Medical system of U.S.A. that I understand

Medical system of U.S.A. that I understand
Shanghai Communications University medical college subsidiary Rui Jin hospital Lu YongI during studying in Los Angeles, have the honor in the intersection of the whole city and most large public the intersection of hospital and County Hospital (Los Angeles prefecture stands the hospital) With one of the largest private hospitals - -The medical center of UCLA university works. Have a close-range knowledge of operation of U.S.A.'s medical system.Public hospital - -Assurance of basic medical treatmentIn the large Los Angeles area, thousands of of medical organizations spreading over each corner in the cities and towns, but there are two the city center is equivalent to public medical organizations of the tertiary first rate hospital of our country: County Hospital (Los Angeles prefecture sets up the hospital) With Children Hospital (Los Angeles children's hospital) . They have undertaken the basic medical task in Los Angeles city center area 80%, have the characteristics that all public hospitals possess on it:Press close to common people's stratum very much in the geographical position. Liang hospital from Downtown ( City center) Only 10 minutes. Different from Shanghai, the basic residents in the centre of Los Angeles are black person and immigrant in Latin, near the perimeter and take Asian descendants as the core, all belong to common people's stratum. Such site selection has helped crowd of the basic unit the most go to a doctor.It can be free of charge to see the doctor. Here to say public hospital diagnose the illness, need money, but patient finish watching disease or finish, can refuse to pay bills check. Regard setting up the hospital in the prefecture as the example, the patient often a serious illness patient spent money treating and curing by the government or does not have any illegal immigrants of insurance etc.. They need to treat and cure but the impossible crowd who bears the hospitalization cost. The method of U.S.A. is to handle their disease and do the essential inspection, give them a bill after the service, whether but paying decides by patient or not. I have seen several African and Mexican borderland patients putting the magnetic resonance bill into the litter basket gracefully personally.All expenditure is undertaken by the government. These two hospitals belong to the project of the Los Angeles municipal government. The expenses of all of hospitals, especially the most expensive manpower expenditure is by the budget appropriations of government finance, it does not influence the medical worker income or not whether the patient pays. But because there is no money in the government, the hospital scale is being compressed constantly. The prefecture sets up the hospital there are 2000 berths when being most brilliant, only about 800 pieces now, and in reducing constantly.Purchase a very large portion of the service. The largest feeling is that the medical worker here is to set up the hospital in the prefecture and go to work " The multinational army " . Everybody comes from all corners of the country, and divide into and belong to different departments and different companies. For example the magnetic resonance is checked and finished by service company of a medical diagnosis, all apparatus and technicians are company's employees. They finish, check according to contract that sign with hospital, but magnetic resonance diagnose doctor to hold by the intersection of University of Southern California and doctor of medical college concurrently. Because the chartering the service outside of a large number of, the management cost of the hospital is very low. Such hospital, only there are 3 people in the nursing dept., only there are 2 people in Human Resource Department, there is no logistic administrative department.The resident is the subject strength of the clinical work of the hospital. Because the medical talent's manpower of U.S.A. has very expensive cost, the prefecture sets up the hospital as one of the affiliated hospitals of University of Southern California, task of undertaking his more than 80% of the residents and training. This respect can let the resident touch a large number of clinical cases (a large number of free medical care guarantee the hospital does not lack patients, and there is a very large number of number) ,Having guaranteed the clinical teaching resources, but the more important thing is, resident's salary has relatively low income, the expenses which employ an attending physician of training are worth 10 residents. Its direct consequence is that the resident becomes main medical strength that the prefecture sets up the hospital, account for the intersection of doctor and total more than 90% of working time its working times ' According to website's statistical data inside the hospital) . Seeing the doctor can meet a Fellow ' Chief resident) Even if run into Huatuo. But because of the high standard and strict requirement of U.S.A.'s medical education, overall medical quality is still guaranteed.The hospital serves and can not begin to talk about humanization, can only say that " resolve adequate food and clothing " . A gate in hospital knows anything is " It is not the humanization " . According to U.S.A. " anti-terrorism bill ", all patients and relatives need to carry on the safety inspection, the procedure requires that identical with the airport. See so many people take off the trousers, take off the shoes, really think there the large hospital of our country is very courteous. Checking the time of making an appointment very long of some high price. Make pieces of the intersection of head and magnetic resonance make an appointment two very normal in month, make pieces of head CT, wait for two weeks too. Because a lot of patients rotate over from community's hospital, patients will apply for the government to subsidize in order to pay the expenses that may happen before coming to the courtyard.
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