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发表于 2010-11-16 20:13:52
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本帖最后由 zcsdtc 于 2010-11-16 22:41 编辑
The author of this report asserts that the treatment in smaller, nonprofit hospitals is more economical and better in quality than that in larger, for-profit hospitals. The conclusion is based on the compare between Saluda hospital and Megaville hospital: the time spent in hospitals, the cure rate of hospitals, the number of employees for per patient and the complaints about hospitals. However, after further consideration, I find some problems with the author’s contend.
First, these two kinds of hospitals are probably not able to compare in medical treatment. On the one hand, the large, for-profit hospitals, like Megaville hospital, are built for the higher level of service for patients, which put more difficult, higher demand diseases as their priority to solve. So the equipments in them are more advanced than other small hospitals and the patients are more dangerous in physical statement than those in the small, which needs higher level of doctors in diagnosis and therapy to deal with the patients. On the other hand, the small, nonprofit hospitals , like Saluda hospital, are in a different situation, which means simpler in treatment, and that the devices are not as advanced as those in large ones. So the compare between both of them is not appropriate and reasonable.
Secondly, the report points out that the length of a patient’s stay in Saluda hospital is shorter than that in Megaville hospital to support the conclusion. As I mention, the situation of patients in both of them is so different that the comparison is meaningless and useless. We can’t compare the person who is losing his life with one suffered a cold, thereby we cannot conclude that the shorter the length is , the better the hospital is, which is not fair and convinced.
Moreover, the cure rate of these two hospitals is compared is none of sense in judging which hospital is better in treating patients. For example, Megaville hospital is good in the therapy for cancer. The patients they treat almost have cancer. As we know, the cancer is hard to defeat in most time. So the cure rate is definitely lower than that of Saluda hospital which treats cold or fever mainly.
In addition, the number of employees for per patient is different in two hospitals. Maybe most of the employees in Saluda hospital are cleaners. Even assuming all the employees are doctors and nurses, it is also very likely that since their effectiveness is very low and their skills are not as good as Megaville hospital, thus the hospital needs so many employees. And it is possible that because the expenditure in Saluda is so low that the patients are not willing to complaining or maybe the patients are all local people that they are familiar with the employees of Saluda’s so that they are embarrassed to complain.
Finally, even if the treatment in Saluda hospital is really more economical and better than that of Megaville hospital, it can also not conclude that the treatment in all smaller and nonprofit hospitals is cheaper and better than all larger, for-profit hospitals. Because Saluda hospital and Megaville hospital are only two special examples, we cannot draw a general conclusion from two examples, especially that they are not representative at all.
In sum, the author’s conclusion is unsupportive and unreasonable. For convincing readers, some further investigations should be promoted and reevaluate the results of investigations. Then a conclusion based on these is convinced and valid.
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