Autumn

UFH Quarterly Magazine

Understanding Chinese Health Trends Current Issues & Perspectives Autumn 2013 In this issue: • Health reform efforts • Pollution concerns • The dangers of diabetes

Message from the

Chair of UFH

Contact us: Beijing United Family Hospital & Clinics 2 Jiangtai Road, Chaoyang District Tel: +86 (10) 5927 7000 United Family Guangzhou Clinic South Tower, PICC Building 301 Middle Guangzhou Ave Tel: +86 (20) 8710 6000 Shanghai United Family Hospital & Clinics 1139 Xianxia Road, Changning District Tel: +86 (21) 2216 3900 Tianjin United Family Hospital No. 22 Tianxiaoyuan Tanjiang Road, Hexi District Tel: +86 (22) 5856 8500 United Family Wuxi Health & Wellness Center 10 Middle Huaxia Road Dongting, Xishan District Tel: +86 (510) 8821 9725

Subscribe today: If you would like to subscribe to receive our free quarterly magazine and/or receive our monthly e-mail newsletter, please send your details (including name, address, telephone number and e-mail address) to health.matters@ufh.com.cn.

Send us your comments: If you would like to send us a comment about Health Matters get in touch with our editorial team or contributors, or would simply like more information about anything you have read, please send an e-mail to health.matters@ufh.com.cn.

Editorial team: Carl Lorimer Alan Kahn

Editorial contributors: Roberta Lipson Dong Benhao, MD, PhD, DABIM Margaret Keefe, RD Richard Saint Cyr, MD Li Song, MD, PhD Zhang Xusheng, MA Sandy Tang, DDS, MS David Rutstein, MD, MPH

Design: Claire Zhu

Message from the Chair of UFH

3

Roberta Lipson Chair, United Family Healthcare CEO, Chindex International, Inc.

Membership

Autumn 2013

4

News & Events

5

The Looming Danger of Diabetes in China

6

By Dong Benhao, MD, PhD, DABIM

The Evolution of the Chinese Diet

8

Pollution: Air, Water, Food, Oh My!

9

By Richard Saint Cyr, MD

Demystifying Medical Imaging Technology

By Li Song, MD, PhD

14

Finding Inner Peace in Life

By Zhang Xusheng, MA

15

By Sandy Tang, DDS, MS

China’s Healthcare Reform Efforts

By David Rutstein, MD, MPH

Medical Staff

18

Medical Services Contact Details

22 24

16

I am happy to report that the summer of 2013 was a very exciting time for United Family Healthcare (UFH). As such, our 300+ international medical staff together with over 600 multilingual nurses take a team approach in partnering with our patients to promote wellness, prevent disease and, when illness strikes, use all relevant human and technical resources to diagnose, cure and care for our patients through the complete recovery and rehabilitation process. This is done in a variety of settings, including our three acute care hospitals, 10 neighborhood clinics, our New Hope outpatient cancer treatment center and now at patients’ homes through our Home Heath service. At UFH, the cornerstone of our mission is to provide our patients with comprehensive and integrated healthcare services that exceed international standards. With the recent opening of two new facilities in Beijing and Shanghai we are one step closer to achieving that goal.

In June, UFH opened the doors of Beijing United Family Rehabilitation Hospital (BJURH), completing our ability to offer a full array of healthcare services to the Greater China community by adding rehabilitation medicine to our existing offerings. The beautiful, state-of-the-art facility will provide physical therapy, occupational therapy, speech therapy and counseling as necessary to patients recovering from stroke, spinal cord injury, brain trauma, orthopedic surgery and cardiac events. The BJU Rehab Hospital fills an existing void within the country’s healthcare system.

By Margaret Keefe, RD

Are You Too Old For Braces?

Roberta Lipson Chair, United Family Healthcare CEO, Chindex International, Inc.

