How does hospital admission work. What are the different types of hospital admissions. What should you expect during a hospital stay. How can you prepare for a planned hospital admission. What happens during an emergency hospital admission. How do hospitals categorize inpatient services. What is the difference between inpatient and observation status.

Understanding Hospital Admissions: Types and Processes

Hospital admissions can be a complex process, with various types and procedures depending on the patient’s medical needs and circumstances. Understanding how hospital admissions work can help patients navigate the healthcare system more effectively and reduce anxiety associated with hospital stays.

There are two main categories of hospital admissions:

• Planned admissions
• Unplanned (or urgent) admissions

Each type of admission follows different procedures and involves distinct steps. Let’s explore these in more detail.

Planned Hospital Admissions

Planned admissions, also known as elective admissions, are scheduled in advance for procedures or treatments that are not immediately life-threatening. These typically involve the following steps:

1. Referral from a primary care physician to a specialist
2. Specialist consultation and assessment
3. Additional tests or examinations as needed
4. Decision on treatment plan and hospital admission
5. Scheduling of the hospital stay and procedure

Is a planned admission always for surgery? Not necessarily. While many planned admissions are for surgical procedures, some may be for non-surgical treatments or diagnostic tests that require an overnight stay.

Unplanned (Urgent) Hospital Admissions

Unplanned admissions occur when a patient requires immediate medical attention due to a sudden illness, injury, or worsening of an existing condition. These admissions typically happen through:

• Emergency department visits
• Ambulance transport to the hospital
• Direct admission by a physician due to urgent medical needs

In these cases, the admission process is expedited to ensure the patient receives prompt medical care.

Inpatient Services: Surgical and Non-Surgical Care

Once admitted to the hospital, patients may receive various types of inpatient services. These services are generally categorized into two main groups:

Surgical Inpatient Services

Surgical inpatient services involve procedures that require an operating room and often necessitate an overnight stay or longer for recovery. Examples include:

• Total knee or hip replacement
• Spine surgery
• Tumor removal
• Emergency surgery (e.g., appendectomy for appendicitis)

Non-Surgical Inpatient Services

Non-surgical inpatient services focus on medical treatment and management of various conditions without the need for surgery. Some common examples are:

• Treatment for heart attack (myocardial infarction)
• Stroke care
• Pneumonia management
• Intravenous antibiotic therapy for severe infections
• Care for chronic obstructive pulmonary disease (COPD) exacerbations
• Treatment for gastrointestinal bleeding
• Administration of certain chemotherapy regimens
• Psychiatric care for severe mental health conditions

How long do patients typically stay for inpatient services? The length of stay varies widely depending on the condition, treatment complexity, and individual patient factors. It can range from a single night to several weeks or even months in some cases.

Observation Status: The Middle Ground Between Outpatient and Inpatient Care

In addition to inpatient and outpatient services, hospitals also utilize an intermediate category called observation status. This designation is primarily used for billing purposes and is a requirement of Medicare, Medicaid, and many insurance companies.

Observation status typically applies to patients who:

• Require short-term monitoring and evaluation
• May need care for up to 24-48 hours
• Do not meet the criteria for full inpatient admission

From the patient’s perspective, observation status may feel similar to an inpatient stay, as it often involves an overnight stay in the hospital. However, it is important to note that this status can affect billing and insurance coverage differently than a full inpatient admission.

How does observation status impact patient care? While the level of medical attention remains high, patients under observation may not have access to certain inpatient services or may face different cost-sharing requirements depending on their insurance plan.

Four Pathways to Hospital Admission

Understanding the various ways a patient can be admitted to the hospital is crucial for navigating the healthcare system effectively. There are four primary pathways to hospital admission:

1. Scheduled Admission

Scheduled admissions are typically arranged for planned procedures, often referred to as elective surgery. It’s important to note that “elective” in this context doesn’t necessarily mean optional; rather, it indicates that the timing of the procedure can be planned in advance.

Examples of scheduled admissions include:

• Joint replacement surgeries
• Planned cancer treatments
• Non-urgent cardiac procedures

How far in advance are scheduled admissions typically planned? The timeline can vary widely, from a few days to several months, depending on the urgency of the procedure and the hospital’s capacity.

2. Emergency Admission

Emergency admissions are one of the most common routes into the hospital. These occur when a patient arrives at the emergency department (ED) with acute symptoms or conditions that require immediate attention and subsequent hospitalization.

The process typically involves:

1. Patient arrival at the ED
2. Triage and initial assessment
3. Diagnostic tests and examinations
4. Decision by the emergency physician to admit
5. Transfer to an appropriate hospital unit

What conditions commonly lead to emergency admissions? Some frequent reasons include severe pain, difficulty breathing, uncontrolled bleeding, and acute exacerbations of chronic conditions.

