Author: wazza » December 30, 2008, 10:19 pm
Tend to disagree with you on ur comments a little.
Yes all private hospitals charge more than the 'Public " system, but u cant walk into a Public hospital and get seen by a consultant ( not a GP first ) .
Over charging can also been seen by some as providing extra services and there isnt a private system in the world that wont take advantage of your insurance company. Where I worked in Australia, the first question asked by the ER triage nurse in the private sector to the Paramedics was " Does he have Positive Coin Syndrome " ie Insurance !
Ie, BUPA might not pay for your internet and TV servics, check your own fine print before checking in for admission , better than have to sort the issues out later. Dont forget patients ( Policy holders ) also try to get extras added when their policy doesnt include it, Ie Private Room. Its why for elective admissions your insurance company should be involved in the authorisation process prior to admission and thats what the " Front Desk International Desk " does.
Misdiagnosis is common no matter where u go, patients are notorious for not always telling all the story. Yes some Clinical misdiagnosis still occurs.
Your post says for minor things check out the Army Hospital ( Kiprajak ) and Wattana, Well minor things dont generally get misdiagnosed or incorrectly treated.
I have seen some notorious short cuts taken here in Udon in the Public system, to be fixed later in the private sector, as poor diagnosis is down to costs. We wont do a CT scan at 0300 hrs in the morning to wake the Staff up, we will wait till the drunk motorcyclist gets over it, well after he starts to have seizures, its too late.
As for Bangkok hospitals , Bumrungrad is the most expensive in Thailand, yes the consultants there are very good , mostly with some international training programme accreditation. If you want to look at overcharging go no further, pick ups from the airport, in an ambulance , with nurse escorts for people traveling to Thailand as medical tourists to have their rhinoplasty ( Nose Job ). No wonder there is no respect for the ambulances here on the road , as they are taxis with rotation beacons many of the times for many front seat patients.
I recently assisted a person in getting quotes in BKK for a vasectomy reversal and the 3 majors i communicated with had prices ranging from 180,000 baht to 120,000 baht, and some had 2 night admissions and others 1 night.
If this procedure was done in the Public system, it would be done under " day surgery " and discharged home that afternoon.
Compare the costs of 2 MRI's i recently had done in the public sector, ( 19000 Baht ) v's 38000 for 1 at Bumrungrad ! , Just took the results to the Consultant at Bumrungrad.
The best hospital in North Eastern Thailand is probably the Sirikarin University Hospital at Khon Kaen with the attached Cardic Heart Centre. Several posters have been admitted here recently and their outcomes seem to be positive
The standard of primary care is certainly lower in Issan, they cant attract good quality medical staff and salaries are a part of that.
The bottom line in any health care system is you only hear of the bad / complaints, you never hear of the good outcomes and successful treatments. 1 negative case should never taint the bigger picture of patient care. By far the majority of clinical care professionals, consultants , GP's , Nurses , Paramedical staff Physios, Radiographers, Pathology etc, do not spend years at Uni to deliberately make their patients suffer.
Remember as a patient you are entittled to ask for exactly what is going on, how much and how long etc and get it in writing.