Private Hospitals in Delhi - Addl Inputs
Below are the Issues, Root Causes and Solutions as identified by you for improving state of Private Hospitals in Delhi
Kindly review and if you have any additional inputs, please share as a comment to this post.
Private Hospitals in Delhi - Solutions
1. Health Ministry should set up a bench to overlook the workings of private hospitals
2. Grievance redressal cells should be made stronger and more effective
3. A turn-around-time should be fixed for all grievances
4. Private hospitals should bring more transparency in their working so that the patients could trust them more
5. Hospital caught indulging in unfair means like unnecessarily prolonging patient stay, ordering non-required tests etc. should be heavily penalised
6. Government should put a cap on the maximum consultation fees a doctor in a private hospital can charge
7. Patients should be able to choose a doctor as well as a hospital facility where he would like to be treated. The doctor and hospital might not be linked with each other
8. The compensation of the Doctor at private hospitals must be completely de-linked from the revenue that is generated by the Doctor for the hospital
9. Private hospitals should make rooms at different price ranges for different classes of patients
10. The emergency accident victims should be attended without any questions or delay
11. The nexus between private hospitals and insurance companies should be broken
12. The linkage between charitable trust and their conversion to private hospitals must be investigated to ensure it is not a mechanism to acquire land at zero or concessional prices
13. Since hospitals get land at a concessional rate, the should be forced to adhere to the EWS policy
14. It should be made mandatory for the private hospitals to disclose how many free beds are allocated and how many patients have been treated from economic weaker sections on a monthly basis
15. All private hospitals must pay full income taxes like other private businesses
Private Hospitals in Delhi - Root Causes
1. Private hospitals are run like business houses with profit being the main focus
2. Focus is more on sales rather than customer service
3. Private hospitals use many unethical ways of working and try to keep it hidden from the patients
4. Doctors are given targets to generate revenue for the hospital
5. Private hospitals have a corrupt nexus with insurance companies
6. Lack of Government regulations to control the fees charged by the doctors in private hospitals
7. Private hospitals invest heavily on ambiance and hence charge accordingly
8. Patients treat doctors as god and keep following what they say
9. Doctors operate by invoking a sense of fear in the patient
10. No cap on the room rent charged by private hospitals
Private hospitals in Delhi – Key Issues
1. Private hospitals charge exorbitantly
2. The grievance cells in private hospitals are terrible
3. Customer complaints are not addressed properly
4. The private hospitals in Delhi lack transparency
5. Patients are asked to get admitted even if they don’t really need admission and room
6. Patients stay in the hospital is unnecessarily prolonged for additional revenue
7. Unnecessary tests are ordered just to increase revenue
8. Consultation fees in private hospitals is high and now 1000-1500
9. Room rent in private hospitals is steep
10. The rates of tests are also very high in private hospitals compared to the outside labs
11. They take a long time to admit emergency accident cases
12. Patients with insurance are charged more compared to the others
13. Patients from EWS section entitled to treatment are discouraged by making them buy expensive medicines/paperwork
14. Doctor's compensation is linked to revenue contribution in many private hospitals more
Kindly review and if you have any additional inputs, please share as a comment to this post.
