Case Study

Case Study 1

March 2016, CoverMore China received a case in northeast China’s Shenyang City, for a 6 month old foreign infant admitted into a l
ocal hospital with​ respiratory distress. Our client originally provided several medical reports with the diagnoses in Chinese. Such reports are difficult 
to understand and work through without a thorough grasp of the local dialect.
All the medical reports were immediately translated by CoverMore China.  After carefully examining the reports detailing the infant’s presentation, treatment and current condition, our medical team confirmed the diagnosis of 
bilateral pneumonia and the possible diaphragmatic malformation. 
It was immediately necessary to contact the treating physicians directly, so as to gain a more detailed understanding of the current condition and any treatment plan. The hospital staffs were unsure about the potential significance of the diaphragmatic malformation, despite the lack of improvement in the infant’s condition. CoverMore China’s medical 
staffs were concerned by the passive approach of the local treating team.
Despite being admitted to the highest level of medical care available in Shenyang, the likely need for surgical repair coupled with a lack of experience in complex pediatric surgery identified this scenario as very high risk.

We routinely reviews complicated cases with our Chief Medical Officer in Australia, Dr. Stephen Rashford. Following a complex case review, a ​recommendation was made to the insurer that the infant would require transfer to the Beijing Children’s Hospital. This would ensure optimal care in keeping with international best standard, including subspecialty evaluation and treatment of the diaphragmatic condition.

The insurer promptly approved the transfer following our recommendation. Ensuring the family was fully informed was part of the service provided by CoverMore China. 

The child was successfully transferred by air ambulance, utilizing our experienced ICU transport team. The patient was successfully managed surgically. A massive left diaphragmatic hernia had been impairing the child’s recovery. Post operatively the child recovered well, ultimately being escorted back to their home country accompanied by both parents and a specialist pediatrician.

This case demonstrates the importance of ensuring prompt incident review by experienced doctors who can both speak Chinese and English who also have a comprehensive understanding of hospital capabilities across one of the largest and most complex health systems in the world.