3. Direct Admission

Direct admissions occur when a physician determines that a patient requires immediate hospitalization without going through the emergency department. This can happen in two main scenarios:

• During an office visit, when a doctor finds the patient’s condition serious enough to warrant immediate hospital care
• Via phone consultation, where the doctor assesses the patient’s symptoms and decides on direct hospital admission

A common example of direct admission is for labor and delivery in pregnant women.

How does direct admission differ from emergency admission? Direct admissions often bypass the emergency department, potentially reducing wait times and streamlining the admission process for patients with known conditions requiring hospitalization.

4. Transfer Admission

Transfer admissions involve moving a patient from one healthcare facility to another. This can occur for various reasons:

• The receiving hospital has specialized capabilities not available at the original facility
• The patient requires a higher level of care
• Insurance or personal preferences necessitate a transfer

Transfers can originate from other hospitals, urgent care centers, or free-standing emergency rooms.

What factors determine the need for a hospital transfer? Common reasons include the need for specialized treatments (e.g., cardiac catheterization for heart attacks), access to advanced diagnostic tools, or the availability of specific medical experts.

Public vs. Private Hospital Admissions: Understanding Your Options

When being admitted to a hospital, patients often have the choice between public and private healthcare options. This decision can significantly impact the admission process, treatment experience, and associated costs.

Public Hospital Admissions

Public hospitals in many countries offer services to all citizens, often at reduced or no cost, depending on the healthcare system. When admitted to a public hospital:

• Patients are typically treated based on medical need rather than ability to pay
• Wait times for non-emergency procedures may be longer
• Patients usually don’t choose their treating doctor
• Costs are generally lower, especially for those covered by public health insurance

Private Hospital Admissions

Private hospitals offer an alternative for those with private health insurance or those willing to pay out-of-pocket. Features of private hospital admissions often include:

• Shorter wait times for elective procedures
• Choice of treating doctor
• Private or semi-private rooms
• Potentially more personalized care
• Higher out-of-pocket costs, depending on insurance coverage

How does one decide between public and private hospital admission? The choice often depends on factors such as the urgency of care needed, personal financial situation, insurance coverage, and individual preferences for healthcare delivery.

Preparing for a Hospital Admission: Essential Steps and Considerations

Whether your hospital admission is planned or unexpected, being prepared can significantly improve your experience and potentially your health outcomes. Here are some key steps to consider:

For Planned Admissions:

1. Gather all necessary medical documents and test results
2. Make a list of current medications and allergies
3. Arrange for time off work and care for dependents or pets
4. Pack essential personal items and comfort objects
5. Understand your insurance coverage and potential out-of-pocket costs
6. Discuss the procedure and recovery process with your doctor
7. Consider appointing a healthcare proxy

For Unplanned Admissions:

While you can’t prepare in advance for an emergency, it’s helpful to:

• Keep a list of current medications and allergies in your wallet or phone
• Have emergency contact information readily available
• Know your insurance information and keep your card with you
• Have a basic overnight bag packed at home that someone can bring to you

What should you bring to the hospital? Essential items typically include identification, insurance cards, comfortable clothing, toiletries, and any necessary medical devices or aids. For longer stays, consider bringing books, electronics, and other items to help pass the time.

Navigating Hospital Billing and Insurance: What Patients Need to Know

Understanding hospital billing and insurance processes can be challenging, but it’s crucial for managing healthcare costs effectively. Here are some key points to consider:

Insurance Coverage and Pre-authorization

Before a planned admission, it’s important to:

• Verify that your insurance covers the procedure and hospital stay
• Understand your deductible, copayments, and out-of-pocket maximums
• Obtain pre-authorization if required by your insurance plan
• Check if all providers involved in your care are in-network

Understanding Hospital Charges

Hospital bills can be complex. They may include charges for:

• Room and board
• Nursing care
• Medications
• Laboratory tests and imaging studies
• Surgical procedures and operating room fees
• Specialist consultations

How can patients ensure their hospital bills are accurate? It’s advisable to keep a record of all services received during your stay and compare this with your itemized bill. Many hospitals offer financial counseling services to help patients understand and manage their bills.

Dealing with Billing Discrepancies

If you notice errors on your hospital bill:

1. Contact the hospital’s billing department promptly
2. Request an itemized bill if you haven’t received one
3. Ask for explanations of any charges you don’t understand
4. Work with your insurance company to resolve any coverage issues

What resources are available to help patients with hospital billing issues? Many hospitals have patient advocates or financial counselors who can assist with billing questions and concerns. Additionally, there are third-party services that can review and negotiate medical bills on your behalf.

