Fantasy Group of Medical companies consists of a chain of upscale family dental clinics, a dental equipment distribution company and a small (~10.000 sq.feet) pediatric outpatient clinic. It’s the only JCI accredited ambulatory care organization in Russia.
Pediatric clinic was founded in the 2015. It provides various of ambulatory care pediatric services such as neurology, allergology, ophthalmology, ENT, orthopaedics, psychology etc. Since opening Fantasy Childrens Clinic has has earned the trust of parents through patient experience, commitment to evidence-based medicine and affordable prices. They mainly pay for services from their own pockets. Patients come to the clinic for treatment of uncomplicated diseases, observation in the first year of life. The clinic has established links with a number of public hospitals, where patients are sent to diagnose and treat more complex problems.
Many patients (48%) are dissatisfied with the organization of care in public clinics. Conditions there are uncomfortable, staff’s communication skills are weak, there are many stupid rules, and the system itself is difficult to call a patient-centered. Patients go there because there is no alternative (especially in the in-patient unit) and it is free of charge.
The company is considering renting a building in a very good district of Moscow with an area of 43,000 square feet. The management is faced with the question of what specializations to choose for the new clinic. There is confidence only about the outpatient department. However, the economics of the diagnostic department (CT, MRI, endoscopy) and the hospital does not look so attractive. The reason for this is the high level of investment combined with the high level of competition with free public clinics. Obviously, there would be a need for medical care, for which patients traditionally go to other countries with a more advanced level of health care (Israel, Germany). But, as a rule, these are high-risk conditions, such as oncology or neurosurgery.
The second question is to what extent to provide medical services to the adult population. The idea of making an adult department is supported by the desire of experienced doctors of a number of specializations (neurologists, allergists, ENT, etc.) to treat both children and adults. There are also a number of specializations where patients are used to paying out of their pockets (plastic surgery, phlebology, orthopaedics, etc.) and this has proven to be commercially viable.