Chapter 607: A Different Doctor-Patient Relationship

Li Jian's parents, who are in their 70s, have also become one of the first informal members to experience the services of Tuvalu's elderly care system.

Li Jian chose an apartment-style pension package for them, with a living environment of two bedrooms, one living room and one toilet, so that they don't have to cook by themselves or worry about any housework.

The two old people like this leisurely life very much, and after getting up and washing up every day, they go around the corridor of the floor where they live a few times, say hello and chat with the old people who live on the same floor, and then take the elevator to eat in the canteen on the ground floor.

Compared with the canteens in other residential communities, the recipes in the canteen of the nursing home are more health-conscious, and the relatively light dishes are more in line with the current situation of these old people's stomach.

If necessary, the elderly can also order other dishes through the online platform with the help of the waiters in the canteen.

Nursing homes in the Special Administrative Region are built together with hospitals, so that the elderly who are sick can receive high-quality medical services nearby.

Although the climatic conditions formed by the intervention of manpower in the Special Economic Zone are very suitable for the life of the elderly, and the living environment of everyone is very clean, after all, it is normal for these elderly people to suffer from some diseases due to the aging of their own physical functions.

According to relevant data, in fact, a large number of people around the age of 50 have already had serious physical deterioration, with the increase of age, such a situation is becoming more and more obvious.

Therefore, for those elderly people who have met their living needs, their needs for medical services far exceed their needs for clothing, food, housing and transportation.

Because the hospitals in the Special Administrative Region do not charge additional hospitalization fees for the elderly living in nursing homes, and the perfect medical evaluation system also allows these doctors to think from the patient's perspective when treating patients, and strive to achieve the best possible treatment results with the least cost.

Therefore, living in such an environment that combines medical care and nursing care, its life experience is far more convenient and cost-effective than home care.

If a simple cold costs thousands of yuan, the doctor's treatment process and medication are easily supervised by the relatives of the person.

Although they don't know medical knowledge, as long as they ask Grandpa Mao to send a message, there will naturally be people who will enthusiastically point out unnecessary examination items and excessive medical treatment problems in the treatment process.

After obtaining the results of professional consultation, the relatives of the parties only need to complain to the SAR government through the Internet.

Upon receipt of a complaint, the HKSAR Government will conduct a preliminary investigation based on the statistics collected by the platform.

If the cost of treatment for the patient is significantly higher than the average charge for the same condition, the attending physician will be asked to respond to the complaint.

If the attending physician is unable to provide the basis for the patient's examination items and treatment, he will not only compensate the patient for the unreasonable expenses overpaid, but will also be deducted the corresponding integrity value according to the severity of the circumstances.

And for doctors, their integrity is even more important than their own medical skills.

Under such a system, the doctor's main income can only be his own registration fee and surgery fee.

Therefore, the only way for them to increase their income and visibility is to solve the problems of patients with as little expenditure as possible and strive to improve their "medical price index".

In addition, all medical information in the SAR has been shared online and has become an important part of the SAR's social management functions.

The HKSAR Government requires all hospitals and nursing homes operating in Tuvalu to upload patients' electronic medical records to the Medical Management Centre.

Because these electronic medical records and various test results are paid for by the patient, their ownership and use rights should naturally belong to the patient.

However, due to the particularity of medical behavior, hospitals or doctors also need to keep all their files in the medical process, so as to improve their own medical level and serve as an important basis for proving whether there are defects in their medical process.

By uploading a patient's electronic medical record to a medical management center, the hospital can meet the common needs of retaining medical evidence and protecting patients' rights.

In the event of a medical dispute, this method of keeping medical records by the SAR Government can reassure both doctors and patients.

Furthermore, with the consent of the person through his or her personal account, any hospital will have access to the person's examination records and all of his or her medical treatment in Tuvalu.

The almost complete sharing of medical resources means that all members of the Tuvalu Special Administrative Region can obtain the results of the examination through any hospital in the Special Administrative Region that can provide this examination, although the registered doctors are different, and the attending doctor can obtain the results of the examination through the medical management center.

This practice completely breaks the monopoly between hospitals, and patients no longer need to make an appointment in a certain hospital for examination items.

Their experience of medical treatment elsewhere is not at all comfortable from the inside.

For the same examination item, as long as you change hospitals, you need to re-test again, which makes the patient miserable.

Because in that situation where the doctor-patient relationship is extremely tense, hospitals can only trust their own equipment and inspectors.

If there is a medical dispute due to the use of test results from other hospitals, the responsibility for the testing procedure cannot be pursued at all.

Instead of charging for testing, they may take responsibility for the testing process, which makes hospitals with the main purpose of making a profit very passive.

Under this logic, it seems reasonable for hospitals to require patients to only accept their own test results when they are admitted.

It's just that this practice has doubled the medical costs of patients.

It may cost only 100 yuan for a certain disease, but the cost of various medical tests can reach thousands of yuan.

Such a strong contrast also exacerbates the contradiction between doctors and patients from another aspect.

The medical file sharing system introduced by the Special Administrative Region has clarified the responsibilities of all medical practitioners in the system, making it possible to pursue medical responsibilities across hospitals.

Sufficient information sharing channels have greatly reduced the cost of medical testing in the Special Administrative Region, which has been well received by all members.

The network platform has integrated and shared the use of medical testing equipment in the entire Special Economic Zone, and the scale of medical testing equipment integrated through the network completely exceeds the scale of any large hospital, so that all patients can fully enjoy rapid medical testing services.

Coupled with the perfect network supervision mechanism, after the medical testing services are completely marketized, a complete chain of interests can no longer be established between unspecified testing equipment and attending doctors, and doctors can only return to their main business of diagnosis and surgery, and strive to improve their professional and technical level.

The practice of having patients undergo large-scale testing at every turn is completely untenable in Tuvalu's social management system, because reducing the cost of medical testing for patients is the most important way to control the "value for money". 2k reading web