Patient Rights and Responsibilities During Hospital Admissions

Understanding your rights and responsibilities as a patient is crucial for ensuring the best possible care and experience during a hospital stay. Here’s an overview of what you should know:

Patient Rights

As a patient, you have the right to:

• Receive respectful and non-discriminatory care
• Be informed about your diagnosis, treatment options, and prognosis
• Participate in decisions about your care
• Refuse treatment (within legal limits)
• Have your privacy and confidentiality protected
• Access your medical records
• Receive visitors (subject to hospital policies)
• Have your cultural and spiritual needs respected
• Receive information about hospital charges and your insurance coverage

Patient Responsibilities

Patients also have responsibilities, which include:

• Providing accurate and complete information about your health history
• Following treatment plans and medical advice
• Asking questions when you don’t understand something
• Respecting hospital rules and the rights of other patients and staff
• Meeting financial obligations or seeking assistance if needed
• Informing staff of any changes in your condition

How can patients effectively advocate for themselves during a hospital stay? It’s important to communicate openly with your healthcare team, ask questions, and voice any concerns you may have about your care or treatment. Don’t hesitate to request a patient advocate if you need additional support or clarification.

Advance Directives and Healthcare Proxies

Consider preparing or updating these important documents before a hospital admission:

• Advance directives: Legal documents that outline your wishes for medical care if you become unable to make decisions for yourself
• Healthcare proxy: A person you designate to make medical decisions on your behalf if you’re incapacitated

Why are advance directives important? They ensure that your healthcare preferences are respected even if you can’t communicate them yourself, reducing stress for both you and your loved ones during difficult times.

How hospitals work: when you are admitted

Inpatient services mean you have been admitted to the hospital, and you will stay overnight, several nights or even weeks to months.  Generally, inpatient services can be broken down into two categories: Surgical and Non-Surgical.

Examples of Surgical Inpatient Services include:

• Total knee or hip replacement
• Spine surgery
• Tumor removal
• Emergency surgery (appendectomy for appendicitis, trauma from motor vehicle accident)

Some examples of Non-Surgical Inpatient Services include:

• Heart attack (the medical term of which is a myocardial infarction or MI for short)
• Stroke
• Pneumonia
• Severe skin infection requiring IV antibiotics
• Emphysema exacerbation (the medical term of which is COPD)
• Stomach or intestinal bleeding
• Administration of some chemotherapy for cancer
• Psychiatric admission for extreme psychosis or depression

Additionally, there is a situation ‘between’ being an Outpatient, and an Inpatient and that is called Observation (sometimes called a 23-Hour Stay).

To you, the patient, it seems like an Inpatient Stay because you invariably ‘stay’ overnight at the hospital.  However, observation is a status used by the hospital for billing purposes — it is a requirement of Medicare, Medicaid, and insurance companies.  

There are four ways to be admitted for an Inpatient or Observation Stay:

• Scheduled Admit: typically done for scheduled surgery. Of note, scheduled surgery is referred to as Elective Surgery.  Now, you could have a tumor that ‘has to be removed,’ so YOU might not think it is ‘elective.’  However, the term ‘elective’ in this context refers to the date and time of the surgery.  Accordingly, the opposite of elective surgery is Emergency Surgery (i.e., one cannot ‘elect’ when to have the surgery, you have to have it right away, e.g. an appendectomy for appendicitis).
• Emergency Admit: probably the most common route of admission is via the emergency department (abbreviated ED; hospitals don’t like to call it an ‘emergency room’ anymore, it is now considered a ‘department’). Typically, you will go to the ED with some symptom (e.g., pain, difficulty breathing, bleeding). The emergency physician determines that your condition cannot be addressed just in the ED, so he or she admits you ‘to the floor’ (which means into the hospital).
• Direct Admit: you could have gone to a doctor’s office appointment, and the doctor finds you to be so ill that he or she can call the hospital and have you directly admitted to the hospital.  Additionally, you could talk to your doctor over the phone and based on the phone conversation the doctor decides that you need to go directly to the hospital.  An example of this last scenario is most frequently not an ‘illness,’ but rather a direct admit for labor & delivery (i.e., having a baby)
• Transfer: you could be at a hospital, or you could be at one of these free-standing urgent care centers or ERs, and you could be transferred to another hospital.  Typically the reason for this is that the ‘accepting’ hospital has some capability that the other facility doesn’t (e. g., cath lab to place a stent for a heart attack).

With Alight’s healthcare navigation services, our Health Pro consultants can assist you in reviewing your bills after a hospital stay to make sure you are charged correctly. 

Types of hospital admission – Better Health Channel

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Summary

Read the full fact sheet

• If you plan to go into hospital, it usually involves a doctor or specialist giving you a referral.
• Urgent (‘unplanned’) admission to hospital involves a sudden health issue that needs you to go to an emergency department or call an ambulance.
• When you get to a public hospital, you will be asked whether you would like to be a public patient or a private patient.
• Ask your doctor about your options so you can make the right choices.

