There was an uproar at the seminar. Many of the participants who sat in the audience and originally came to listen to the cross talk by themselves were in good spirits, and they exchanged opinions in low voices, and by the way, they reconfirmed the identity of the young man on the stage. "No wonder you scolded so harshly, Ningyuan Fourth Central Hospital! Their hospital is a big emergency center, right?"

To tell the truth, in the previous seminars, there were some guests who ridiculed each other because of disagreements, some dismantled the stage, and some directly announced that the other party did not learn and misbehaved. But at least it is still in the category of "literati vindictiveness", but like Sun Lien, he directly scolded "stupid" when he opened his mouth, and scolded three people in one breath, let alone see it, and never heard it.

Originally, the three people on the stage spoke openly, but they actually offended many people. It was not only the practitioners of private medical enterprises sitting in the audience, but also many people from public hospitals and professional colleges to listen to the lecture. Originally, we were going to hear our understanding and opinions on this new model of diagnostic centers. Who knew that the three people on the stage fired directly at the public hospital, and the artillery fire did not stop for days. What about the establishment and process of the diagnosis center of social medical institutions?

Holding a seminar is a very annoying thing to go off topic, not to mention going off topic, and it's really too much. Everyone in the audience originally planned to leave the stage directly, but when they saw Sun Lien open his mouth and scold, they suddenly became interested. Some do-gooders even took out their mobile phones to inform their companions who were not at the venue - "Come to the main venue to have a look, the doctors in the public hospital are scolding!"

Sun Lien was actually really angry. Especially in this environment, he himself represents the image of the Fourth Central Hospital, which requires him to be polite. You have to smile when you scold, and the more you scold, the more angry you get.

After all, it's a 25-year-old young man. Although it is not as strong as when he was in his early 20s, the pressure and conflicts he usually encounters in the hospital work, coupled with the continuous misunderstanding and hostility of the surrounding environment, have made Sun Lien hold back a breath of anger in his heart. But the work is too busy, and the family members he met are really too pitiful, Sun Lien really has no place to come out of this evil fire. Now there are three bastards who don't have long eyes and hit the muzzle of the gun directly, if this kind of God-given opportunity is not seized, Sun Lien can simply skin himself.

"First of all, I would like to say sorry to all of you. When Sun Lien spoke, the three speakers who were scolded as "stupid" suddenly changed their faces together. Professor Pan stood up from his seat, as if preparing for a physical debate. But the staff who maintained order at the scene seemed to have been notified in advance and directly surrounded him. Sun Lien didn't go to see what was going on on the stage at all, he just sincerely apologized to the people watching the excitement in the audience, "Xiao Sun, I don't have any research on the setting and process of the diagnostic center. I came to the conference today with the intention of sitting in the audience and being taught. But there may have been something wrong with the process of the conference organizers, and I was put on stage as an expert and scholar to speak. But that's fine, if I listen to these three fools in the audience the whole time, I may be so angry that I have a cerebral hemorrhage. ”

There was a gentle laugh from the audience.

"Well, since I said you were stupid. Sun Lien turned to look at the three "experts" who were surrounded by the group, smiled and turned to the audience and said, "Then there must be some evidence." I have made a note of the statements made by the three of them. Let's talk about it one by one. I believe that the truth is always a little more powerful than the words. ”

"First, this is what Professor Pan said, and I quote it here, 'The government's support for public hospitals is too large, and there is a phenomenon of excessive demand, innovation and expensive in the procurement of medical equipment. Sun Lien looked away from the notebook and glanced at the quiet audience in the audience. "I have a rhetorical question about this question - is it better to use government funds to buy outdated, cheap treatment equipment that has been proven useless by modern medicine, and is it a crime to waste taxes?"

The audience began to laugh.

