Chapter 517 Exploring Medical Marketization
The hospital is supposed to be a quiet place, but there are two departments that can never be quiet.
One is pediatrics. The patients are all children. When they cry, they are not controlled by their parents. Therefore, pediatricians are always buzzing after work.
The other one is the emergency department.
It is said to be an emergency department, just like a vegetable market.
Here, the 120 ambulance wow, wow, wow, and the emergency patients are sent to the emergency room, and then the cries of the patients and their families, the sound of the doctor giving oral medical orders, the sound of the nurse checking the medicine, the sound of the intern calling for help, and the dripping of the monitoring machine There was a clicking sound.
After exiting the emergency room, there is an emergency department. Good guy, there are more people here.
At night, there may be only one or two doctors in one department, and the queue can go two miles.
When there are many patients, the order will be chaotic, and when you are sick, you will be in a bad mood, so patients quarrel with each other, patients quarrel with doctors, patients quarrel with nurses, etc. It is no different from a vegetable market anyway.
It's okay to quarrel, but I met an unreasonable patient, who threw things, beat the doctor, and persuaded the fight, called the police, and watched and chatted.
It is more lively than Deyun Society.
The emergency room is like a vegetable market. From another aspect, it reflects that there are many emergency patients.
There are many patients, how can we get less business?
Besides, those who come to the emergency room at night are either seriously ill or urgently ill. In short, the more anxious you are, the less afraid you are to spend money.
At that time, there will be a full set of blood tests, B-ultrasound, CT, and biochemical tests. All the inspections you can think of will be available, and the inspection fees will go up.
Chen Qi doesn't need to cross the river by feeling the stones. He just needs to learn how the hospitals of later generations operate and how to make money. The ready-made experience is there.
The hospitals of later generations have already brought into full play how to make money, trying to squeeze out every wallet of the patients, this is by no means a joke.
Isn't there an internet joke, an upstart got in a taxi and yelled at the taxi driver:
"You take me to the place with the highest consumption in your city immediately, I am not short of money."
As a result, after the nouveau riche got off the taxi, he was seen to be dragged directly to the hospital by the driver.
Although this is a joke, it also reflects from another aspect that the hospital is expensive and not affordable for ordinary people.
Some people may be scolded after seeing it, you are a black-hearted dean, you are a black-hearted doctor.
It's not okay to be black. There are more than 1,200 employees in the Yuezhong People's Hospital who are waiting to be fed and paid to support their families. Where does the money come from?
He was responsible for his own profits and losses, and Chen Qi was secretly instructed by his superiors to explore a pilot hospital for "medical marketization". He could only focus on the money.
The money of the hospital is the money of the patients. The workers are okay, and there is public medical care.
However, it is not a special insurance, because many state-owned factories have closed down, or are half dead, and the workers have to pay for the medical expenses themselves, and then collect the reimbursement, but it is not clear whether they will be reimbursed in the end.
Farmers are the worst. They pay for their own expenses. After planting for a year and selling the millet, it may not be enough for one hospitalization.
Fortunately, with the deepening of reform and opening up, the economic conditions in the central Vietnam area, as a coastal area, are relatively good and relatively rich, which provides convenience for Chen Qi to find money.
If you live in the Midwest, where the whole family only has one pair of pants, even if you want to squeeze oil out of this kind of ghost place, there is nothing you can do.
Old Comrade Guo held his teacup and thought for a long time, then nodded heavily:
"Okay, anyway, the business is completely entrusted to you, and you can do whatever you want. We are old and our thinking can't keep up with the times. In the future, the People's Hospital still depends on you."
Comrade Guo still has his own worries.
Regardless of the large size of the People's Hospital and the large number of employees, it is a large tertiary hospital.
But this is not a gang fight, the more people there are, the better.
A large number of people means that you will pay more wages every month, and your financial pressure will be greater.
The wages and bonuses of current employees, the pensions of retired employees, the medical reimbursement of employees, the operating expenses of hospitals, etc., all of which make old Guo grey.
For ordinary employees, whoever is the dean looks like a bird, the key depends on whether you can make money? Willing to send money.
Calculated in one year, the personal income of employees has increased, and you are a good dean.
If you fall, you are a bad dean, it's as simple as that.
President Guo did everything he could to keep the People's Hospital from losing money and not in arrears of wages to the staff, but that's all.
As mentioned above, hospitals in the 1980s were in the process of reform and change, and it can also be said that they were in a period of labor pains.
Back when Chen Qi was the director of Huangtan Health Center, he couldn't even pay the basic salary every month at the beginning. This is the common financial situation of small hospitals.
Now he is the dean of the behemoth Yuezhong People's Hospital, but financial constraints are still the main theme.
The financial situation of the People's Hospital Chen Qi has already gone to the finance department to check the books.
But as a reborn person, Chen Qi knows that the hospital needs to develop greatly, and your equipment must be updated to keep up, but this requires a lot of investment.
This is also one of the main reasons why Chen Qi didn't make a big move in the whole hospital. One is that he is afraid of being dissatisfied, and the other is that he has no money.
So his idea is very clear, first make quick money, and open the emergency department.
