Why are hospitals in some big cities so expensive? Why are small counties so much cheaper?

Before answering this question, I would like to ask the questioner, "Why does it cost me fifteen yuan to cut an inch board in a small barber shop in front of my house, while some ladies need thousands of dollars to do their hair in a high-end salon?" ? Why is the high-end salon so expensive, and why is the small barber shop at home so much cheaper? "That's a good question, and I'm drunk. ...

If it's just a headache and brain fever, will you go to a big hospital like Sheikh, Huashan, Huaxi and Xiangya? Just waiting in line will take a whole day or even longer. Finally, check your blood routine and open a box of cephalosporins. "Goodbye." ...

This is the most realistic problem. If it's just a headache and brain fever, not many people will go to "big hospitals in big cities", and many people will often go to small hospitals or even small clinics nearby. Take the simplest fever as an example, go to a small hospital to check the blood routine and see the blood picture. If it is a bacterial infection, at most, do a culture and drug sensitivity, and prescribe some antibiotics. Oh! Can it cost you a few pence?

But big hospitals are different. Many people actually ran back and forth in many small hospitals before going to big hospitals, and chose to go to big hospitals because the treatment effect was not good. Or a very serious disease, such as cancer. Going to a big hospital is to prepare for the operation directly. Then, all kinds of inspections are definitely necessary. Some small hospitals may have to do tests that they can't do, and the cost will naturally be high. If it is a serious illness that requires hospitalization, the cost will be higher! Isn't it? On the other hand, if it is really a serious illness, the cost of treatment in a small hospital is probably not much lower.

In fact, this is a very understandable question. Can an inch board be cut to the same cost as perm and hair dyeing? What's more, I'm afraid going to a big hospital is not just a perm, but a hair transplant or even scalp plastic surgery! Do you still want to use the money from "cutting the board" to "transplant hair" or even "scalp plastic surgery"? Obviously, the questioner is afraid of chaos in the world, deliberately stealing concepts and trying to deepen the "contradiction between doctors and patients"!

In different levels of cities, the fees for medical projects approved by the state are also different. What are the housing prices in first-tier cities such as Beishangguangshen and Shenzhen, and what are the housing prices in small counties? You spend 1000 yuan to live in a small county, maybe you can't even find a hotel! Because there are no such luxurious hotels in small counties. But what if you go to the north, Guangzhou and Shenzhen? A thousand dollars may only be enough for an ordinary hotel ... but do you think it's strange? Feel "unfair"? Not really! In fact, the gap between the charging standards of big hospitals in Beijing, Guangzhou and Shenzhen and the charging standards of county hospitals is far less than that of hotels. How did it become a "crime" in the medical industry?

To give another realistic example, the registration fee for a chief physician in the Provincial People's Hospital is probably not as good as the so-called "director" haircut fee in some hair salons! What can I say about this? He is a "big coffee" that can be counted in the whole country. Why can't he even be a barber? Don't you think it's expensive to spend thousands of dollars on the so-called "director" for a perm, but don't you think it's expensive to spend dozens of dollars on the name of the chief physician? At present, in addition to some private hospitals and top experts in China, the general chief physician is only tens of dollars. ...

Large hospitals are located in different areas and hospitals have different grades, so the charging standard is naturally higher than that of small hospitals. But this height is far from ridiculous. When the hospital is big, the level of doctors is naturally higher, and it is natural to raise the charging standard appropriately. The price difference between "supervisor" and "apprentice" in barber shop can be several hundred. I'm afraid the registration fee between the chief physician of a big hospital and the attending physician of a small hospital is not so outrageous.

In the final analysis, this is a question of mentality. Under the premise of sharp contradiction between doctors and patients, anything about hospitals will be seriously magnified. You take it for granted that the "director" of the barber shop has a haircut several hundred dollars higher than the "apprentice"; The registration fee for the chief physician in a big hospital is tens of dollars more than that for the attending physician in a small hospital, but you find it difficult to accept it. ...

The examination fee is the same. You went to the big hospital because you were very ill. Can the cost of cancer screening be the same as that of cold screening? Can the cost of MRI be the same as CR? Can the B-ultrasound reports issued by top domestic chief physicians and professors be the same as those issued by attending physicians or even chief physicians in small hospitals? Is it strange that the medical expenses in big hospitals are higher than those in small hospitals? Undergraduate students can enter county hospitals after graduation, but doctoral students may not enter provincial hospitals after graduation. Shouldn't doctoral students be more valuable than undergraduates? Have people read books for nothing for so many years? Why is the contradiction between doctors and patients so acute in China? It is because there are too many people who are afraid of chaos like questioners!

