1. Why does the hospital's income increase year after year, but it cries out for losses year after year?
2. Why do hospitals always like to buy drugs, disposable materials and medical devices from other provinces that are several times or even ten times more expensive than local ones?
3. Why do doctors always say that expensive medicine must be better than flat medicine?
Answer:
1. Hospital finance is not open and transparent. The director of the hospital has the right to spend the income, and there is no need to disclose the income and expenditure of the hospital to employees and the public. This is the main reason why the hospital's income grows year after year, but it loses money year after year! Hospital expenditure is the most opaque, so the prices of medical equipment and daily necessities purchased by hospitals are amazing. For example, the real price of a B-ultrasound workstation is 5000 yuan, and the billing will generally be between 18000 and 25000; A set of tables and chairs for intravenous injection, the market price is 3,500 yuan, and the invoice is basically not less than 6,000 yuan; Expenditure on catering, business trips, buses, etc. It's even more exquisite.
2. Anyone who has been to the hospital pharmacy to buy medicine directly knows that the medicine in the hospital is always more expensive than the pharmacy on the market, or even much more expensive. The hospital's explanation is that the quality of the medicine in the hospital is better than that outside, but careful people will find that sometimes the medicine bought in the hospital and the medicine bought in the pharmacy are the same medicine from the same manufacturer. Ordinary pills are like this, not to mention those injections that are not available in pharmacies. It has long been said on the internet that the reduction of drug prices and the cancellation of drug addition are simply a drop in the bucket and insignificant. The reason is simple: the drugs with reduced prices will soon disappear in hospitals; The drug addition is only 15%. According to a cephalosporin * * *, the hospital bought 120 yuan/bottle for patients, and the drug addition was only about 16 yuan. If it is cancelled, it will cost 104 yuan, but the actual delivery price of this medicine from the pharmaceutical factory is 19 yuan. Who is the profiteer? Probably 1 is the drug dealer who sells drugs, 1 is the doctor who prescribes drugs, 1 is the hospital finance and pharmacy, and the rest is the dean's.
Most patients have a normal psychology when they see a doctor: that is, they must listen to the doctor and cooperate with the doctor to look after the disease. But who knows that the drugs recommended by doctors are all drugs with kickbacks in hospitals, which are not the best drugs for patients at all; The auxiliary examinations recommended by doctors are all examinations with kickbacks, which are not the examinations that patients need most at all. For example, when a patient sees a doctor, the doctor will seriously say: the effect of your general medicine is not ideal. If you use new drugs, the effect will definitely be much better. As a result, the patient had to reluctantly accept it; Who knows, the doctor said that the effect will definitely be much better. In fact, this medicine may not be suitable for patients, but the doctor's income will definitely be much better.
In fact, to solve the problem of "expensive medical treatment" in hospitals, the key is to effectively supervise hospitals. Now the hospital is talking about "public" hospitals. Actually, the president is the boss. Wrong, he is better than the boss. He enjoys "national resources" and now has "national appropriation", but he lets the hospital "squander" his own money and even owes huge debts. When the term of office expires, the dean becomes a "rich man" and the hospital becomes a "loser".