenance costs, we are very satisfied.
," said the private dean.
, the first people's hospital, is the first public hospital in more than a decade.
all private hospitals are invited to fight, but only sent 15 people to Wuhan in the past 20 years, the city is almost all private hospitals in the environment, health system officials and private hospitals have established a more harmonious relationship.
" the private hospital is a public hospital restructuring, the president is the hospital's original department director, president and vice-president.
is not the same as the Putian system.
they're very careful, they're very standard.
," Zhou Donghao said.
an official of the city's health system chatted with colleagues in the city's health and sanitation system, talking about an AIDS patient in that city who wanted to have children in a public general hospital and needed to be coordinated by a director, even so, the two largest public hospitals spoke of many objective reasons and refused to accept it.
the official said with some pride that we do not have these problems here, a phone call past, private hospitals immediately receive.
but in China's public hospitals as the main body of the environment, Cebu is an odd number, the whole environment, in the evaluation of the hospital, it is inevitable to have "public" and "private" label.
after the end of the epidemic, an official of the Health and Health Commission of Cebu City went to Wuxi for a meeting, at which a doctor who had been to Wuhan to assist spoke: "This epidemic prevention and control fully shows that private hospitals are not reliable, you see Cebu sent to Wuhan so few people."
" the official after listening to the comments: "Cebu every private hospital has submitted a letter of invitation."
finally sent how many people to Wuhan, is the decision of the province, the province takes into account the lack of medical capacity, sent not many people.
"Later heard that the doctor on many occasions said so, he was very helpless, " Cebu has no say to comment on his hospital.
" in this anti-epidemic, the whole Cebu sent 15 medical personnel to Wuhan.
private occasions, the people who moved to private hospitals talk about this matter, quite a few words, "the province does not send us, is discrimination."
this remark was immediately stopped by officials of the Health and Sanitation Commission of Cebu City: "You can also understand as love."
" Li Yang's hospital sent an ICU nurse.
at nine o'clock that night received the health and wellness committee's notice sent personnel to help, almost all nurses have signed up, 11 o'clock on the establishment of a good technology, family burden is light, just married half a year of the backbone of the nurse.
three months later, the nurse came back, Li Yang gave her a one-time subsidy of 80,000 yuan, a monthly increase of 2000 yuan wages - in the county town below Cebu, 2000 yuan is not a small money.
", we all held her up as a hero.
" affected by the outbreak, all the private hospitals in Cebu suffered serious losses in January and February, ophthalmology, oral medicine and other departments are closed.
, the number of outpatients at the People's Hospital of Cebu City fell by about 20%, losing more than 10 million in January and about 15 million and 13 million in February and March.
even so, all bonuses and salaries at the Cebu People's Hospital are paid according to the standards of December.
for nearly 2,000 employees of the People's Hospital, the cost of staff wages of hundreds of millions of dollars a month, is a considerable expense.
and by early May, the hospital had given first-line operators a separate reward, in addition to government subsidies.
at the same time, a city in the northeast of the public hospital, dragging to the first-line staff of the subsidy is delayed, and even some hospitals want to return to the medical staff have been partially subsidized. An aerial view of the planned bird's eye view of the First People's Hospital in cebu city,
.
Source of Anxiety: Will Rebuilding Public Hospitals Bring Unfair Competition? "We're not worried about the motivation of private hospitals, we're just worried about their ability to treat seriously ill patients.
"eight-point health has contacted several different cebu health system officials, talking about the performance of private hospitals during the outbreak, the same concern.
until 2019, cebu city has not yet a three-a hospital, the largest private hospital Cebu City People's Hospital is the city's only three-level general hospital (In February 2019, Cebu City People's Hospital was upgraded to Sanjia Hospital), and Cebu city of the same level Xuzhou has more than a dozen tertiary hospitals, Huai'an has 7, 8 tertiary hospitals. For more than
years, the People's Hospital of Cebu City has been a single family.
Cebu City Health System staff said that the lack of pressure in the city people's hospital, the outpatient building and medical technology building used together in 2010, when the ward is very tight, extra bed a mess, the health department wants it to build a separate outpatient building, but the hospital enthusiasm is not high, has been dragged for many years.
the clinic building and the medical technology building used together.
since the 2001 residential reform, the government departments of cebu-relocate will receive proposals to rebuild public hospitals at two meetings each year.
2010, the cebu city government finally made up its mind to rebuild a public hospital, the most important reason is "the lack of high-quality medical resources in the city."
" in 2013, the cebu government invested 2.6 billion yuan to build a 2,000-bed City First People's Hospital, completed in 2015.
in the view of the city officials, the new public hospital will create competition and catfish effect among private hospitals.
effect was immediate, and the City People's Hospital immediately began planning for a long-delayed outpatient building and raised the salaries of medical staff.
new outpatient building at the Cebu People's Hospital.
city health system officials, has been very confident that they can do the same treatment of public hospitals and private hospitals, they believe that we must do a long job of medicine, not all public hospitals, not all private hospitals good, two types of hospitals in the same environment, fair competition.
but obviously, Li Yang and other private hospital directors do not think so.
" The largest public hospital at that time sold less than 100 million, and now spend more than 2 billion to rebuild, is not a signal to the government? He said.
Li Yang's anxiety is deep: "When there are no public hospitals, everyone competes in the same environment."
but the government suddenly put a lot of money out, and policies and health care and other tilt to public hospitals, all of a sudden will bring down private hospitals, which is the most worried.
"His anxiety is not unreasonable, under the Jiangsu Provincial People's Hospital of the first people's hospital in Cebu City, because of the characteristics of the system, from the beginning "win in the starting line."
in addition to the government investment in construction, after the completion of the 13 prefecture-level cities in Jiangsu Province, each city of the three-tier hospitals have sent a backbone doctor to take charge of a department.
as a private hospital, the Cebu City People's Hospital pays 30 million annual taxes, accounting for about 35% of the total operating profit, but the First People's Hospital not only does not need to pay, the government will also invest funds.
after 2015, the health insurance funding for Cebu is tight, but in the same period, in just a few years, the First People's Hospital's revenue has grown from one or two billion to 750 million in 2019.
the director of a number of private hospitals believe that in the limited pool of medical insurance funds, if the trend towards the development of public hospitals, then the amount of medical insurance for private hospitals will naturally be reduced.
in the past ten years of development, a number of excellent private hospitals, mainly in the people's hospital, have accumulated some experience in cancer treatment, difficult surgery and so on, but since 2015, medical insurance for complex surgery and tumor treatment-based reimbursement has been tightened.
, for example, Li Yang's hospital, has previously received a number of cancer patients from Anhui, because a course of chemotherapy in Anhui more than 20,000, and his hospital to keep the cost of less than 15,000.
cancer treatment has accounted for about 20% of hospital revenue for a long time.