Healthcare Should Not Be a Profit MachineBy Jan Hogewoning | Mon, 09/14/2020 - 16:11
Q: What makes Hospital Rio de la Loza one of the Top 5 hospitals in gynecology and obstetrics?
FRL: Our hospital puts patients first and we make sure to know what the patient needs at every moment. It is important to supervise a patient from the moment they arrive, to when they receive surgery and their hospital stay afterward. Our hospital also invests in new technologies and procedures. With new equipment and devices, we always put safety first. Another aspect that helps our operations greatly is a separate administrative unit that helps to run the hospital in terms of management.
JRL: The experience of more than 50 years that we carry in the business, the professionalism and human quality that we offer to our patients, based on and always fulfilling our mission and institutional vision that is to provide comprehensive, timely and effective care in all ailments of women, thus seeking a better quality of life in all senses, staying at the forefront in medical techniques and being a hospital of international quality, based on respect, honesty, professionalism and human warmth of our staff. It is worth mentioning that we are also certified by the General Health Council.
Q: What alliances does the hospital have with other institutions?
FRL: We work with other medical institutions and universities. We have a program with the University of the State of Mexico, offering residencies for medical students. We have a program on laparoscopic procedures that serves the whole country and is supported by CONACYT. We also have collaborations with medical institutions in Miami, New York, Brazil and Argentina. We provide doctors from other institutions the opportunity to come and study here, using our simulators to practice procedures like hysterectomies.
JRL: As a result of the COVID-19 pandemic, we have donated equipment to public hospitals as support to their facilities, also derived from the agreement Juntos por la Salud (Together for Health). Part of this was an agreement reached between the health sector, the National Association of Private Hospitals (ANHP) and the Mexican Hospital Consortium (CMH) to support public health in cases of gynecology and obstetrics since the saturation of public hospitals has exceeded their capacity. This did not allow them to serve in the best way to non-COVID-19 cases. With this agreement these patients are more protected and less likely to becoming infected.
Q: What do you think about the growth of ambulatory care?
FRL: I think ambulatory care can very useful. However, it should not be used as an excuse to cut costs through shorter hospitalization periods. In other words, there should not be a commercial motive behind these types of alternatives. A colleague of mine in the US told me he conducts hysterectomies on patients, and the same day these patients are allowed to go home. Care should be applied where the health risks are low. There should not be big risks involved.
Q: What is your recommendation for the hospital sector to create patient-focused care?
FRL: I believe the relationship between insurers, doctors and hospitals is far from ideal. Insurers have a tendency to avoid risks. They apply a lot of pressure on hospitals when it comes to meeting standards, while at the same time not taking responsibility. Doctors conduct unnecessary operations under pressure from insurers. Unnecessary consults have to be avoided so that patients can be tended to properly. Insurers also tend to pay very late. They need to realize that if hospitals did not exist, neither would their service.
Doctors remain underpaid and have to work overtime all the time. Meanwhile, they are expected to go to conferences and continue learning new about new topics. The public sector is overburdened. This is a problem that needs to be addressed by the government. Some doctors consult 30 patients in four hours. Something has to change. When it comes to residencies, we have a big deficit in openings for students. They are saddled with financial pressure as they are expected to pay their way through school and buy their books, all the while receiving minimal support. I feel that the government is using doctors, not supporting them.
Q: What are your goals for 2020-2021?
FRL: We are building a hotel at our facilities with the purpose of facilitating medical tourists. This hotel will also serve as lodging for doctors who come here for training. Together with our partners abroad, we will continue training doctors. At the same time, we are working to expand the number of beds and rooms at the hospital.
To address some of the issues I see in the sector, I would like to work to establish a union for doctors. At a national level, doctors do not have enough representation. They provide something that is extremely important to our society and deserve better.
JRL: As Dr. Rio de la Loza commented, one of our goals is the construction of a hotel for medical tourism and comfort for the patients' families. We are increasing the capacity of our parking lot; we also want to make a small shopping plaza so that our guests and patients have more services at hand.
We recently made a significant investment in the renovation of our operating rooms and the construction of a new one, we also raised the white corridor, and a corporate building for our administrative collaborators. This investment takes us to a new level, where our services will provide greater security, comfort and quality.
Hospital Rio de la Loza is a multidisciplinary clinic focused on providing comprehensive, timely and effective care for women and babies. Treatments include tomosynthesis, birth procedures and various surgeries, including gynecological and plastic surgery