"As for the excessive support. Sun Lien shook his head, "Public hospitals bear the greatest pressure on medical treatment in the entire medical system. Moreover, those patients with the most complex diseases and the most dangerous conditions will come to public hospitals for treatment, rather than private hospitals. For example, in the past month, the emergency department of Ningyuan Fourth Central Hospital alone has received one patient with multiple toxoplasma infection, one adult patient with abdominal ectopic heart, and seven patients with organophosphate poisoning. Sun Lien paused, looked at the audience and said seriously, "The treatment and diagnosis of these patients are only possible by relying on the equipment of our hospital and the cooperation of many medical staff. Without government support and funding, we would not have been able to save their lives. ”

"Second, Professor Pan also said that the funding is only allocated to public hospitals, and those 'centers' that have sprung up are the result of political performance. ”

Sun Lien sighed, "I thought that this Professor Pan probably just took money to speak for others, but now it seems that I probably blamed him." He's not speaking with a clear conscience, he's just just stupid. ”

More and more listeners poured in from both gates, but the atmosphere remained quiet. It's just that hearing this, Sun Lien once again reaped a lot of laughter.

"Stroke and myocardial infarction are diseases with a very high mortality rate and a very high disability rate, but they can be greatly reduced through rapid rescue and treatment. The two centers set up by the hospital are aimed at enabling patients with these two diseases to receive treatment as soon as possible. Once a patient shows eligible symptoms, they are quickly admitted to the center and then receive treatment as quickly as possible, following a established process. This initiative has saved an unknown number of lives and saved an unknown number of families. So, yes, it's really a performance project. For public hospitals and our healthcare system, saving lives is the greatest political achievement. Sun Lien spread his hands towards Professor Pan, who was surrounded so much that he couldn't even see his hair, "As long as the people can benefit, I don't think there is any problem in pursuing political achievements." ”

But then, Professor Pan began to fabricate the facts. Private hospitals don't have emergency departments, and that's just because they haven't applied to the relevant authorities to set them up. In fact, many private hospitals in China have emergency departments. It's just that the emergency department is really not profitable, so the enthusiasm of private hospitals to set up departments is not high. ”

"As for granting money to public hospitals. Sun Lien suddenly changed his words, "The breakfast shop downstairs in my house closed down some time ago. It is said that the reason is that the capital chain is broken. Shouldn't the government also allocate some money to this breakfast shop?"

The audience was a little cold, and many people didn't react to why Sun Lien suddenly mentioned the problem of the breakfast shop.

"Private hospitals, in essence, are still a business. Capital is profit-seeking. To put it vulgarly, there are people who do the business of killing heads, and no one does the business that does not make money. Although it is also a hospital, a private hospital is not the same as a public hospital that emphasizes public welfare and non-profit. They are for-profit institutions. Sun Lien picked up the water cup from the stage, took a sip of water, and moistened his throat, "The government allocates funds to private for-profit organizations free of charge? This kind of thing does not make sense from the legal level or the social level. ”

Sun Lien continued, and his notebook did record a lot of ridiculous remarks from the first three experts. However, there are many arguments that are repetitive, and Sun Lien doesn't want to say more about things that can be said back in one sentence.

The second expert to speak on stage...... Sorry, I didn't remember his name at all. Sun Lien scratched his head a little embarrassed, "Please understand, it is a very difficult job to concentrate on their absurd words." ”

His main arguments are, first, that public hospitals are overly pursuing bed turnover rates, resulting in many patients being discharged before they have been completely cured. Private healthcare is the only way to provide the most 'personalized' treatment options. ”

"As I said earlier, public hospitals are the most stressed in the entire healthcare system. This year's data shows that private medical institutions account for 63.5 percent of the total number of medical institutions in the country, but only 14.8 percent of patients are treated in private medical institutions. And that's just the number of outpatient and emergency departments. The difference is even greater when it comes to inpatients, who can provide less than a third of the total number of beds in public hospitals. ”

