Misconceptions of patients and families during surgical oncology treatment (II)

Myth 2: Only oncology hospitals can do tumor surgery The Chinese nation is the most family-oriented and affectionate nation, once you or your relatives suffer from a tumor, everyone would like to do their best to find the best hospitals to receive surgery and other treatments for themselves and their families. As the name suggests, tumor hospitals naturally become the first choice in most people’s mind, and some people even have the misunderstanding that “only tumor hospitals can do tumor surgery”. Although patients and family members with this kind of idea are not as common as the first misunderstanding, there are still a lot of people who have this kind of misunderstanding, which results in the direct consequence of overcrowding and difficulty in finding a bed in various tumor hospitals at all levels, and some people even pay the price of delayed treatment because they do not live in tumor hospitals. Why is this also a kind of misunderstanding? Let me first briefly introduce to you the current hospital classification and grading system in China. First of all, according to the business scope of medical institutions, hospitals are divided into specialized hospitals and general hospitals. The former refers to hospitals specializing in the diagnosis and treatment of a certain disease, such as oncology hospitals specializing in the treatment of tumors, orthopaedic hospitals specializing in the treatment of bone and joint related diseases, etc.; the latter are hospitals engaging in the diagnosis and treatment of various kinds of diseases, which, of course, include the treatment of oncological diseases as well. Then the hospitals are divided into three levels, one, two and three, according to the scale and technical level of the hospitals, and each level is divided into three levels, A, B and C. Initially, this hierarchical system is only for general hospitals, of which Level 3A hospitals are the highest level, which mainly refer to the municipal hospitals directly under the national, provincial and municipal governments, as well as the hospitals affiliated to the medical schools, and these hospitals are generally well specialized (including oncology hospitals). These hospitals generally have very perfect specialties (including oncology specialty). With the development of medical science, the setting of various specialties has become more and more refined, for example, general surgery can be divided into breast specialty, gastrointestinal specialty, hepatobiliary specialty, vascular specialty, etc. Meanwhile, due to the change of the disease spectrum, oncological diseases have become the main types of diseases treated in the surgical department of the general hospitals, only that they don’t hang the oncological surgery brand. Obviously, not only oncology hospitals can do oncology surgery. In fact, oncology surgeons are required to complete the most basic training in general hospital surgery, but there is no doubt that oncology hospitals, because of their professional characteristics, should be the direction of general hospital surgery in terms of professionalism and standardization of surgical treatment of oncology, and the first choice of patients in most cases. However, in some cases, general hospitals may be a more reasonable choice for you. In addition to the fact that oncology hospital beds are hard to come by, which may lead to delays, the fact that oncology hospitals do not have the overall strength of general hospitals can sometimes be the key to whether you can successfully receive oncology surgery. As we all know, China’s aging problem is becoming more and more prominent, many people suffering from tumor are not only old, but also often combined with hypertension, diabetes, coronary heart disease, cerebral thrombosis and other internal diseases, at this time, the successful completion of the operation and the smooth recovery of the patient is not the surgeon’s own strength, but also requires the full support and cooperation of anesthesiologists, cardiologists, endocrinologists, neurologists and other specialists. It requires the full support and cooperation of anesthesiologists, cardiologists, endocrinologists, neurologists and other specialists. Due to the “inherent inadequacy” of —– specialty hospitals, it is impossible for them to have such a comprehensive set of specialties, and it is basically difficult to achieve this point. Therefore, there are often some patients who cannot receive surgical treatment in tumor hospitals, but are successfully treated in large general hospitals. In addition, general hospitals have a small advantage over oncology hospitals that is in line with China’s national conditions: many family members want to hide their illnesses from the patients (although I especially hope that China will be in line with the international standards and give the patients the right to know). At this time, choosing a tumor hospital for surgical treatment is a louse on the head of a bald man, and it is obvious that it is impossible to hide; while choosing a general hospital, at least on the surface, there is still a chance to hide, which is good for some patients with poor psychological tolerance to let them slowly adapt to the environment and accept the facts. Therefore, it is impossible to generalize whether to choose oncology hospital or general hospital to receive surgical treatment after suffering from tumor, both of them have their own advantages. At present, under the circumstance that the level of different medical institutions in China is not completely equal and the treatment technology is not completely standardized and unified, you need to choose the one that combines with your own actual situation such as geography, economy, psychology and degree of disease, and try to choose an authoritative and standardized hospital when the condition permits.