12

UFH also just opened the United Family Quankou Clinic in Shanghai, offering improved Dermatology, Mental Health, Rehabilitation & Physical Medicine, Ophthalmology, ENT and Dental services. This bright and modern facility upholds the comfortable, caring and family service-oriented environment that our patients have come to expect and deserve.

Going forward, we will continue to improve existing facilities and add further locations throughout China.

The Emergency Room at Beijing United Family Hospital will see its capacity doubled by later this fall with bed count increasing from eight to 15, including two rooms specifically designed for pediatrics and staffed by an ER pediatrician. The ER will utilize three entrances, a separate lobby and triage area.

Our popular Shunyi Clinic in Beijing is presently undergoing an expansion that will result in a total of 1,000 square meters of space, greatly increasing the variety of services we can provide to the local community. Our recently opened United Family CBD Clinic in downtown Beijing is slated for expansion as well. A new clinic is also under development on Beijing’s west side; the four level, 4,000 square meter facility will be located on Financial Street, significantly improving access to UFH for many Beijing residents.

In other news, I am excited to announce that UFH will respond to the Chinese government’s call to train more primary care physicians by starting our own Family Medicine training program under the aegis of the Center for Primary Care Practice and Education. This rigorous program is led by faculty experienced with Family Medicine training in the United States and assisted by specialists from all UFH facilities. Commensurate with UFH’s international quality standards, our Family Medicine Training Fellows will be licensed physicians from China’s top medical schools and have completed a prior residency or equivalent program.

Finally, in September we bid farewell to Dr. Tyrone G. Bristol, Chief Medical Officer at Shanghai United Family Hospital & Clinics. Since joining UFH in December 2008, Dr. Bristol has focused on improving the quality and standards of care for our patients throughout China. We wish him the best of luck in his future endeavors.

Snoring and Obstructive Sleep Apnea (OSA)3

Why Should You Join a UFH Membership Program?

UFH has developed a nationwide membership program for all of its hospital and clinic facilities designed to provide substantial healthcare benefits and added value to its members throughout China. Three programs are available, so keep reading to find out why you should join.

Official Opening of Beijing United Family Rehabilitation Hospital

Shanghai Expands Services with New Clinic Shortly after the debut of Beijing United Family Rehabilitation Hospital, Shanghai’s United Family Quankou Clinic celebrated its grand opening on July 17, 2013. The convenient and modern facility is the new home for services formerly located within the nearby Shanghai United Family Hospital. Healthcare offerings at the new site include the Dermatology & Skin Center, ENT (Ear, Nose, Throat) Clinic, Eye Clinic, Mental Health Clinic, Physical Medicine & Rehabilitation Clinic, as well as an expanded Dental Clinic.

Individual Membership

Individual membership benefits:

Individual Card

The occasion was marked with a ribbon-cutting ceremony attended by Robert Griffiths, United States Consul General in Shanghai, representatives from the city’s Changning district government and local business associates.

On June 19, 2013, United Family Healthcare (UFH) opened Beijing United Family Rehabilitation Hospital—a world-class, 100-bed, 172,000-square-foot facility—with a ribbon-cutting ceremony.

Distinguished guests included Mr. Gary Locke, U.S. Ambassador to the People’s Republic of China, representatives from national and municipal governments, international and domestic medical associations, insurance partners and other business associates.

The hospital aims to restore function and quality of life to patients recovering from serious injuries, surgeries, or debilitating illnesses in a broad array of areas by providing a team approach, using evidence-based medicine and modern technology, in a comfortable and nurturing environment. Main rehabilitation services provided include neurological, orthopedic, cardiopulmonary, women’s postnatal and pediatric rehabilitation. Our care teams include specialists in physical therapy, occupational therapy, speech therapy, cognitive rehabilitation, prosthetics and orthotics services, acupuncture, hydrotherapy, hyperbaric oxygen therapy and traditional Chinese medicine.