After a certain amount of capital accumulation, develop gastroenterology and general surgery, develop endoscopic surgery, and become a national pilot.
Wait for the face and the inside to be established, and then drive the development of the entire hospital in an all-round way. This is called "points lead to surface", step by step.
"By the way, Chen Qi, you are planning to build a new emergency department, so where are you planning to put this emergency department? How will it be staffed?"
Chen Qi stood at the window, pointed to a small building next to the main gate of the hospital and said:
"Just that small building, I think it's just right."
Chen Qi refers to a small two-story building along the street, which is just right in size.
It was originally used as a kindergarten for employees. After the kindergarten was closed, it was temporarily rented out. Now it is a clothing market.
President Guo glanced at it and expressed his approval of this place. After all, it is ready-made. It only needs a little decoration, which saves a lot of infrastructure costs.
"What do you think about the personnel arrangement?"
Chen Qi also thought about this:
"The position in the emergency department is quite special. Now I don't know which doctor or nurse is more suitable, so I decided to temporarily transfer some staff from each department, and decide whether to stay or not based on the usual performance. In addition, I am going to let Yi from the Department of Surgery Zewen was temporarily in charge.
As for the ambulance, I personally donate a van to the People's Hospital for the time being, but it's a second-hand one. I'll refit it at that time, install an alarm on the roof, and paint the body white. When we have money in the future, we'll set up another one. Professional 120 emergency center. "
There are many second-hand cars bought by Meiguo in Chen Qi's space, including several vans, which are prepared for the hospital.
He had donated a van to Huangtan Hospital before, and now it is the second one.
Anyway, it doesn't cost a lot of money. A car that looks like a baby in China is the same thing in a wicked capitalist country. A second-hand van is only a few hundred dollars.
Old Comrade Guo was moved when he heard this.
Counting all hospitals across the country, which hospital's director will donate a car to the hospital?
Vietnam People's Hospital actually has an "emergency vehicle", but the function of this vehicle is actually more like a mobile emergency vehicle, which is full of medicines and surgical equipment.
Usually, when there is an emergency or a natural disaster requires the people's hospital to insist on support, the ambulance will start.
Professional "emergency vehicles" are also available in the Yuezhong region, such as the Yuezhong Iron and Steel Works and the Lizhu Iron Mine Plant.
The family is a big dog, not short of money, and bought a car specially for the first aid of employees.
Anyway, the People's Hospital can't afford it. Now that Chen Qi donated one, it can be regarded as a big guy for the emergency department in the future.
Now the hospital's important matters only need to be discussed by the director and the secretary, and the efficiency has been improved many times.
After the two discussed in the morning, an announcement was made to the whole hospital in the afternoon. Regarding the announcement of the establishment of the emergency department, the whole hospital was full of discussions for a while, saying everything.
The older ones think that this is the new dean's nonsense, disregarding the national conditions, and blindly learning from abroad.
The younger ones are dumb, thinking that this is a matter for the upper echelons, why not care about them?
The really smart doctor made plans in his mind. It is impossible for the new director to do things aimlessly, and Chen Qi's record in the past is too brilliant.
Whether it is the general surgery department of Huangtan Health Center, or the cleft lip and palate treatment center and hand surgery center of Yuezhong Fourth Hospital, as long as the departments he leads, all of them have become star departments without exception.
And the income of these departments is at the top of the health system, especially the cleft lip and palate center, whose income is even several times that of ordinary doctors.
So the smart doctors and nurses already know that this is an excellent opportunity. If anyone goes to work in the emergency department, it also means that he has entered the eyes of the dean, and the income is absolutely top-notch.
At the same time, Chen Qi was already chatting with four old subordinates, Yi Zewen, Zhang Xing, Chen Li, and Yang Xiuxiu, in the office.
"Old Yi, when you arrive in the capital, first go to Professor Ning Mengzhu from the Neurosurgery Department of Union Medical College Hospital. I have already contacted him. Professor Ning will help arrange for you to visit the emergency department for study.
Let me tell you, the emergency department of Xiehe is the earliest and the highest level in China. Although I only gave you half a month, you should study hard, not only to learn medical skills, but also to learn from their organization Management, medical treatment process, etc.
This time I went to get familiar with it first. When I have the opportunity in the future, I will arrange for you to go abroad for further study. We are all comrades-in-arms who carry guns together. If there are good things, you must be indispensable, so you must pay more attention to the emergency department this time. . "
Yi Zewen accepted the letter of introduction, and solemnly said:
"Chen, don't worry, I understand the significance of the emergency department to our People's Hospital, and I will definitely study hard."
Yi Zewen's gratitude to Chen Qi in his heart can't be expressed in words.
This has just promoted him from an ordinary doctor to the deputy director of the department, allowing him to step into the "leadership class" in one step.
Don't underestimate this small step, he is now the first to emerge from among many young doctors, and he does not know how many years ahead of doctors of the same age group, taking advantage of it.
As a result, the first big gift bag was not fully digested, and then the second big gift bag was smashed down.
The dean named him as the interim head of the newly formed emergency department.