In other words, public hospitals need to help 80% of patients with less than 40% of the number of institutions and limited medical resources. Under such conditions, if public hospitals do not pursue the high turnover of beds, the result is a serious shortage of beds. Patients who require hospitalization have a longer waiting period. Sun Lien paused and emphasized, "The right of other patients to receive treatment should be greater than that of patients who have been cured or are close to being cured." As for the so-called 'private' treatment, if the patient needs it, then it is natural to choose a private hospital – even if you charge more and the treatment effect may be similar to ours. But I do see a lot of patients who simply can't afford the high cost of treatment. Sometimes we want to use drugs that have a better treatment effect, but they will refuse drugs that have not yet entered the medical insurance list, and sometimes they will even refuse treatment because of this kind of thing, and go home and wait for death. Sun Lien's eyes were a little red, "It is impossible for such a patient to be interested in a personalized treatment plan." ”

The atmosphere at the scene was a bit heavy.

"Second, patients diagnosed in public hospitals do not receive adequate treatment, and there is a high level of bribery by doctors in public hospitals. ”

Sun Lien looked up at the many listeners under the stands, shook his head helplessly, he turned his head to look at the rostrum that had re-seated, and said seriously to the second expert who spoke, "You may be living in a dream." ”

"The establishment of departments and the scope of practice of private hospitals need to be reviewed and approved by the National Health Commission. The larger the scope, the more difficult it is to approve the approval. Moreover, it is difficult to treat many departments and there are few patients. Few private hospitals have the same complete departments as large public tertiary hospitals. Diagnosed patients may not have a department at all that can accept them, in this case, do you have the face to say that private hospitals are doing better than public ones?"

"As for the part of the bribery, do you know the number of the person who asked for bribes? If you can find a doctor who is soliciting bribes, please call and report it to the relevant departments. We also welcome patients who come to us to help us identify these black sheep. ”

"Third, it is difficult to make two-way referrals to public hospitals. I have to say, you did tell the truth. Sun Lien's next words turned sharply, and it seemed to have the meaning of easing the atmosphere. "The bed turnover rate just mentioned is too high, which is mainly reflected in tertiary hospitals. In many places, second-class hospitals are worried about the high vacancy rate of beds. As a doctor, I also want my patients to be transferred if their condition is stable and the second-class hospital has enough capacity to admit them. But it's not up to me to say this kind of thing. The referral process needs to be carried out by the patients themselves, and many patients feel that since I have been discharged from the hospital, they are cured. Sun Lien sighed, "Shanghai Ruijin Hospital, which was filmed in the previous documentary, received a patient with Cushing's syndrome. After his condition was brought under control, the doctor advised him to go to a second-class hospital to continue his hospitalization. As a result, the patient did not go and recuperated at home. In the end, he passed away due to complications. ”

The atmosphere seemed to be a little more solemn.

"Referrals require patient cooperation. But that's not a reason to attack public hospitals. Sun Lien continued, "Next, let's talk about the content of Mr. Zhang's speech. ”

"Mr. Zhang, your speech is quite special. Compared to the experts who don't know anything, you are much more clever than them. They're basically talking nonsense from start to finish, and you, you're lying. ”

"Private hospitals spend more than public hospitals? Do you have to pay VAT? Don't be kidding, private hospitals are exactly the same as public hospitals in terms of tax items, and all medical services are not taxable. The only ones that are subject to VAT are 'selling drugs without a prescription' and 'providing non-medical services'. Does that mean that you have provided a lot of unnecessary services to patients?" The first two experts can be said to be stupid, and Zhang Yi is downright bad. Therefore, he also used the most time to refute Zhang Yi.

In terms of advertising expenditure, Mr. Zhang mentioned online promotion and film and television advertising. First of all, these two promotion methods are expressly prohibited. It doesn't matter if you use PPC, online medical care, or illegal film and television advertising, it is illegal. According to my inquiry, your company has received 25 penalty notices from the capital's industrial and commercial department in the past five years. Each of them is a fine for non-compliance with publicity. Sun Lien lit up his mobile phone to the audience, "Your company's advertising expenditure is mainly used to pay fines, right?"