It is good to have an understanding of the different ways you can be admitted to the Victorian hospital system so you can plan your hospital stay.

How you are admitted into hospital will vary depending on whether your visit is planned or unplanned.

Planned admission

If your hospital admission is planned, how you are admitted depends on whether you are going to a public or private hospital, what kind of treatment you are receiving and how urgent your treatment is.

Before going into hospital, your doctor will usually give you a referral to see a specialist, and you will need to contact the specialist clinic and make an appointment. The specialist will assess you and may send you for further tests to assess your health issue, before deciding what kind of treatment you require and whether you need to go into hospital for treatment or surgery. At this stage, you will also be told how long you will have to wait for treatment.

In public hospitals, your waiting time for planned surgery (also known as elective surgery) depends on how urgent your condition is, which is determined by the specialist who admits you to hospital. In a public hospital, you may not be able to choose your treating specialist.

In private hospitals, you will generally not have to wait as long for treatment and you can choose who your doctor is, but there are costs for this type of treatment.

Sometimes, even if you plan to go into a private hospital, the best place for your treatment may actually be in a public hospital. This is because the public hospital may have the best equipment, facilities and specialists for a particular health problem or treatment.

Once in hospital, you will stay in a hospital ward. How long you stay in hospital will depend on the treatment you need. For minor procedures, you may only need to stay for a day, but for ongoing treatment or major surgery, you will need to stay for longer.

Unplanned (urgent) admission

You may arrive at hospital in your own transport or in an ambulance. This is known as an ‘unplanned presentation’.

If your condition is unexpected and you need urgent treatment, you will be admitted through the emergency department on arrival at hospital – this is done through a process known as ‘triage’.

A specialist emergency nurse, called the triage nurse, will assess your condition, provide first aid and work out how quickly you need treatment.

You may be asked to wait in the waiting room. How long you have to wait depends on how busy the emergency department is at the time and whether there are other patients with more serious and urgent conditions than you.

Choosing to be a public or private patient

You may choose to be a public or private patient when you go into hospital.

If you are a public patient in a public hospital, there will be no cost for hospital or medical services. If you are a private patient in a public hospital, you or your health insurance company will have to pay for some services. Your health service should explain any costs involved in your care.

Read more about the difference between private and public healthcare costs in Hospital costs and payments.

Questions to ask before starting hospital treatment

It is important to ask your doctor the right questions about your medical treatment so you can make informed choices when the time comes to go into hospital.

When you are talking with your doctor, be sure to ask:

• Can I choose my specialist and if so, who will it be?
• Which hospital am I going to?
• How long am I likely to be there?
• What are my treatment options and the benefits and risks of each option?
• What are the likely consequences of not having treatment?
• How long am I likely to have to wait for my treatment?

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Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances. The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website.

Reviewed on: 02-06-2023

90,000 How to get admitted to the hospital. With what diagnosis can one go to the hospital? But, as luck would have it, a cold bypasses, and the dirty apple eaten the day before did not cause diarrhea. If you are in this category of people, then for you instructions on how to get to the hospital.

Trying to get sick

If you need not just sick leave, but you want to spend a week in a hospital bed, then you need to get sick. To do this, drink hot tea and then swallow a few pieces of ice. If it’s winter outside, you can go outside. Angina is almost guaranteed to you. The next day, you will not think about how to get to the hospital, because a high temperature and a strong reddening of the tonsils will be the result of all efforts. However, this does not guarantee that you will be referred to a hospital, but you can make a very sad and painful look, saying that you feel very bad.

Not quite humane ways

If you are interested in knowing how to get to the hospital, then you will certainly stop at nothing. You can try to break your leg, swallow pills and do everything to make you really feel bad. But remember! You sacrifice your health, there is even a risk of death. Do you need it? Isn’t it better to go on vacation at your own expense?

Simulating appendicitis

You don’t have to sacrifice your health to get to the hospital. Pretend you are sick. For example, call an ambulance and tell them about symptoms such as severe pain in the right side or abdomen, nausea, vomiting. Specify what hurts unbearably. You will definitely be sent to the hospital to rule out inflammation of the appendicitis. By the way, to make everything look more natural, lie down on your left side while waiting for the doctors and bend your knees to your stomach. This is a common posture for those who have had an exacerbation.

Fake poisoning

Buy a laxative and drink it. After a while, when the drug starts to work, call an ambulance and say that you have had diarrhea for three days. Say that there was also a fever and nausea. A few days in the infectious diseases hospital are provided. Just prepare in advance for the fact that after discharge you will really need medical assistance in the treatment of dysbacteriosis after a course of antibiotics.

