How Hong Kong’s private hospitals are failing their patients
Shalini Mahtani says new legislation is needed to ensure private hospitals have doctors on site at all times, with a mandated minimum number, greater transparency and regulations to avoid conflicts of interest
In this era of customer empowerment and transparency, Hong Kong’s private hospitals are falling behind the times, putting patients at risk.
Those who opt for private hospital services typically do so because they expect superior service to that in public hospitals. One reasonable expectation is that private hospitals always have doctors on site.
Yet, private hospitals are not actually required to have a doctor on site at all times – the result of health care legislation drafted in 1936. This law is currently – and thankfully – being reviewed by the Legislative Council, with one new proposed requirement being that private hospitals must have resident doctors on site at all times.
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This is a welcome move. Having on-site doctors is critical to any hospital and especially those that cater to an ageing population. Older people’s health can change very quickly and relying on a nurse to call a visiting doctor takes precious time, putting lives on the line. This is equally true for paediatric and seriously ill patients.
However, this does not go far enough to protect patients.
To begin with, the new law should mandate a minimum ratio of doctors to hospital beds. A small hospital with fewer beds would need fewer doctors on site than a large hospital with more beds. Would anyone want one resident doctor in charge of 400 patients?
