Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Public hospitals are the unsung jewels of our healthcare system

Danielle Ofri, MD, PhD
Physician
January 5, 2010
Share
Tweet
Share

Public hospitals have a bad rap. They’re viewed by many as hospitals of last resort, and most patients with private insurance do anything to avoid them.

As a long-time physician in a public hospital, I’m sensitive to this reputation. I wouldn’t work in my hospital if I didn’t feel that it delivered excellent health care. I’m certainly aware that private hospitals have amenities that public hospitals can’t afford, but many of these are cosmetic issues.

On the cosmetic side, though, public hospitals have come a long way. Bellevue Hospital, where I work, has built a gorgeous ambulatory care building, complete with a soaring atrium that floods the waiting areas with sun and space. The ICUs and emergency wards have been renovated to enviable standards.

But beyond cosmetics, there is an extremely dedicated staff who is committed to providing high-quality care, despite the many financial and logistic challenges that public hospitals face.

As a physician, this is something I have always been proud of. As a parent, I recently had the opportunity to put this to the test. Earlier this week, my six-year-old son was hit by a bicycle while crossing the street. Luckily, he wasn’t severely injured, but there was a nice-sized laceration in his scalp that clearly needed stitches.

Although the private hospital in our neighborhood is “top-tier” for my insurance plan, I decided to take my son to Bellevue instead. The main reason for my choice is that Bellevue is one of the few hospitals that has a dedicated pediatric ER, instead of just a small section within an adult ER. I’ve spent enough time in emergency rooms to know how disconcerting they can be to anyone of any age!

As I walked my son to the pediatric emergency room, I tried to look at my hospital through a visitor’s eyes. The facility was modern, clean, and spacious. The pediatric ER was quiet and calm, so unlike the adult ER. There were several families there, but the waiting room was big enough for each family to have some privacy. The walls were lined with toys, posters, games, and a huge fish tank. My son was riveted and completely forgot about the bleeding wound on his head.

We were evaluated by a pediatric triage nurse, and then had a smooth registration process. I marveled at how subdued the atmosphere was, compared to what I knew regular ERs were like.

When we were called in to see the doctor, my son had to be pried away from the fish tank. In the exam room, my son was evaluated by a pediatric attending physician, along with a pediatric resident and nurse. There was also a child-life specialist in attendance, someone whose job it was to be there solely for the child—whether to fetch crayons and books, or to act as the child’s advocate should the situation arise.

I was impressed by the professionalism of all the staff, and the fact that everything in this ER was geared specifically toward children. In a situation that could easily have caused anxiety in a small child, my son was well cared for and felt completely at ease. I am aware that such things do not happen by accident, that they are a result of the attitude of both the individuals and the institution.

I know that the fact that I am an employee of the same hospital may make some think that I received extra-special service. But I observed the other children and families who were there with us. Everyone was treated respectfully, expeditiously, and competently. The physical surroundings were comfortable and reassuring.

I walked away from the experience proud of Bellevue and proud of public hospitals in general. Public hospitals are the unsung jewels of our health-care system. They are easy to denigrate, but are often models of clinical excellence. They can be places that patients prefer to go to, or they can be places that patients go to only for emergencies.

But public hospitals are always there for us. This alone is a reason to celebrate them. That they deliver excellent medical care to one and all should make us justly proud.

ADVERTISEMENT

Danielle Ofri is an internal medicine physician and author of What Doctors Feel: How Emotions Affect the Practice of Medicine.

Prev

Will physician and hospital penalties improve patient care?

January 5, 2010 Kevin 10
…
Next

When should patients call doctors by their first name?

January 6, 2010 Kevin 22
…

Tagged as: Hospital-Based Medicine, Primary Care, Specialist

Post navigation

< Previous Post
Will physician and hospital penalties improve patient care?
Next Post >
When should patients call doctors by their first name?

ADVERTISEMENT

More by Danielle Ofri, MD, PhD

  • Getting an appointment with primary care is the Achilles’ heel of medicine

    Danielle Ofri, MD, PhD
  • Emotional epidemiology of disease is as critical as clinical epidemiology

    Danielle Ofri, MD, PhD
  • Does the EMR improve or worsen patient safety?

    Danielle Ofri, MD, PhD

More in Physician

  • Why don’t women in medicine support each other?

    Jessie Mahoney, MD
  • IMGs are the future of U.S. primary care

    Adam Brandon Bondoc, MD
  • The high cost of gender inequity in medicine

    Kolleen Dougherty, MD
  • Women physicians: How can they survive and thrive in academic medicine?

    Elina Maymind, MD
  • How transplant recipients can pay it forward through organ donation

    Deepak Gupta, MD
  • A surgeon’s testimony, probation, and resignation from a professional society

    Stephen M. Cohen, MD, MBA
  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
    • How community and buses saved my retirement

      Raymond Abbott | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [PODCAST]

      The Podcast by KevinMD | Podcast
    • Ancient health secrets for modern life

      Larry Kaskel, MD | Conditions
    • How the internet broke the doctor-parent trust

      Wendy L. Hunter, MD | Conditions
    • Why don’t women in medicine support each other?

      Jessie Mahoney, MD | Physician
    • Why doctors need emotional literacy training

      Vineet Vishwanath | Education

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
    • How community and buses saved my retirement

      Raymond Abbott | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [PODCAST]

      The Podcast by KevinMD | Podcast
    • Ancient health secrets for modern life

      Larry Kaskel, MD | Conditions
    • How the internet broke the doctor-parent trust

      Wendy L. Hunter, MD | Conditions
    • Why don’t women in medicine support each other?

      Jessie Mahoney, MD | Physician
    • Why doctors need emotional literacy training

      Vineet Vishwanath | Education

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Public hospitals are the unsung jewels of our healthcare system
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...