国外网友讨论:中国的医疗体系

by 神秘人 at 2020-07-31

网友讨论:中国的医疗体系与世界其他发展中国家相比如何? How does the Chinese health care system compare to the other developing countries in the world?

与印度尼西亚和美国相比,中国医院需要花费的费用更少。简而言之,我们只需要支付印度尼西亚医院原价的10% 。

0 0 0 0 0 Bill Chen Chinese healthcare is in expansionary mode. It can never catch up with demand because cities do not require passports for entry. The top end healthcare is good. And that is what the foreigner experiences. But there are huge pressures elsewhere.

中国的医疗卫生事业正处于发展阶段。它永远无法满足需求,因为进城不需要护照。 高端的医疗是很好的,这就是外国人的体验。但在其它领域也存在巨大压力。0 0 0 Bob Thornton I agree prices are higher now.

我同意,现在的价格更高一些。0 Peter Elliott Not sure exactly when it happened, but my middle class mates all went crazy lol. Food cost more, dentists cost more, basically everything doubled and not only that, they started getting taxed at a much higher rate.

不知道具体是什么时候发生的,但我的中产阶级朋友们都疯了,哈哈。食物更贵,看牙费用也更贵了,基本上所有东西的价格都翻了一番,不仅如此,他们开始以更高的税率纳税。0 Graham Symes A perspective from New Zealand. Early this year my wife had intense abdominal pain during the night so went to the hospital and was seen immediately. After scans and tests she was told she had gall stones and needed removal. Stayed overnight and had the surgery the next day and were at home that evening. The cost? Zero as it is all paid for by the government.

来自新西兰的观点。今年早些时候,我的妻子在晚上出现了剧烈的腹痛,所以去了医院,并立即得到了治疗。经过扫描和检查,她被告知她有胆结石,需要切除。她在医院住了一夜,第二天做了手术,那天晚上我在家。费用是多少呢?零,因为所有费用都是政府支付的。0 0 Whitla Lindsay I had to go to Shanghai from Vancouver as I was refused service at the hospital and don''t have a “family doctor”, and can''t get one. Oh yes and I lived, wouldn''t have done if I stayed in Canada. NZ has the same system.

我不得不从温哥华去上海,因为我在医院被拒绝服务,我没有“家庭医生”,也找不到家庭医生。哦,是的,我活下来了,如果我留在加拿大就不会这样了。新西兰也有同样的制度。0 Martin Brown It would be extremely rare for anyone in NZ to not receive immediate care if that was needed. Elective surgery dors take longer, and there are people living a long way out of town, but if necessary there are community funded helicopters.

在新西兰,如果需要立刻接受治疗,很少有人不接受治疗。选择外科手术医生需要更长的时间,如果有人住在远离城镇的地方,必要的话,还有社区资助的直升机。0 Whitla Lindsay And if a ragged homeless guy shoes up in emergency without an address suffering from debilitating pain? This one will “slip through the cracks” and his incipient heart failure will not be detected, he will die outside unnoticed.

如果一个衣衫褴褛的无家可归的人在紧急情况下没有地址,拖着虚弱的身躯忍受着疼痛呢?这个人会被漏掉,他早期的心脏衰竭不会被发现,他会死在外面,而不被注意。0 Martin Brown That would absolutely not happen in NZ.

这绝对不会发生在新西兰。0 Ronald Do It’s interesting that what you described is exactly how it is in Vietnam. People here also flood to big cities to get better care, and doctors have a hard time keeping up. I wonder is there any other countries that have the same model?

有趣的是,你所描述的正是越南的情况。为了得到更好的治疗,这里的人们涌入大城市,医生们也很难跟上他们的步伐。我想知道,是否还有其他国家有同样的模式?0 Khengchat Ng Our Malaysian health care system was rated third best after Uruguay and France. Being a small country, even big cities are easily accessible. The network of government clinics is second to none. Dirt cheap for citizens ( with high quality medicines to boot ). People prefer health centers closer to home as the quality is also there. Preventive medicine ( eg childhood immunizations are delivered to the grassroots.) Very proud of our system.

马来西亚医疗保险系统排名第三,仅次于乌拉圭和法国。作为一个小国家,即使是大城市也很容易到达。政府诊所网络是首屈一指的。对市民来说非常便宜(加上高质量的药品)。人们更喜欢离家近的诊所,那里的质量也不错。我们有预防医学(如向基层提供儿童免疫接种),我为我们的系统感到骄傲。0 S Harish How can they afford to have such low costs? The money has to come from somewhere. If not from patients, then from the government?

他们怎么能只负担如此低的成本呢?这些钱总得有个来源。如果不是来自病人,那么就是来自政府了是吗?0 Suman Kwan What are the cons compared to the one in Germany?

与德国相比,有什么缺点呢?0 Yawi Julo Like I said in the answer, the environment in Germany is normally better. The Germany insurance covers all. And what I like most is that in Germany you usually have a hausartzt (home doctor), whom you well know and trust.This could solve a lot doctor-patient relay problem.

