Shocked: the United States, this subversive "bedless hospital"

With the increasing demand for minimally invasive treatment, shortened recovery time after diagnosis and treatment, a new hospital model has emerged: bedless hospitals. They have all the functions of a traditional hospital: the operating room, the infusion ward, and even the emergency room. The only thing they don't have is an overnight bed.

Cost management and hospital miniaturization promote bedless hospitals

Brecksville, Ohio Metropolitan Medical Systems (The MetroHealth System), has just opened a free hospital bed, spending $ 48 million. As we all know, Cleveland is a medical center with three famous hospital systems worldwide: Cleveland Clinic, The MetroHealth System and University Hospitals.

After completion, it is expected to serve 3,000 people in the first year. As for the benefits of a hospital without a hospital bed, Dr. Akram Boutros, CEO of Metropolitan Medical Systems, said, “It can effectively reduce the cost of treatment and the risk of infection. People staying at home in such a low-risk environment can recover more quickly.”

A bedless control room for the MetroHealth System

In the United States, the increasing number of outpatients is a major shift and trend. In the case of the Metropolitan Medical System alone, the number of outpatients has increased from 850,000 to 1.2 million in the past four years, an increase of more than 40%, and part of the funding from taxpayers needs to support the Medicaid (Medicaid, the largest in the United States). Medical welfare plan) A large population. Outpatient income is more used to subsidize more expensive hospitalizations.

One of the drivers of the hospital's “bedlessness” trend is cost. Under the dual pressure from insurance companies and patients, the hospital system is gradually turning to low-cost outpatient care, and the outpatient care is usually more profitable than hospitalization.

In addition, medical institutions are slowly transforming into miniaturization, more efficient, more flexible, and more focused. The ideal treatment is that patients can get most of the medical care in a small clinic near their home, and there is no need to transfer multiple places to receive treatment. Especially with the advancement of technology, such as telemedicine , virtual care and other technical applications, people do not need to go to the big hospital to run hospitalization.

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