This means that if he, Yi Zewen, does not make mistakes in principle and solidly completes the formation tasks assigned by the dean, then it is a certainty that he will become the official director of the emergency department.
This is equivalent to a double jump, from an ordinary doctor to a department director, completing the path that others have to go for decades.
Now even if Chen Qi asked him to jump from the dean's office on the third floor, he would not hesitate or frown.
Chen Qi glanced at the excited Yi Zewen, then shifted his gaze to Zhang Xing, Chen Li, and Yang Xiuxiu.
"I have already asked the HR department to handle the personnel transfer of the three of you, so feel free to follow Yi Zewen to the capital to visit and study. When you come back, you will become a full-time employee of the People's Hospital. With me here, no need to worry about it." There will be surprises."
Even if Zhang Xing is introverted, he is very excited when he hears Chen Qi's words. Jumping from the second hospital at the county level to the people's hospital at the city level is definitely a turning point in his life.
Moreover, when they came to the People's Hospital, they still worked with President Chen in front of them. The two of them did the most private things in Africa together. It is not an exaggeration to say that he and Yi Zewen are President Chen's confidantes.
The future of the confidant is definitely bright. If I haven't seen Yi Zewen, I'm going to be the director.
Chen Li and Yang Xiuxiu's faces were flushed with excitement, and they shook hands with each other, not to mention how excited they were.
"Don't worry, Mr. Chen, we will study hard and work hard when we come back. We are willing to follow you and we are full of expectations."
Chen Qi especially likes the four young people in front of him. After two years of getting along, they all know the basics, and they cooperate quite tacitly. They are the best assistant team.
So after the discussion was over, Chen Qi wanted to tease them again.
"By the way, what do you do with the dollars you earned in Africa? Have you told your family?"
Yi Zewen's first answer:
"I went to the black market to exchange some US dollars, bought a lot of home appliances for the family, and let my wife hide the rest of the money, hehe."
Zhang Xing is more honest:
"I let my mother keep all the US dollars. My mother is very happy. My family will not have to worry about financial problems in the future, and my younger brothers and sisters can go to school with peace of mind."
Chen Li loves to laugh more, so she giggled:
"I didn't tell my mother that I had US dollars in my hand. I saved them all by myself, but I gave my mother the 1,200 yuan that I had spent in Africa for two years, which is considered my contribution to the family. It's enough for my brother to marry a wife."
Yang Xiuxiu obviously discussed it with Chen Li, and said a little embarrassedly:
"I'm in the same situation as Xiaoli. I keep the US dollars by myself and give the African allowance to my parents. When I get married in the future, I also want to buy a big color TV and a big refrigerator..."
Chen Qi laughed loudly at this moment, and joked:
"20,000 dollars can buy dozens of large color TVs, and you can't finish watching them in your life."
Hehehe, several people in the office laughed.
Yi Zewen joked without seeing anyone: "Tou Chen, if it were you, how would you spend the money?"
Chen Qi was going to order these confidants, so he said with a smile:
"You don't bother to ask, what is my favorite thing to do, Chen Wanrich?"
"What is it?"
"Of course it is to buy a house. I sold eels and peaches in the vegetable market in 1981. I started buying houses when I made the first sum of money. Later, I continued to buy houses when I got rich. Let me tell you, if you don't know how to manage money, you can learn from me. , Buy a house if you have money.
As long as you follow me, there will be plenty of time for us to go out and fly knives to earn dollars together in the future. When you have money, you can buy U.S. stocks like me, and only buy stocks of big companies. I guarantee that all of you will be happy in the future. It's the little rich man and the little rich woman. "
Chen Li hurriedly picked up the thermos bottle from the cabinet to refill Chen Qi's water, flattering:
"Chen Tou, we don't know how to buy a house or US stocks. I heard that the employees of the Fourth Hospital bought the shops in China Textile City with you. Now they are all making a lot of money from the rent. You have to bring this kind of good thing with us."
Yi Zewen, Zhang Xing, and Yang Xiuxiu also nodded repeatedly.
The business houses in China Textile City have been rented out at half price since no one cared about them at the beginning. Now, the rent of a business house has risen to 40,000 to 5,000 yuan a year.
It is important to know that ordinary hospital workers at this time only earn more than 1,000 yuan a year.
The extra money was three or four times what I earned from my job. This made the employees of the Huangtan Health Center and the Fourth Hospital of Yuezhong Hospital who bought the business house with Chen Qi become the first batch of "people who got rich first".
is the envy of everyone in the health system.
The group of employees who didn't follow Chen Qi to buy a house at the beginning are now so regretful that their intestines have turned green, purple and black.
Only Chen Qi knows that this rent game has just started, and it will double every year after that, and the core prosperous shop has been rising to hundreds of thousands a year.
As for the largest charter company in the textile market, Chen Qi has made so much money that he has no friends, and his hands cramp when counting money.
Because of such an astonishing successful investment experience, Yi Zewen, Chen Li and the others now believe in Dean Chen's financial management ability even more.
In fact, Chen Qi has a lot of experience. He just clings to the thigh of real estate and does not let go, that's all...
(end of this chapter)