Private Hospitals in Delhi - Solutions
1. Health Ministry should set up a bench to overlook the workings of private hospitals
2. Grievance redressal cells should be made stronger and more effective
3. A turn-around-time should be fixed for all grievances
4. Private hospitals should bring more transparency in their working so that the patients could trust them more
5. Hospital caught indulging in unfair means like unnecessarily prolonging patient stay, ordering non-required tests etc. should be heavily penalised
6. Government should put a cap on the maximum consultation fees a doctor in a private hospital can charge
7. Patients should be able to choose a doctor as well as a hospital facility where he would like to be treated. The doctor and hospital might not be linked with each other
8. The compensation of the Doctor at private hospitals must be completely de-linked from the revenue that is generated by the Doctor for the hospital
9. Private hospitals should make rooms at different price ranges for different classes of patients
10. The emergency accident victims should be attended without any questions or delay
11. The nexus between private hospitals and insurance companies should be broken
12. The linkage between charitable trust and their conversion to private hospitals must be investigated to ensure it is not a mechanism to acquire land at zero or concessional prices
13. Since hospitals get land at a concessional rate, the should be forced to adhere to the EWS policy
14. It should be made mandatory for the private hospitals to disclose how many free beds are allocated and how many patients have been treated from economic weaker sections on a monthly basis
15. All private hospitals must pay full income taxes like other private businesses
Private Hospitals in Delhi - Root Causes
1. Private hospitals are run like business houses with profit being the main focus
2. Focus is more on sales rather than customer service
3. Private hospitals use many unethical ways of working and try to keep it hidden from the patients
4. Doctors are given targets to generate revenue for the hospital
5. Private hospitals have a corrupt nexus with insurance companies
6. Lack of Government regulations to control the fees charged by the doctors in private hospitals
7. Private hospitals invest heavily on ambiance and hence charge accordingly
8. Patients treat doctors as god and keep following what they say
9. Doctors operate by invoking a sense of fear in the patient
10. No cap on the room rent charged by private hospitals
Private hospitals in Delhi – Key Issues
1. Private hospitals charge exorbitantly
2. The grievance cells in private hospitals are terrible
3. Customer complaints are not addressed properly
4. The private hospitals in Delhi lack transparency
5. Patients are asked to get admitted even if they don’t really need admission and room
6. Patients stay in the hospital is unnecessarily prolonged for additional revenue
7. Unnecessary tests are ordered just to increase revenue
8. Consultation fees in private hospitals is high and now 1000-1500
9. Room rent in private hospitals is steep
10. The rates of tests are also very high in private hospitals compared to the outside labs
11. They take a long time to admit emergency accident cases
12. Patients with insurance are charged more compared to the others
13. Patients from EWS section entitled to treatment are discouraged by making them buy expensive medicines/paperwork
14. Doctor's compensation is linked to revenue contribution in many private hospitals more
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The business of private hospital is indeed purely profit oriented and though they fill a big gap between non availability and non existent, over crowded, Govt. facilities and that of exorbitantly charged private facilities- which too are overcrowded - yet one cannot and should not expect that doctors and hospital should provide affordable, cheap rates for an average middle class or poor patients, because any one who invests money in creating these facilities, does so for profit. The ideal situation is private and public partnership with proper safeguards and controls for a not for profit set- ups. Community Hospitals where people, Doctors and Govt. should have a equal say. The vested interest should not be in the disease of the patient but Doctors should be paid for keeping the community healthy through yearly check-up's and by preventive measures. Promotion of health should be the first concern. more
May 21
The main concern for me when I go to a pvt hospital is that they will overcharge me by prescribing uneccesary tests and high constaions fees. This should be tackled firmly. Secondly the nexus between pharma companies and doctors/hospital should be done away with as costly and unnecessary drugs are prescribed in lieu of gifts etc. more
May 20
If Govt. Will Improve Following/Take Action In Govt. Hospitals, why people (mainly poor/medium class people, should visit private hospital. Please improve Govt. Hospital first as per following : 1. There should be online system of getting appointment with Doctors. 2. Govt. should appoint more staff in every AIIMs. There should be a facility to call AIIMS staff / Doctor, with lab attendants to see the patients at his home, take sample, and send report to patients, through e-mail with desired lists of medicines with substitutes, for treatment for normal/common disease, on normal charges, as per Govt. rates. It will avoid unnecessarily crowed at AIIMS. 