This is influenced by many factors.

1. Price: Prices in big cities are much higher than those in small places. The more developed the economy, the higher the price, which is a common phenomenon.

2. Graded diagnosis and treatment: The reason why the country wants to implement "graded diagnosis and treatment" is to change the current situation of uneven medical resources. Large hospitals are overcrowded and small places are empty, which also reduces the pressure of large medical care. Try to put minor illnesses at the grassroots level. Ask experts for help when a serious illness is complicated.

3. Expert level and ability: In most cases, the expert level of tertiary hospitals, especially super-large hospitals, is higher than that of basic experts. There are more patients to see, more problems to solve and more experience, so the registration fee for seeing a doctor is naturally higher than that of lower-level hospitals.

Most of them are incurable diseases: seeking medical treatment in big hospitals, most of them can't be solved or can't be solved well in small places, so life is only once. Since all the technology, resources and manpower of large hospitals are devoted to treatment, it shows that it is much more invested and the level is much higher than that of small hospitals. Therefore, it is natural to charge high fees.

If the same cost can solve the problem, why not go to the best hospital and find the best doctor? Thinking like this will lead to a serious "siphon effect"

6. The above reasons lead people to trust experts in big hospitals more, which in turn makes the limited resources in short supply and the cost rise.

Whether it is expensive to see a doctor depends on the difficulty of the disease. Large hospitals have more advanced medical equipment, and the accuracy of diagnosis and complete treatment are incomparable to small hospitals.

In fact, it is cheaper to see a doctor in a big city hospital than in a small city. The qualifications, experience and equipment of doctors in big cities are relatively complete compared with those in small cities. On the contrary, it is better than small cities in time and effect. The money for minor illnesses in small cities may actually be higher, because the drug rebate problem in hospitals in small cities will be more serious. If you have a minor illness, some doctors will prescribe more drugs you don't need to treat your current illness.

The consumption level is different, the medical staff in big cities have high consumption, and the hospitals have high expenses; Different equipment, testing equipment and medical equipment are more advanced in big city hospitals; The technology is different. The medical staff in big cities come from different regions, so we must choose high-tech.

Big cities have good resources and many talents. The same disease can be cured with 20,000 yuan. In small counties, it may be difficult to treat repeatedly, and there are still many syndromes that have not been cured, which is not worth the candle. It is suggested that it is best to go to a first-tier city for treatment, but what is uncomfortable is that there are many people and relatives will be anxious.

Big cities have good resources, high experience, imported a lot of medical equipment, superb technology, high economic consumption, expensive stores, more thoughtful service and good hospital equipment. The publicity effect is good. Comparatively speaking, small cities will still be inferior in these aspects.

With different living standards, there will be some differences between counties and cities, so cities will be more expensive and the effect will be more obvious.

Why are some big city hospitals expensive to see a doctor? It is good that hospitals in major cities are so expensive to see a doctor!

In hospitals in big cities, doctors' personal qualifications, professional level, hospital medical equipment and hardware facilities, and technical input to overcome intractable diseases are far higher than those in hospitals in small counties. Coupled with the consumption level of big cities, big city hospitals are so expensive to see a doctor, so many patients choose big city hospitals.

Hospitals in small counties are not that expensive. That's because her technical level is not as high as that of a big city. She wants you to transfer to a big city, if there are some incurable diseases. And it's not that expensive compared with big cities. In a small county town, an ordinary child has a cold drip for at least three days, about 100 every day, and the first day will be tested. Take the medicine at home, and it will cost five or six hundred to count. But your average salary in a small county is only 100-200 a day, right? Is this expensive?

Therefore, everyone should exercise well and form healthy living habits, because you will find that doctors simply look down on them!

A penny for a penny, the most important thing is that the technical level is different. It is hard to believe that a hospital in a small county town will have high-level doctors. A high level means that his value is high and his value is high. How can a small county raise such a doctor? Doctors' skills are also fed out with a large number of cases. What if there is a sweeping monk hidden in a small county? At the current speed of information dissemination, there will be a large number of patients looking for him.

We spend a lot of money to see a doctor in a big hospital just to get better medical services. If we want to get high-quality medical services and low prices, is it inappropriate to think about it? !

The price problem in the question has another meaning, that is, they are all ordinary hospitals. Why are big cities expensive and small counties cheap? In fact, as we all know, there is no need to discuss the differences caused by different prices.