正如我在答案中所说,德国的环境通常要好一些。德国的保险覆盖了一切。我最喜欢的是,在德国,你通常有一个家庭医生,你非常了解和信任他。这可以解决很多医患之间的中转问题。0 Rosemary Zhu A good part of Chinese government is that they are willing to learn the good parts of other government or system. Now Shanghai strat to copy the hausartzt from Germany. We have got a voucher from our community with the contact information of the home doctor few months ago. We haven’t contacted him yet, will see how the system goes.

中国的一个优点是,他们愿意学习其他政府或体制的优点。 现在上海开始学习德国的做法。几个月前,我们从社区得到了一张医疗券,上面有家庭医生的联系方式。我们还没有联系到他,让我们看看这个系统的运作情况吧。0 Simas Joneliunas The doctors seem to be overworked to their limit at the hospitals. I had food poisoning once and (as required by my employer) had to go to the hospital. I spent 6 hours in the queue waiting to see a doctor to be directed to take a urine/blood test. The system that allows you to go to hospital at any time is convenient but the convenience comes at the expense of doctors dealing with a flood of non-serious ailments that could be solved by diverting the traffic to community hospitals/pharmacies.

医生们似乎在医院里超负荷工作。我有一次食物中毒,(按照雇主的要求)不得不去医院。 我花了6个小时排队等待医生指示进行尿液/血液检测。 允许你在任何时候去医院的系统是方便的,但这种方便是以医生处理大量非严重疾病为代价的,这些疾病可以通过将人群转移到社区医院/药房来解决。0 Michael Cheung Thank you for your answer. I’ve learned from it. I have a colleague who was originally from Shanghai. She also told me that the doctors in China are not very well paid. She said that’s why patients are supposed to tip their doctor on top of the fees. Or maybe she was only referring to just surgeons in her examples to me? I can’t be sure. Is that true?

谢谢你的回答。我从中学到了很多。我有一个同事,他来自上海。她还告诉我,中国的医生收入不高。她说,这就是病人应该给医生小费的原因。又或者她只是在给我举例说明那个特定的外科医生?我不确定。这是真的吗?0 Mark King My turn, 10 years in China having been in many different countries, cities and country side. Agree with all BUT NOT the quality part. The truth is, this is a hit and miss. Sometimes you get one of the best other times you get the worst of the worst. Went to see an eye doctor, Xian, was told i had too much fire not enough water………. Went to see a doctor about an infection, was told from drunk doctor to stop drinking so much cold water (Shanghai) Best looking hospitals, fast service, cheap compared to other countries, fast Xrays and checks. Quality???????? hit and miss, take your chances.

轮到我回答了,我在中国生活了10年,去过许多不同的国家,城市和乡村。我同意你所有的观点,但不同意关于质量的观点。事实是,这是随机的。有时候你会得到最好的治疗,而有时候你会得到很坏的治疗。 在这里,我去看眼科医生,被告知我火大,所以眼涩。 在上海,因为感染去看医生,被喝醉的医生告知要停止喝那么多的冷水。 中国有最好的医院,快速的服务,比其他国家便宜,快速的x光和检查。质量怎么样?去碰碰运气吧。0 Jimme Tan In the West, there is an insufficient doctor to attend too many patients and that is the reason for the long wait. Sometime the patient would have dropped dead before any doctor could attend to the numerous patients.

在西方,没有足够的医生照顾太多的病人,这就是需要长时间等待的原因。有时候,在任何医生照料这个病人之前,这个病人就已经死了。0 Jens Hiller Which “West” are we talking about here?

你说的是哪个“西方国家” ?0 Jimme Tan My answer is more concerned with the Covid-19 which put great stress on the medical system in any country. I got to say that Germany is excellent in this case. It is very sad to see the UK is going through such a very stressful time. The US is a good example of a country of what coronavirus can do to any country if you delay in your respond and action against this very contagious disease. Your question gave me a jolt to be more specific regarding Europe, the UK and The USA. Germany is great.

我的回答的是,我更关心对任何国家的医疗体系都构成巨大压力的新型冠状病毒肺炎疫情。我不得不说德国在这方面做得非常好。看到英国正在经历如此紧张的时期,我们感到非常难过。美国是一个很好的例子,如果你延迟对这个传染病的反应和行动,冠状病毒会对任何国家造成影响。你的问题让我对欧洲、英国和美国的具体情况感到震惊。德国是伟大的。0 Whitla Lindsay Canada is one place like that.

加拿大就是这样一个地方。0 Siewling Loh My daughter then 5 years suffered a minor elbow dislocation. I went to the TCM (traditional Chinese medicine) section of the hospital in Xintan a small city outside Guanzhou and was immediately attended to. Got her elbow fixed in no time and was asked to come back in2 days time for a follow up check up. Cost us something like 200RMB. My friend’s SIL is a doctor and they are not highly paid like in the West.