The simplest

Do you know that the easiest way to get into a psychiatric hospital? You don’t even have to pretend to be sick. Just go to a psychiatrist and tell them that the voices in your head are making you jump off the roof. Or enlighten the doctor in your desires to enslave the world. In general, turn on your imagination and start inventing. And the more seriously you speak, the more likely it is that you will be taken from the office to a psychiatric hospital. However, don’t get too excited. When thinking about how to get into a psychiatric hospital, do not forget that getting out of there is not so easy. In addition, in your personal file there will be a note about the corresponding diagnosis. You understand that this will put a big cross on your reputation.

Before seeking advice on how to get to the hospital, try to solve your problem in a more humane way. After all, the human body is a very tricky thing and can seriously take simulation for a disease. That’s when you will not be sweet. Do not be ill!

A variety of situations happen in life, and sometimes even strange ones. Sometimes there is a need to get to a medical institution for health reasons or other reasons, but it is not immediately clear how to do this. We will try to find an answer to the question of how to get to the hospital for examination or treatment.

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Types of medical care

In our country, there are many departments involved in public health care. These are polyclinics for outpatient treatment, specialized dispensaries, hospitals and hospitals, trauma centers, and emergency departments. Whom do you turn to if you have concerns about your own health or the condition of someone close to you? With “tolerable” symptoms that cause discomfort to the patient, you should make an appointment with the right specialist from the clinic at the place of residence or call the therapist at home. In case of injury, you must get to the emergency room on your own or call an ambulance. Not all the townsfolk know in what situations it is necessary and rational to call a team of specialists at home. An ambulance should be called in case of sharp pains of an unknown nature, loss of consciousness by the patient, poisoning, respiratory disorders, high temperature, as well as any other serious symptoms, when help is really needed immediately, and it is not possible to deliver the sick person to a medical institution. The rapid response medical team is able to provide first aid, carry out resuscitation, but it is important to understand that for full treatment you still have to go to the clinic or go to the hospital. How to get to the hospital, you will definitely be told by the ambulance staff. Or maybe they will even immediately give a referral or make a hospitalization.

How to get to the hospital?

Usually, in situations where inpatient treatment or a complex examination is really necessary, the attending physician himself suggests the desired therapy option to the patient. In this case, you only need to take a referral and come to the emergency room of the hospital. Attention: specialists usually send to a specific medical institution; in this case, it will not work to choose a hospital. How to get into the hospital for a week if your doctor refuses to refer you for examination or treatment? In this case, you can always contact another specialist working in the same healthcare facility. This is relevant in the event that the therapist considers your chronic disease “not too serious” – be sure to make an appointment with a narrow-profile doctor. If you have been seeing the right specialist for some time, and the diagnosis and / or recommendations made by him do not seem competent to you, you can always contact the head physician directly and ask for a referral, explaining the essence of the problem. However, even in this case, you will not end up in any hospital in the locality, but in a friendly health care institution or one of which your clinic is a branch.

Can I go to a specific hospital?

According to the legislation of our country, each patient has the right to choose a healthcare institution and a particular doctor of his own free will. It turns out that in order to go to a particular hospital, it is enough just to come to it and declare your desire? This is not entirely true: there are a lot of restrictions, in addition, in fact, in many healthcare institutions there are simply not enough places to accommodate all those who need treatment. This is good news for those who don’t like being in the hospital. Patients are not kept longer than they should be in any hospital, offering to switch to a day visit option for everyone for whom this is medically acceptable. As for the question of how to get to the hospital, if you need it, everything is somewhat more complicated. In many health care institutions, they really accept patients after a conversation and examination in the emergency room by the doctor on duty. But still, before wasting your time and health on a visit to the hospital, clarify this issue by phone and find out more about the procedure for treatment in a particular hospital.

Treatment at a paid clinic

Don’t worry if you want to know how to get into the hospital for a week, there are ways that will definitely work for any diagnosis. With pleasure, patients are accepted for treatment by paid hospitals. This option is also perfect for those who, for some personal reasons not directly related to a serious illness, need to spend some time in a healthcare facility. The main disadvantage of this option is the high cost of treatment. Otherwise, private clinics delight their clients with comfortable rooms, friendly staff, and even more informal atmosphere than municipal hospitals. At the same time, the patient controls the time of his treatment on his own, you can stay for several months without categorical indications, or you can be discharged at the first desire.

Examination and treatment in a hospital without categorical indications

How to get to the hospital if you really want / need it, but there are no indications for hospitalization? You can always try to negotiate with your doctor. Complain about unusual sensations and incomprehensible symptoms, and most likely you will be sent for examination in order to exclude a serious pathology. If the doctor does not give a referral to a hospital, you can try to directly ask him, saying that you think a particular hospital is very good and you want to undergo a certain type of diagnosis / treatment.

