French medical institutions are divided into two parts. First, public hospitals (HOPITAUX), including large regional general hospitals, medical and teaching centers (CHU) and small and medium-sized hospitals and clinics. The total number of public hospitals exceeds 65,438+0,000. In addition, there are about 3,000 private hospitals, mainly private surgical clinics and comprehensive medical centers.
If you want to see a doctor, have an operation, etc. How do people make choices? This is a concern of many readers. Newspapers also received letters and telephone inquiries from readers. Here we will do some specific analysis. Make a comparison, mainly from the following aspects.
● Is it convenient to see a doctor?
In emergency, Princess Hospital is undoubtedly the first choice, because only large public hospitals have emergency centers to deal with all kinds of acute diseases, emergency medical assistance, rescue of critically ill patients and so on. These hospitals have complete facilities and experienced doctors, so people should go to these public hospitals for emergency treatment.
Of course, in terms of urgency, it can also be divided into two categories:
One is real emergency, such as acute critical illness (such as heart attack, cerebral hemorrhage, etc. ) and victims of various accidents (such as car accidents, etc. ).
The second category is non-emergency but needs immediate treatment, such as high fever, toothache, diarrhea and other common sudden symptoms. This also needs to be treated in a large public hospital.
For the latter type of emergency, the hospital is divided into different specialties according to the region. For example, in Paris, emergency ophthalmology is located in Necker Children's Hospital next to Notre Dame de Paris. Therefore, non-public hospitals have an emergency.
However, in general clinics, the difference is great. Because there are many people in public hospitals (consulting fees are calculated according to the social security benchmark price), the waiting time for appointments is very long. The appointment time in private clinics is much shorter.
In general medical behavior, the patient first sees a "family doctor" or a general practitioner who is familiar with his family or himself. If necessary, the general practitioner will recommend you to see a specialist, and the appointment period of this specialist is different: in a large public hospital, it usually takes two or three months and several weeks, while in a private clinic, you can see a doctor within 10 ~ 15 days.
Therefore, private clinics are more efficient than public hospitals in order to get treatment faster. Judging from the queue for surgery, there are more people in public hospitals and the waiting time is longer.
There is an exception here, that is, those specialists who work full-time in public hospitals can engage in "freelance" activities part-time. The fees are different, but it is easier for patients to see a doctor. This is a bit like an "expert clinic" in China, and the fees are not in accordance with social security standards.
Doctor's choice
People often choose famous doctors when they see a doctor. These doctors usually work in public hospitals and have their own private clinics. Why do you work in a public hospital? First, because of signing a contract with the country, and second, in order to keep in touch with various patients and cases, there are more extensive sources of information. But they often have their own private clinics, so if you choose a good doctor, you can choose the institution where you are employed to see a doctor. If he works in a public hospital, he can go to a public hospital first. If you can't make an appointment, you can go to your private clinic.
But if you are a surgeon, you should pay attention to let him do the surgery himself. This is very important.
In public hospitals, people can make an appointment with the attending surgeon, but it is difficult to guarantee that he will operate on you. Because it depends on the overall planning of the operating room, it involves many personnel changes, such as its assistants, residents, nurses, operation schedule and so on. I often make a reservation, and then I will change it.
If you go to an expert's private clinic or the "freelancer" section of a hospital, the patient can make sure that it is an expert and not someone else. This involves not only the cost of medical treatment and surgery, but also the responsibility of the doctor himself: if he is in the "freelance" part of his private clinic or hospital, the doctor himself is directly responsible for the operation and medical process, so he must buy special personal civil liability insurance. So it is necessary for him to have treatment or surgery.
In public hospitals, the responsibility of surgery is the responsibility of all departments, which is a collective behavior, unless it can be clearly pointed out that doctors have personal mistakes.
It can be seen that how to choose a doctor and designate a doctor for surgery is a very time-consuming thing.
Comparison of comfortable conditions in hospitals
If you want to be hospitalized, you should also look at the comparison of comfort conditions.
Generally speaking, the hospitalization conditions in public hospitals are often popular, with few single rooms and often two or more rooms. Of course, the charge is also relatively low.
Private hospitals and clinics often have more comfortable hospitalization conditions, including single rooms and even luxury wards. Of course, the charge is higher.
This is also an important criterion that affects people's choice.
Cost problem
Cost is the most important issue, which often directly affects people's choices. We will discuss it in more detail here.
-Medical expenses
There is a big difference between the medical treatment fee and the registration fee: going to a private clinic, especially a clinic with a completely free price, is expensive, and social insurance can only reimburse a small part.
For example, social security is only responsible for reimbursing 70% of the benchmark cost of 26 euros for the first visit, that is, 18.2 euros; Follow-up cost insurance only reimburses 70% of the benchmark cost of 23 euros, that is, 16. 1 euro. The patients themselves have to pay 7.8 euros and 6.9 euros. If patients still have mutual insurance (MUTUEL), they can also reimburse their share.
However, if you go to private clinics or public hospitals for "private business", the fees will be greatly increased, far exceeding the above-mentioned benchmark fees of 26 euros and 23 euros. The excess is borne by the patient himself. This greatly increased the expenditure. According to survey statistics, such private clinics and private businesses often spend as much as 50 ~ 90 euros at a time!
But there are many serious diseases or diseases stipulated by social security, and social security 100% pays, so people can go to private clinics with high fees. People must ask before seeing a doctor.
In addition, in fact, 90% French residents have a supplementary insurance (mutual insurance). Therefore, before deciding which hospital, clinic and doctor to choose, it is necessary to know in advance whether supplementary insurance will bear the expenses other than social security and how much. Due to the different types of supplementary insurance institutions, the cost of this burden is also very different. If there is mutual insurance, it is only responsible for reimbursing the basic expenses of the convention. For example, a specialist charges 60 euros, 70% of the basic cost of social security reimbursement is 26 euros, and the remaining 30% is supplemented by insurance reimbursement. The part exceeding 26 Euros shall be borne by the patient himself. However, some mutual insurances can fully reimburse the expenses paid by patients. These insurance contracts often stipulate that 200%, 300% or even 400% of the benchmark expenses can be reimbursed! In the above example, the doctor charges 60 euros, and a contract that reimburses 200% of the basic fee can be reimbursed 33.5 euros. And a 300% contract can be reimbursed for 59.8 euros. As for the cost of surgery and hospitalization, the difference is even greater. Be sure to compare first.
In any case, it is very important to ask about the coverage and reimbursement ratio of supplementary insurance before important medical actions or operations. This helps you to choose doctors and medical institutions.