在我的女儿5岁时,她的肘关节轻微脱臼。我去了位于新潭医院的中医部,它位于广州城外的一个小城市,医院立即给我女儿治疗。她的胳膊肘很快就治好了,并被要求两天后再来做一次后续检查。花了大约200元。我的朋友是一名医生,他们的薪水不像西方那样高。0 Mateus Mahumane Many people will say you are paid, you are communist because you don’t vilify China

许多人会说你是被付钱雇佣的,说你是xx主义者,因为你没有说中国的坏话0 Rei Yan “If there is something positive about China, it must be CCP lies spread by Wumaos.”Whether it is politics or just normal daily life, they will always try to bash China.

“如果说中国有什么积极的一面,那一定是五毛散布的谎言。”无论是政治还是日常生活,他们总是试图抨击中国。0 Whitla Lindsay I like China and people always call me wumao. Never heard of the phrase before Quora. Have no idea what it means.

我喜欢中国,人们总是叫我五毛。我之前从没听说过这个词。我不知道这是什么意思。0 Bruce Mah You don''t need to know. Just be yourself and you are fine.

你不需要知道,做你自己就好了。0 Emanuel Oprisan I''ve been living in 4 different European countries, plus mine,…never ever had to wait for medical care in ANY of them, France, Ireland, Spain, Romania, when you are sick you are sick and by law you get FREE health care. I speak from my own experiences, Europe is one of the best if not the BEST since it''s FREE.

我在四个不同的欧洲国家生活过,还有我的国家,从来没有等待过医疗护理,在任何一个国家----法国,爱尔兰,西班牙,罗马尼亚----当你生病的时候,根据法律,你可以得到免费的医疗护理。根据我自己的经验,欧洲即便不是最好的,也是最好的之一,因为它是免费的。0 En Li Is it “free” as a result of the medical insurance?

它是由于医疗保险而“免费”的吗?0 Emanuel Oprisan It IS ALWAYS FREE if it is an emergency, no question asked, does not matter if you have or NOT insurance. In a day by day normal check up, obviously you wait your turn, make appointment etc. BUT if you are really sick…no hospital in Europe will deny you treatment foras long as necessary. FACT.

如果是紧急情况,它是免费的,毫无疑问,不管你是否有保险。在平时的正常体检中,显然你需要排队,预约等等。如果你真的生病了,欧洲没有一家医院会拒绝治疗你。这是事实。0 William Chen Same in my country, Costa Rica. It''s free if it''s an emergency and you don''t have thw money to pay.

在我的国家哥斯达黎加也是一样。如果是紧急情况,你没有钱支付医疗费用,它会是免费的。0 Kevin Wang Never wait? You are really blessed, I wait, every single time, for general practitioner (or family doctor), can be as soon as next day, for hospital or specialist, “next week” can be considered real quick, normally weeks, and months, and I am not kidding about it.

从不等待?你真的很幸运,我每一次都需要等待,普通科医生(或家庭医生)最快需要等到第二天,医院或专科医生最快需要等到下周,也可能是几个星期,几个月,我没有开玩笑。0 Krishna S If this is the case, why is it that people are leaving China in large numbers to immigrate to the western countries?

如果是这样的话,为什么会有大量的人离开中国移民到西方国家?0 Jamie King Why do a lot of people want to emigrate to the US? It’s obviously not because of their fantastic health system.

为什么有那么多人想移民到美国?这显然不是因为他们的医疗体系。0 Jus Chen there are lots of factors people care about, healthcare is only one of them. Actually some people choose to ignore this factor when they are young and strong.

人们关心的因素有很多,医疗只是其中之一。事实上,有些人在年轻和强壮的时候选择忽略这个因素。0 Joe Joe more money, western countries usually have a higher gdp per capita

因为更多的钱,西方国家通常有更高的人均gdp0 Roger Jiang Since the Chinese govt launched the Rural Cooperative Healthcare Insurance Scheme (RCHIS) in 2009, Chinese farmers enjoyed comprehensive medical coverage for an annual insurance premium of merely 50 US dollars. In 2018, the Chinese govt upxed the Essential Drug List - the costs of drugs on this List would be reimbursed by various public medical insurance schemes, including the RCHIS. This list now includes mant expensive drugs, such as the Insulin Glargine, a kind of long lasting 3rd generation insulin that is now widely used in developed countries, and Herceptin, a highly effective anti-breast cancer drug. I wonder how many developing countries, while boasting free healthcare, reimburse the usage of Insulin Glargine and Herceptin?

自2009年中国推出农村合作医疗保险计划以来,中国农民每年只需缴纳50美元的保险费,就可以享受到全面的医疗保险。 2018年,中国更新了基本药物清单——清单上的药物费用将由各种公共医疗保险计划报销。 这份清单现在包括了许多昂贵的药物,如甘精胰岛素和赫赛汀,前者是一种长效的第三代胰岛素,目前在发达国家得到广泛应用,后者是一种高效的抗乳腺癌药物。 我想知道有多少发展中国家在吹嘘免费医疗的同时,还补贴了甘精胰岛素和赫赛汀的费用?