Psychiatric hospital

Many mental illnesses are successfully diagnosed and treated abroad. Russians, on the other hand, rarely voluntarily turn to specialists with such problems. And in vain, because even a banal depression or neurosis noticeably worsens the quality of life and can develop into more serious diseases. How to get into a psychiatric hospital for treatment as a patient? You should start with a psychiatrist and neuropathologist from the clinic at the place of residence. Try to tell your doctor about your problems as accurately and in detail as possible and find a way to solve them together. You can also apply with symptoms of a mental disorder directly to a hospital or a specialized institution of this category.

Should I pretend?

If you ask your acquaintances and friends: “How to get to the hospital for a week for sure?”, you will be offered a lot of ways from completely fantastic to quite everyday. There are really a lot of options: break your leg, pretend that you broke your leg, portray food poisoning or an attack of appendicitis. Attention: in fact, it is very difficult to deceive emergency doctors, and your false complaints will be recognized immediately. Still wondering how to get to the hospital? There are also radical ways – for example, deliberately harming one’s own health. But before you swallow nails or handfuls of dangerous medicines, think, do you really need to stay in the hospital so much that you are ready to risk the most expensive thing you have?

How to get to relatives in the hospital?

You can enter medical institutions not only as a patient, but also as a guest, visiting your loved ones who are being treated. How to get to the regional hospital to visit a relative or friend? Everything is quite simple: find out in advance the rules and visiting hours. Guests are not allowed into some departments due to a special treatment regimen: we are talking about resuscitation, infectious diseases treatment facilities and some others. If you are going to visit one of the patients of the hospital, be sure to take documents with you. Also ask if you need to change shoes to enter the department, and what kind of food you can bring to those who are undergoing treatment. Attention: in some hospitals, the entrance for guests is strictly by passes, while in others it is enough to name the patient’s name and the ward in which he lies.

In principle, it’s not difficult. Either you call an ambulance and complain about pain in your stomach, or you yourself go to the emergency room and complain that my stomach hurt for two days once. colic and sent home a day later. But if you keep saying that it doesn’t go away and it hurts, not a single normal doctor will take the responsibility to let a person go Home

Just like you, I once went to a mental hospital. They were not admitted to other hospitals. In a psychiatric hospital – please: say that you have depression and complain about weakness. Provided state “care”. I ruined my whole life with this.

01/29/17 10:07 pm (reply to: flostik)

yes, they put a colleague in the infectious disease for a week.

do not anger the heavens, do not call yourself trouble. And then a real reason to lie in the hospital will appear

so that the guy takes pity on you go)

oh damn, easy. say poisoning, diarrhea, vomiting, etc. Recently, they wanted to hospitalize me because of this.

Fake an “acute abdomen” symptom of unclear etiology.. They will take you away with an ambulance. The hospital will take a long time to diagnose and find out the cause of gynecology, gastroenterology or something else.

04/09/16 23:24 (reply to: Giovanna Antone)

well, doctors are not stupid. Or maybe they will find it. Pressure, blood test so-so. But this is a waste of time. Three hours. And even more.

Paid hospitalization services appeared in the capital relatively recently and have become a long-awaited help for many, namely for those who have already tried to go to a hospital for free.

Those who have not yet encountered this system may ask the question: Why is paid hospitalization needed at all if there is a system of compulsory medical insurance? And is it not possible to go to the hospital and be treated for free?

Well, let’s see. First of all, it should be noted that the system of compulsory medical insurance (CHI) does not necessarily imply the provision of high-tech medical care (HTMC), and in fact this type of inpatient treatment is required in many cases. And it is precisely the possibility of obtaining such complex, specialized medical care in the best specialized hospitals that is provided by the paid hospitalization service.

But let’s start in order, with the CHI system. Is it possible to go to the hospital for free? Yes, you can!

To do this, you need to contact the polyclinic to which you are assigned and get a referral to the polyclinic of the hospital where you intend to go. And here comes the first hurdle. The fact is that doctors of city polyclinics can write out directions not at all to all hospitals in the city, but only to those of them that are located in this district. A referral to a hospital in another county may only be issued if the care you need cannot be provided where you live.

What if they can, but you don’t like how they provide it? Nobody cares anymore.

However, you can try to get your GP to bypass this step and get a referral to a hospital in another county that has a better reputation and seems like a better place for treatment, but this does not mean that when you go there, you do not get a turn from the gate. After all, where you are sent, the same rules apply, and you will simply be deployed, offering to use “your” hospital. The circle will thus close, and you will have to use what you have.

Well, maybe it’s not so bad after all?

