How can standards for hospital services improve functioning
We look forward to your inputs!
Issues identified with Hospital Services
1.Patients are asked to take unnecessary tests
2.Rate of tests like MRI, CT scan etc. are way higher in private hospitals than outside
3.As a money-making exercise, many hospitals straight away suggest surgeries in cases where it might not immediately be needed
4.If the patient has insurance, the hospitals keep them admitted for a longer duration of time and bills are inflated
5.Patients are kept on ventilators even if there is no chance of recovery
6.Room rates in private hospitals are very high
7. Private clinic/hospital encourage to pay bills in cash and also give forged bill
8.In place of generic medicines, branded costlier medicines are recommended
9.People with health cards, medical insurances extra also lured into unnecessary treatments, procedures and surgeries
10.Doctor's compensation is linked to revenue contribution in many private hospitals
11.The grievance cells in private hospitals are terrible
12.Customer complaints are not addressed properly
13.Patients are asked to get admitted even if they don’t really need admission and room
15.Unnecessary tests are ordered just to increase revenue
16.Consultation fees in private hospitals is very high
17.Room rent in private hospitals is similar to 4 and 5 star hotels
18.The rates of tests are also very high in private hospitals compared to the outside labs
19.Patients with insurance are charged more compared to the others
20.Patients from EWS section entitled to treatment are discouraged by making them buy expensive medicines/paperwork
21.There are long waiting times to see the doctor
22.Appointment system is not up to the mark in many hospitals
23.There is corruption in most departments at Government hospitals
24.The disposal of various kinds of wastes is a serious issue
25.Medical devices used for patients are charged at MRP or even above MRP
26.There is no transparency in billing at most hospitals where prices of medicines, consumables and services are not itemised. more
2. Fees for hospitality,
4.Nexus of health insurance linkages etc.
All the above said field relating to a big hospital -expenditure makes difficulty in finding the right/ balanced budget to the patient &the patient 's family mebers. more
Once the patient has been admitted especially in ICU's, it should be mandatory that a diagnostic report is prepared within the next two hours and treatment accordingly be given instead of trying hundreds of random drugs as the doctors are not able to diagnose the problem.
If a patient comes in for a particular treatment and gets infected with another disease or infection from the hospital, the hospital has to treat the patient FREE more
Why is there no regulation for tests and room charges. Hospitals should not be allowed to charge 5 star rates for their rooms. While monsoon is the disease season, these epidemics are predictable. While some hospitals such as the excellent, PSRI and Sitaram Bhartia are conservative in their approach and gentle with patients (patients who come to emergency are stabilised and sent home and asked to follow up in OPD) what gives the corporate hospitals the right to mangle the patients deliberately if they have insurance?
Several cases have come to light while waiting in OPD of these hospitals how the doctors deliberately mess other issues up so that other doctors need to treat or perform surgery on the same patient. This makes the patient return tot he hospital again and again and since they have cashless insurance. But the patient becomes a non productive basket case.
Tests should be standardised and regulated bothe price and quality.
Interns should not work in Emergency unsupervised. Doctors should regular employees of the hospital not consultants.
Who will bell the cat? more