to save money for patients, hospital director cuts medical service fees
2024-09-05
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some time ago, wang jinhai was hospitalized for a minor operation. he had not seen patients for a week. he had just returned to his office and had not had time to put on his white coat when calls came in one after another. "when will director wang see patients? i came to have another checkup with you." "you were not here this week, and i wanted to ask you to prescribe medicine."... in more than ten minutes, three or four calls came in asking questions.
what kind of doctor is so popular?the protagonist of the story, wang jinhai, is not a famous doctor or expert in a tertiary hospital, but a "rural doctor" who has been rooted in zhangfang village, fangshan for more than 30 years.
wang jinhai, president of beijing jinhai hospital of traditional chinese medicine, was born in laishui, hebei in 1970. his father, wang guiquan, was one of the first barefoot doctors after the founding of new china. wang jinhai followed his father from village to village to treat his neighbors, which made him fascinated by traditional chinese medicine. at the age of 16, wang jinhai became a disciple to learn medicine, and at the age of 19, he began to practice medicine independently.
why did wang jinhai, who was born in laishui, come to fangshan, across the river, to be a doctor? the story began more than 30 years ago. at that time, wang jinhai, who was still an ordinary rural doctor, had just finished the market and was pushing his bicycle on the road to zhangfang village. a villager who had sought medical treatment from him stopped him. "jinhai, i see you. our neighbor's elderly man is in a coma. please go and take a look!"
upon hearing about the patient's condition, wang jinhai hurriedly took the medicine box to the patient's home. when he measured the patient's blood pressure, the systolic pressure exceeded 200 mmhg, and he was also vomiting, which was likely a subarachnoid cerebral hemorrhage. however, in order to reduce the intracranial pressure, the patient needed to be injected with mannitol every 4 hours. wang jinhai lived in the patient's home and took care of him meticulously for a month. "later, the old man was able to work in the fields!" said wang jinhai.
since then, wang jinhai has treated many patients with cerebrovascular diseases and has become famous in villages near and far. many villagers got to know wang jinhai and began to seek his help, and urged him to stay in zhangfang village. at that time, there was no doctor who could treat cerebrovascular diseases in zhangfang village, nor was there a clinic. finally, with the welcome of the villagers and the support of the zhangfang village committee, wang jinhai took root in zhangfang village, opened the first village clinic in zhangfang village, and officially embarked on the road of village doctor.
in 2013, wang jinhai established beijing jinhai hospital of traditional chinese medicine, jinhai elderly service center and zhangfang disabled rehabilitation center based on the village clinic, and began to provide comprehensive services combining medical care, nursing and rehabilitation.
while seeing patients, wang jinhai discovered that the quality of chinese medicinal materials varied greatly, so he used the open space on the mountain in his hometown to establish a chinese medicine plantation. from planting to management, to processing, drying, peeling, steaming, cutting, screening, and which medicines need to be dried in the shade and which need to be exposed to the sun, wang jinhai required that all procedures be done according to traditional methods, and strictly controlled every link. while ensuring the quality of the medicines, the plantation also promoted employment for the villagers.
for some commonly used medicines, wang jinhai insists on purchasing them at the place of production, and selects the best selected and selected herbs. "good quality herbs are more expensive, but they are more effective. people can be prescribed fewer medicines to achieve the same therapeutic effect, and the price of a dose of medicine is lower."
during the consultation process, wang jinhai found that some elderly patients were inconvenient to travel long distances, so he drove to the countryside to provide free consultations after the afternoon clinic. an elderly man living in dongguanshang village was unable to go out by car due to dizziness and vomiting. so wang jinhai left his phone number to the patient. "if you have any symptoms in the future, call me in time and i will come to see you!" since then, whenever a patient calls, wang jinhai will visit the patient in time. wang jinhai has walked this 14-kilometer mountain road from zhangfang village to dongguanshang village for more than ten years.
in 2016, wang jinhai was granted the title of deputy chief physician. according to the charging standard, the deputy chief physician charges 40 yuan, and the patient has to pay 20 yuan after medical insurance reimbursement. in order to ensure that the people can enjoy the benefits, he directly reduced the medical service fee of 40 yuan to 20 yuan, so that the patient only needs to pay 1 yuan after medical insurance reimbursement, which greatly reduces the patient's expenses. in addition to free rehabilitation training and other services, wang jinhai has saved patients about 800,000 yuan in medical expenses in a year.
now, as his reputation grows, some big hospitals in the city have also extended olive branches to wang jinhai. but wang jinhai thought about it and rejected the invitation of the big hospitals. "in these years, i have not thought about anything else, just as a grassroots worker, to find a way to improve rural medical care so that rural people can spend less money and get better treatment."