Taking with you your passport, insurance policy, certificate of attachment to the clinic (if you have a medical policy not in Moscow), a referral from the clinic, an extract from all the tests and tests performed (and you will need a lot of them), you go to the clinic of your hospitals, where the doctor must decide whether you need hospitalization at all. And if needed, then what kind, planned, emergency, paid or free (not all types of treatment are free). Perhaps you are worrying in vain, and you can not put you in a hospital, but limit yourself to outpatient treatment?

In order to make his decision, he will order additional tests and studies. After you pass the additional examination, in case of a positive decision on hospitalization, you will be registered on the waiting list and the next list of tests will be assigned. After that, all that remains is to wait for the call from the hospital to inform you of the date of hospitalization, which should be done within ten working days.

This is a relatively simple case, if you do not need more serious medical care that requires special equipment and highly qualified doctors – that is, hospitalization in a good specialized hospital. Such medical care is called high-tech (HMP), and the situation with it is much more complicated.

If you study the corresponding list in the Appendix to the order of the Ministry of Health, which is published annually, you will find that the category of high-tech medical care (HTMC) includes a huge number of diseases that require both surgical (primarily) and therapeutic treatment. With a high probability, your disease will be on this list, because, as a rule, they don’t go to the hospital for nothing.

What should you do in this case?

You can be admitted to the hospital on a commercial or quota basis. In the second case, you need to get confirmation that you really need such medical care and, accordingly, a quota, for which you will need to go through three commissions in succession.

First of all, you must contact your clinic, where you will be assigned a list of tests and tests to decide if you are really as sick as you think. After you pass all the examinations and confirm your illness with test data, a commission of doctors should be assembled within three days, which will make its decision and, if it turns out to be positive, on the basis of the minutes of the meeting, apply for a quota to the Moscow Health Department. This is the case if you have a Moscow residence permit.

If you are registered in another region, but attached to a Moscow polyclinic, then the commission will contact the relevant regional Ministry of Health or the Department of Health and you will most likely have to be treated there, and not in Moscow.

If you are not attached to a Moscow polyclinic or have received a conclusion about the need for hospitalization in a private clinic, you will need to independently deliver the documents (with all test data) to the Department of Health or the Ministry of Health of the region where you are registered. After that, it remains to wait for a decision, which can be positive or negative. In case of a negative decision on hospitalization, you can apply with all documents to the public reception of the Ministry of Health of the Russian Federation.

At the same time, the choice of a specific medical institution for inpatient treatment will not depend on your desire, but on the availability of quotas, the number of which in each hospital is limited. Therefore, if you want to undergo treatment in one of the central institutes or leading specialized hospitals in Moscow, you should be prepared for the fact that there simply will not be a place for you (usually this happens, since annual quotas run out by autumn). In this case, you will be directed to where they will find a place for you, and not at all where you want.

But this does not mean that you will definitely be admitted for treatment.

A decision on this must be made by the commission of the relevant medical institution (hospital) within ten days based on the data of the first instance commission sent to the Department of Health or the Ministry of Health. This commission may require an additional examination, that is, additional studies or tests, or immediately refuse hospitalization. If you really need hospitalization, but there is no place in the hospital, you will be asked to wait your turn until the next year.

In case of a positive decision, you will need to pass a series of tests and after that wait for a call for hospitalization.

All these procedures seem to be nothing complicated, you just need to stock up on patience, time and a substantial amount of money for an endless list of tests and examinations in order to overcome all obstacles. However, as practice shows, not everyone has enough strength and health for this.

This makes it clear why more and more people are choosing commercial treatment. As a result, this creates queues in hospitals, so even for your own money it can be difficult to be hospitalized, especially if you want to go not just to some hospital, but to a specific medical center, and if this center is one of the leading ones in the capital .

In this case, the paid hospitalization service comes to your aid, removing all obstacles in your path. Along the way, such a service also solves many other problems that almost inevitably or with a high probability arise already in the process of treatment and especially when paying bills for it. But this is a separate and big topic.

How to go to the hospital for hospitalization URGENTLY WITHOUT REFERRAL

Hospitalization: types, features

Hospitalization – the placement of a patient for examination or treatment in a hospital of a medical institution. The form of ownership – public or private clinic – does not matter.

What do you need to do to go to the hospital? Based on the reasons, the method of delivery of the patient and the design features, two types of hospitalization are distinguished:

• Emergency – in the presence of a clear threat to health, human life.

• Planned – treatment in a hospital according to the direction issued by the doctor of the polyclinic.

How to get to the hospital urgently

How to urgently go to the hospital yourself:

1. Call an ambulance.

2. Go to the emergency room of the hospital yourself.

In Moscow, urgent hospitalization is carried out according to compulsory medical insurance and even in the absence of a policy. Analyzes and preliminary examination of the patient are not required.

