Since 1981 Health School
Chapter 517 Exploring Medical Marketization
The hospital is supposed to be a quiet place, but there are two departments that cannot be quiet.
One is pediatrics, the patients are all children, and they are not controlled by their parents when they cry, so pediatricians always have buzzing ears after work all day.
The other 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.
The emergency room is right next to the emergency room. 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, persuaded the fight, called the police, and watched the excitement and chatted.
oh~~~
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, so can we lose 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, and all the tests that can be imagined will be available.
Chen Qi doesn't even 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, a nouveau riche got into 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 might scold you after seeing it, you are a black-hearted dean, you are a black-hearted doctor.
It's not black, it can't be done. The more than 1,200 employees of the Yuezhong People's Hospital are waiting to be fed, waiting to be 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 hospital's money is the patient's money. The workers are fine, and there is public medical care.
But it is not particularly safe, because many state-owned factories have closed down, or are half dead, and the workers have to pay for their medical expenses in advance, and then reimburse them collectively, but it is not clear whether they will be reimbursed in the end.
Farmers are the worst. They are at their own expense. After planting for a year and selling the millet, it may not be enough for one hospitalization.
But fortunately, with the deepening of reform and opening up, the economic conditions in the Vietnam-China region as a coastal area are still 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 trousers, even if you want to squeeze oil out of such a ghostly place, there is nothing you can do.
Comrade Guo thought for a long time with his teacup in hand, then nodded heavily:
"Okay, anyway, the business is completely entrusted to you. 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 will still depend 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 group fight, the more people 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 is 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 arrears of wages to the staff, but that's all.
As mentioned earlier, 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.
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 that the behemoth Yuezhong People's Hospital is serving as the dean, financial constraints are still the main theme.
The financial situation of the People's Hospital, Chen Qi, has gone to the finance department to check the books. It is purely a food finance, enough to pay wages every month, and then it is gone.
But Chen Qi, as a reborn person, knows that the hospital needs to develop greatly, and your equipment must be updated to keep up with it, 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 school. 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 has been accumulated, we will develop gastroenterology and general surgery, develop endoscopic surgery, and become a national pilot.
When the face and the inside are all there, we will drive the development of the entire hospital in an all-round way. This is called "point to face", step by step.
"By the way, Chen Qi, you plan to build a new emergency department, so where are you planning to put this emergency department? How will you staff it?"
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."
What Chen Qi was referring to was a small two-story building along the street, which was just right in size.
It was originally used as a kindergarten for employees, but it was temporarily rented out after the kindergarten was closed. Now it is a clothing market.
Dean 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 expenses.
"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 still many second-hand cars purchased 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 vicious capitalist country. A second-hand van is only a few hundred dollars.
When Comrade Guo heard this, he was so moved.
After counting all the hospitals across the country, which hospital's director will donate a car to the hospital?
The Yuezhong 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.
Generally, when there is an emergency or a natural disaster requires the people's hospital to insist on support, the ambulance will start.
There are also professional "emergency vehicles" in the Yuezhong area, 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 the employees.
Anyway, the People's Hospital couldn'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 it 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, regardless of the national conditions, and blindly learn from abroad.
The younger ones are indifferent, thinking that this is a matter for the upper class, who cares 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.
Moreover, 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, after you arrive in the capital, first go to Professor Ning Mengzhu from the Department of Neurosurgery 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 said solemnly:
"Chentou, don't worry, I understand the significance of this 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, who is years ahead of doctors of the same age group, and has the advantage.
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 certain 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."
No matter how introverted Zhang Xing was, he was extremely excited when he heard Chen Qi's words. Jumping from the second hospital at the county level to the people's hospital at the city level was definitely a turning point in his life.
Moreover, when they came to the People's Hospital, they still followed the dean in front of them. The two of them had done the most private things in Africa together. It is not an exaggeration to say that he and Yi Zewen are dean Chen's confidantes.
The future of the confidant is definitely bright. If you haven't seen Yi Zewen, you are 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.
"Chentou, don't worry, we will definitely study hard and work hard when we come back. We will follow you, we are willing and 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 cooperate with each other quite tacitly. They are the best team of assistants.
So after the formal discussion, 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 was the first to 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 liked 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 my parents the African allowance. 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 him: "Chentou, if it were you, how would you spend the money?"
Chen Qi was about to order these confidant subordinates, so he said with a smile:
"Don't you bother to inquire about what I, Chen Wanwanyou, like to do the most."
"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, and flattered her:
"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 at half price since no one cared about them at the beginning. Several years have passed, and now the rent of a business house has risen to 40,000 to 5,000 yuan a year.
We must 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".
It is the envy of everyone in the health system.
And 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, until the core prosperous shop has risen to hundreds of thousands a year.
As for the largest charterer in the textile market, Chen Qi made so much money that he had no friends, and his hand cramped when counting the money.
It is precisely because of such amazing successful investment experience that 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 doesn't let go, that's all...
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