Obstetrics and gynecology, once one of the fastest growing departments in private medical institutions, is now in trouble due to a variety of factors. According to the latest report, two more maternity hospitals have been forced to close or cancel due to poor management. Weifang a maternity hospital Co., Ltd. issued a bankruptcy reorganization notice.
The announcement said that due to the impact of the epidemic in three years, the overall social and economic downturn in the post-epidemic era, and the impact of the national fertility rate, the hospital has been difficult to operate, and there is a serious insolvency situation. After the company study decided: the hospital bankruptcy reorganization business.
It is understood that the hospital is a second-level chain high-quality maternity hospital, with a construction area of more than 11,000 square meters, mainly to carry out obstetrics, gynecology, family planning, medical maternal and child care, postpartum rehabilitation and other diagnosis and treatment projects.
It is worth noting that similar dilemmas are not unique. A number of maternity hospitals have been closed in recent years.In August, a maternity hospital in Wuhu declared bankruptcy. The court found that the hospital had more than 411 million yuan of debt due, but the value of its assets available for disposal was less than 400,000 yuan, the employee’s claims were not enough to pay off the debt in full, and the assets were obviously not enough to pay off the debt due, meeting the conditions for statutory bankruptcy.
Looking back to May last year, the news of a private maternity hospital “thunder” once caused a sensation in the industry, the medical group that took advantage of the “two-child” policy to develop rapidly and go public in the peak in the country had 17 hospitals, but in 2021 delisted, and accompanied by a number of hospital closures.
According to data from the China Health Statistics Yearbook, the number of maternity hospitals in the country declined twice in 2020 and 2021, and by 2021, the number had fallen below 800. In this wave of closures, small township health centers, large to top three public hospitals, whether public or private, large and small medical institutions have not been spared.
“Explore the extension of the whole life cycle medical services for women and children on the basis of obstetrics and gynecology”, which is a proposal for the transformation of obstetrics and gynecology business repeatedly called for by Professor Duan Tao, a well-known expert in obstetrics and gynecology in China, many years ago.
Professor Duan Tao believes that in the current decline in birth rates, obstetrics is inevitable to usher in a transformation, and the transformation direction can consider the following points:First of all, from the single obstetrics business to the whole life cycle of maternal and infant medical services;Second, the transition from gynecologist to female general practitioner;In addition, obstetrics and gynecology should gradually realize the transformation from solving the simple medical needs of women to helping women’s health, beauty and confidence.
In the article “Outlook”, the interviewed health departments and obstetrics experts said that midwifery service is a basic medical service, related to the safety and health of mothers and children, and is related to the happiness of thousands of families. The closure of obstetrics should fully consider factors such as population distribution and traffic conditions, strengthen the planning and layout of obstetrics, improve the quality of obstetric services, reserve obstetric talents, ensure the safe and accessible supply of obstetric services, effectively ensure the bottom line of safeguarding maternal and child safety, and promote the high-quality development of obstetrics.
Yu Lamei, deputy director of obstetrics of Jiangxi Provincial Maternal and Child Health Care Hospital, said that the purpose of establishing obstetrics is to ensure the safety and health of mothers and children, and the closure of obstetrics in some hospitals has triggered hot discussions, mainly because everyone is concerned about the core issues of which hospital to give birth to children in the future, which doctor to find, how to give birth to safety, which is also the core concern of obstetricians. “The number of births in our hospital has been stable at more than 20,000 for eight consecutive years, and people are willing to come to a big hospital to give birth, in fact, to ensure the safety of mothers and babies.”
The reporter found that while some county and township medical institutions and specialized hospitals shut down obstetric services, the number of births in some regional leading maternal and child health hospitals is continuing to grow.
Huang Renying, deputy director of obstetrics at Ganzhou Maternal and Child Health Hospital, said that the number of births in the hospital has been increasing in the past two years, and the number of births in the hospital last year was nearly 7,000, which both benefited from the opening of the new hospital area, but also from the improvement of the obstetrical service capacity and level of the hospital, including the launch of online and offline pregnant women’s schools, the opening of free midwife clinics, and the setting up of more single-room wards and home wards. “We can’t interfere with fluctuations in deliveries, but we can improve service capacity.”
Experts said that it takes at least ten years to train good obstetricians, obstetrics is easy to shut down, difficult to reopen, brain drain is easy, difficult to train. If the number of pregnant women increases in the future, it is difficult to temporarily deploy manpower to do obstetricians, but the birth of children can not wait, and it is also necessary to do a good job in the training and reserve of talents.
They suggested that through improving the comprehensive assessment of obstetrics, increasing the tilt of internal performance in hospitals and other ways, effectively improve the treatment level of obstetric medical personnel, stabilize the team of obstetric medical personnel, and effectively solve the development dilemma of obstetrics.
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