“Underwater” stones of emergency hospitalization:

1. The difficulty of choosing the best hospital. The patient is allowed to choose which clinical hospital to go to for examination, but in fact it is almost impossible to get to the desired medical institution. Ambulances take only to the nearest clinics with specialized departments, and the hospitals themselves are easily refused due to lack of space.

2. A long wait in the emergency room, which is difficult during exacerbation of diseases, injuries. According to the rules, the doctor is obliged to conduct an examination within 30 minutes after the patient arrives or immediately if there is a threat to life. But that doesn’t always work out.

3. Accommodation outside the room. Corridor hospitalization for 1-2 days is officially allowed for those admitted for emergency reasons.

How to go to planned hospitalization

Planned hospitalization is carried out as prescribed by the attending doctor and if there are certain medical indications.

What you need to go to the hospital in a planned manner:

1. Consult a doctor with complaints of feeling unwell, exacerbation of the disease or other ailments.

2. Confirm the need for inpatient treatment with the results of the diagnosis.

3. Issue a referral for planned hospitalization.

4. Contact the hospital to agree on the date of hospitalization and receive a list of mandatory tests, vaccinations, examinations, examinations.

5. Pass tests and collect the necessary certificates, taking into account the expiration dates of the documents being drawn up.

6. Specify what time to go to the hospital on the referral for hospitalization, and come to the emergency room on the required date with all the papers and examination data.

7. Pass a basic examination in the emergency room, get permission for treatment, go to the hospital.

Of course, the patient can receive a paid referral for hospitalization, but this does not remove the need to collect all documents and coordinate the nuances with the clinic.

The two listed options for hospitalization are the most popular and in demand. But they almost completely exclude:

• comfort of hospitalization;

• choice of medical institution and doctor;

• ease of design;

• hospital convenience;

• quality of treatment.

Faced with a real situation, patients involuntarily ask questions: is it possible to go to the hospital for examination or treatment on their own and how to do it.

How to be admitted to the hospital urgently and without a referral

There are different ways to go to the hospital urgently without a referral for treatment or examination, but the most hassle-free and simple is one. The patient simply needs to contact the medical center providing commercial hospitalization services and indicate the desired hospital in Moscow or the Moscow region. Then the selected clinic takes care of all the work. And only a passport is required from the patient himself.

Medical examinations, referrals, tests, MHI or VHI policies are not needed!

The algorithm for how to quickly go to a hospital in Moscow with the help of an intermediary clinic:

1. Indicate the diagnosis – for quick selection of a hospital.

2. Select a hospital and department from the proposed list.

3. Agree on the type of ward and the specifics of patient transportation – hospitalization in Moscow clinics is available to residents of the regions and foreign citizens.

4. Conclude a contract for commercial hospitalization.

5. Arrive at the selected hospital – by a specially ordered ambulance, with the help of the transportation service for people with limited mobility and seriously ill patients, by train, by plane.

6. Without a queue, waiting and tests, register in a hospital.

7. Start treatment, examination according to the diagnosis.

This is the best way to help you figure out how to go to the hospital specifically for real if necessary:

• operations – emergency, planned;

• examinations – complete, narrowly focused;

• hospitalization of a relative – an elderly person, a child;

• observation during exacerbation of a chronic disease;

• relief of acute conditions;

• complex treatment of various diseases;

• prevention, rehabilitation, undergoing a course of physiotherapy, exercise therapy.

Reasons to go to the hospital: indications

Medical institutions divide patients according to the severity of their current state of health and, on this basis, they place them in a hospital or not.

Patients requiring urgent hospitalization have the following indications for inpatient treatment:

• acute diseases of the musculoskeletal system;

• the threat to the life of the patient himself due to injuries, an accident;

• a condition that makes the patient a threat to others.

With what disease can one go to the hospital on a planned basis? With almost any, but preference is given to patients who require:

• correction of already ongoing therapy;

• carrying out diagnostics or treatment procedures that cannot be performed in a polyclinic, at a day hospital;

• round-the-clock health monitoring;

• medical and social care;

• medical participation and supervision – more often 2-3 times a day;

• surgical intervention.

A hospital is also recommended if outpatient treatment is ineffective.

What documents are needed to go to the hospital

During classical hospitalization in a hospital without the involvement of intermediaries, the patient must present:

Besides:

• take tests, the results of most of which are valid for no more than 1 week – blood (OAM, clotting, bleeding time, biochemical, sugar), OAM;

• do an ECG, fluorography;

• draw up a conclusion from the therapist and specialists;

• get tested for HIV, syphilis, hepatitis B and C.

If surgical intervention is required, the volume of examinations increases.

How much does hospitalization cost

Paid inpatient hospitalization is a commercial contract and an effective way to get quality medical care. The cost of hospitalization depends on several factors, such as the difficulty of diagnosing and treating the disease, the length of stay in the hospital, and the level of comfort you need.