General Medical Care in Shanghai

Shanghai has a reputation for having the besthospital (so you won't have to worry about
medical facilities in all of mainland China, andpaperwork during an emergency), and practicing
expats should have no worries in finding qualityan emergency run-through with your family
healthcare when needed Western-style clinics andwhere you drive to the hospital. Additionally, you
hospitals have been especially set up to serve thecan prepare an emergency folder listing all of your
ever-expanding expat population. Facilities at thesefamily's medical conditions, allergies, medications
institutions are improving every year, and someand surgical histories. Even if you primarily go to a
include 24 hour care and accident and emergencywestern hospital, it's a good idea to have the
departments with trained international staff atfolder's contents in both English and Chinese.
hand.You also might want to make a card with the
A good number of public hospitals have set uphospital's address and contact information that
VIP clinics, which cater specifically to expats.you and your children can keep with you at all
Foreigners are technically required to go to eithertimes. Shanghai United family Hospital supplies
a western-operated clinic or one of these VIPcards that allow parents to give the hospital
clinics, although some expats go to their localpower of attorney. This can be important in
neighborhood hospital. VIP perks includeavoiding delays if the child is brought to the
English-speaking staff, a nurse that will escort youhospital by someone other than their parent, and
around the hospital, and no waiting.the parent is not available.
Attending a public hospital means you will have toPrivate Healthcare
pay a registration fee before treatment; this canPrivate hospitals tend to be smaller, with friendly
cost RMB 10 to 15 for local hospitals and roughlyservice and specialized equipment. Hospital bills at a
RMB 100 for VIP clinics. VIP sections vary - someprivate institution will generally be much heftier
will charge fees comparable to local services, butthat a public hospital's and can add up to as much
some will charge five times this amount.as a hospital fee in a western country. You may
If you're looking for a warm and inviting attitudefind yourself paying tens of thousands of yuan
from a doctor you should probably refer to thefor a week's worth of tests and medication, even
list of internationally focused western hospitals andif you condition is not that serious, compared with
clinics, where the doctors will be trained to provideRMB 1000 at a public hospital for similar
the bedside manner you expect. Otherwise,treatment. A regular check-up costs around RMB
Shanghai's medical services do not emphasize500, but will usually total RMB 1000 or more when
human relations, and you might find staff to bebasic medicine is provided.
unfriendly, blunt or uncommunicative.Health Insurance
A reliable general practitioner (GP) can be goodIf medical insurance is not supplied by your
for annual check-ups and can serve as aemployer, no one will force you to buy it. Rates
reference whenever you have a health-relatedvary dramatically based on your personal situation
concern. When looking for the right doctor forand what type of insurance plan you want to buy.
you and your family, it's best to listen to theFor a free quote on expat packages, you can go
recommendations of your friends and colleagues.through an insurance broker such as Bupa
Before you come to China, you're advised to getInternational or Expatriate Insurance Services. A
the following immunizations up to date: hepatitis Abasic insurance plan can be bought for as little as
and B, tetanus, polio and typhoid. If you areRMB 4000 per year, but premium annual
considering venturing to more rural areas, youinsurance can cost as much as RMB 40000.
should look into getting a rabies vaccination andPharmacies
the series of Japanese encephalitis shots.Many kinds of medicine can be obtained over the
Travelers from South America, central Africa andcounter in Shanghai and prescriptions are rarely
other vulnerable areas are required to provide aneeded. Be wary of fake drugs or mislabeled
yellow fever vaccination certificate upon arrivalproducts and always buy from reputable
into China. Be sure to consult your physicianpharmacies that are government-run or
before you get the vaccinations; women who areassociated with a hospital. Look out for bad
pregnant or breastfeeding are advised not tospelling on packages and suspicious labels that
receive any of the above immunizations.appear inauthentic. Medicine will often be sold
Government Healthcareunder different brand names here, so write down
There is no formal government healthcarethe chemical or pharmaceutical that you are
system in place for Chinese citizens.looking for as well as the Chinese brand name.
Uninsured and insured alike have to largely payIn recent years, the government has tried to
out of their own pockets. About half of Shanghai'sregulate over-the-counter medicines, so you
local residents are part of the government's socialshould bring a prescription from your GP for
welfare insurance plan, through which citizens payantibiotics and more serious drugs. Painkillers,
an insurance premium via their employer and incough and allergy medicines, digestive remedies,
turn receive money for their public hospital fees.skincare medication and vitamins or dietary
For expatriates though, there is really no choice.supplements are all available over the counter.
Company packages will often include aHuashan Pharmacy (12 Wulumuqi Lu; 6248 5674)
comprehensive health insurance plan or individualshave 24 hour service with a large selection of
can choose to buy their own plan.both western and Chinese medicine. Other
Emergency Servicespharmacies can be found throughout the city and
If you can safely transport the victim withoutare marked by large green crosses.
causing further injury, then it is almost always aMany of the reliable brands you may be
good idea to find your own fastest way ofaccustomed to using don't exist in Shanghai, so
getting to the hospital, either by driving yourselfstock up whenever you're backing home. If
or by taxi. Ambulance response times are typicallybringing prescriptions from overseas, be sure to
slow; Shanghai traffic does not yield tohave a medical certificate from your doctor.
emergency vehicles and they may have troubleShanghai United Family Hospital's pharmacies can
finding you. The ambulance service can be treatedorder and import special overseas medication for
by dialing 120. The operator will most likely notpatients on an individual basis if necessary.
speak English, so it's useful to learn a couple ofHealth Check-Ups
Chinese phrases such as where you live and theRegular medical checkups are offered by all the
address of whichever hospital you want to go to.major hospitals and clinics. Well-woman and
Ambulance workers are not required to knowwill-man checkups are provided by some hospitals
basic procedures like cardiopulmonary resuscitationand clinics under the guise of 'health screening'
(CPR), so you might want to fake a classservices. Most of expat hospitals offer
yourself. is a good place to learn.comprehensive check-up that requires two
Before an emergency even occurs, you shouldsessions to complete. The first session involves
work out a plan of action with your family. Thisdiagnostic evaluations that include an eye
includes deciding on a facility that is open 24 hoursscreening, x-ray, ECG, ultrasound, stress test,
a day, calling to pre-register your details with theblood drawing and urine collection.