3. Underground Parking facility, nearby AIIMS should be provided, to attendants. It seems the parking facility, provided is far away from the AIIMS. In my opinion, with the help of some guidelines, and with the little care of security guards, atleast 2 Wheelers, should be allowed to park on AIIMS itself, after leaving way to public and other patients etc. etc. 4. Some authorized Guides with Name Plates, needs to be deployed at AIIMS in and out, from whom a patient/attendant can take help etc. etc. i.e. whereabouts of Lab./Doctor/blood bank/canteen/pharmacy etc. etc. I have seen many of patients /attendants are asking either other patients/attendant or Staff/Doctors/Nurses to guide them about the ways, going to concerned lab./bank/canteen etc. etc. and half of their time is wasted for searching concerned windows, Doctors, places, they wish to go for consultations/treatment/tests. 5. Tests / Sample given for the tests, at hospital's lab, reports for the same should be sent through e-mail, if patients/attendant, desired the same during sample collection at hospital's lab/home, it will avoid unnecessarily visit to lab. By patients/attendant next time. 6. Mobile Nos. of service providers i.e. ambulance no. /authorized autowala nos. should also be displayed in the hospital, enabling patients/attendant to hire the taxi/auto from their bed itself, with KM Rates, duly designed by Govt. /AIIMS. 7. Misbehavior by some junior /other staff has been observed/recognized may times, in the hospital with patients/attendants; The Govt. is paying them to serve/deal with the general public, and then why they should behave like this? AIIMS need to nominate their own inspectors in dress/civil dress, or to allow other public to focus on such staff/make video/audio recordings by them or visitors (attendant/other patients) and action should be taken on the staff, if they are not doing their duties honestly/in good manners. I don’t know why they got frustrated, when a patient goes to them. Govt. should know the reasons for the same from such staff and resolve it in the interest of staff/attendants & patients as well. 8. Any guidelines to the patients should be given in black and white, duly typed in by AIIMs staff to patients. 9. There are goods canteens for Doctors in hospitals, but not neat and clean for attendants, even in some hospitals there are no seating arrangements for attendants and beds/stature/ wheel chairs for patients. 10. Numbers of hospitals/beds etc. should be enhanced in every 6 months, 11. Guest House should be made available for the attendants, visiting AIIMS with patients for treatment of Govt. rates with good facilities i.e. bed to sleep, neat and clean wash room, canteen etc. etc. 12. More/sufficient "MOBILE/LAPTOP CHARGING POINTS" should be provided in the hospital. in waiting areas, wards and in canteen as well. VERY IMPORTANT. 13. Local pre-paid sims should be made available at hospital's reception/premises, and should be activated within 10-20 minutes, from it's purchase. I have seen many people, visiting AIIMS from other states, but they are not able to communicate easily with their family members, due to battery low/low balance/heavy roaming, etc. etc. The same sim can be re-collected during discharge. 14. In my opinion, visitors, who wish to see/visit the patient/attendant, should be allowed every time to meet/see the patient/attendant, until unless, Doctor is not on Round or some special treatment is not going on. 15. In the waiting areas, especially in OPDs, some token no. should also be given to the patients/attendant and such Token No. should be made visible on the top of the door, enabling patients/attendant know about his turn, as at what time, he should be ready to go into the Doctor's Cabin. 16. Direct mini-bus facilities should be made available by AIIMs on chargeable bases from AIIMS to nearby metro station, bus stand, railway stations, if not available presently, and if incase of AIIMS does not have metro station like AIIMS, Delhi. 17. AIIMS should depute it's own senior staff to visit and inspect wash rooms/toilets/drinking water cooler to ensure they are working and neat and clean. Have seen many times there is no/hot water in the coolers/toilets are very dirty etc. etc. 18. CCTV Camera, need to be installed in hospitals/Wards/Nursing Stations too, Have seen many time, nurses are sleeping during night duty and attendants are not able to call them to see/check the patient's glucose etc. etc. (empty bottles needs to be replaced with new one) etc. etc. It should be staff nurse duty to assign an alarm in her mobile/compute to check the status of such activities, instead of attendants. It is only attend who use to call sisters again and again and to replace the glucose bottles. 19. Many times, I have seen nominated staff are not during necessary dressings properly and asking attendant to do it properly i.e. change of bed sheets, replacement of urine bottle etc. etc. I am still not know, is it attendants' duty to clean patients clothes and bed sheets etc. or it is a duty of nominated staff by AIIMS. 20. Free Wireless internet should also be made available in AIIMS to make to more modern. 21. Suggestions box are installed in AIIMS, but suggestion posted in it, either are not considered, and if considered are never shared with the person who has given suggestions. IN MY OPINION, IF ABOVE POINTS ARE TAKEN CARE AND ALL IMPLEMENTED? "BIMAR LOG BHEE THEEK HO JAYEGE OR KUCHH KHUSHI KE MARE, BIMAR HI NI PADEGE" Thanks and Regards, Ramesh Chand more
May 20
1. Private hospitals consultation charges-very high from Rs. 500-2000. 2. Govt should fix the packages for all the surgery for the economy ward as the private hospital charges are very high 3. In the private hospitals for a normal delivery- charges comes to Rs. 60 to 70 thousand ( Govt. should make the policy or affordable packages in the economy wards) if patient wish to go for higher category of rooms let the hospitals charges according to their policy. 4. Govt. should monitor EWS category scheme closely, they should depute volunteers in the govt. hospitals and can coordinate with these hospitals and send the EWS patients to private hospitals. more
May 20