The facility features state-of-the-art amenities including an an extensive hydrotherapy pool area, the latest physical therapy equipment, hyperbaric and atmospheric oxygen chambers, a cardiopulmonary stress test system, multi-directional maxi sky patient movement systems and an ICU ward. As part of the UFH network, the hospital will offer patients referrals with other facilities, as well as the wider medical community.

UFH’s Shanghai General Manager, Emery Brautigan, said, “We are pleased to expand our world-class services to meet growing demand from our patients in the Shanghai region. We could not have reached this notable achievement without the strong support of the Shanghai Changning district government, the Consulate General of the United States in Shanghai, our various partners and our own operational teams. We look forward to deepening our working relationships and together meeting our healthcare mission to deliver international-standard healthcare services to those in need in China.”

UFH is Now on WeChat

The Individual Membership Program is designed to provide substantial healthcare benefits to you and your family. The annual membership enrollment fee is RMB 1,035 for adults and RMB 415 for children.

Corporate Membership

• 20% discount on healthcare services and 10% discount on dental services (some exclusions, terms and conditions apply) • Special rates for UFH organized/sponsored events • Complimentary UFH quarterly magazine Health Matters and monthly e-newsletter Health-Line • 20% discount on membership renewal

The Corporate Membership Program for businesses and organizations – including companies, embassies, international schools and hotels – is designed to provide substantial healthcare benefits to companies, their employees and families. Enrollment is complimentary for corporate clients with a minimum of 10 employees.

Corporate membership benefits:

Corporate Card

Get up-to-date news, information and health articles via your smartphone by following us on the popular WeChat app. Joining is easy: either search by account number/name or scan the QR code within the app.

Lifetime Membership

• 20% discount on healthcare services and 10% discount on dental services (some exclusions, terms and conditions apply) • 20% discount on First Aid Classes with a minimum of 10 participants • Special rate for Corporate Health Check-up packages • Special rate for UFH organized/sponsored events • Complimentary UFH quarterly magazine Health Matters and monthly e-newsletter Health-Line

The Lifetime Membership Program is designed to provide substantial healthcare benefits to mothers who give birth at UFH hospitals and their babies. Enrollment is complimentary.

Lifetime membership nenefits: Beijing events (bilingual) account name: bjumarketing

Beijing official account number: BJU59277000 Lifetime Card

• 20% discount on healthcare services and 10% discount on dental services (some exclusions, terms and conditions apply) • Special rate for UFH organized/sponsored events • Complimentary UFH quarterly magazine Health Matters and monthly e-newsletter Health-Line

UFH would like to thank the U.S. Embassy, Chinese government, business associates and our development and operational teams for their support for this significant accomplishment and important milestone in our healthcare mission.

Shanghai official account number: SHU22163900

4

For more information about any of our membership programs, including a full list of benefits and conditions, or to learn how to become a member, please visit www.ufh.com.cn or contact one of our marketing departments at the following numbers: BJU (010) 5927 7360, GZU (020) 8710 6000, SHU (021) 2216 3968, TJU (022) 5856 8500.

5

Should you be diagnosed with diabetes, there are several important things you can do to maintain your health. First, create a diet and exercise routine that you can stick with. Maintaining a healthy lifestyle is even more important than medication. Make sure that you schedule regular follow-up appointments with your doctor to ensure you are doing the right things for your diabetes.

Diabetics should schedule an annual eye exam to detect retina damage and prevent blindness.

Always remember the ABCs of diabetes management:

A is for the HbA1C HbA1C is a reliable measure of your average blood sugar in the last 8-12 weeks. A doctor can use your HbA1C to determine how well you are managing your blood sugar. Aim for a target of less than 7% on your HbA1C test.

B is for Blood Pressure The target blood pressure for diabetics is less than 130/80mm Hg.

C is for Cholesterol

In the last 30 years, we have witnessed phenomenal economic growth in the Chinese economy and a corresponding rise in per capita income for the Chinese people. Unfortunately the increase in personal wealth has its side effects, namely the increase in prevalence of overweight individuals and an increase in chronic diseases such as diabetes, hypertension and hyperlipidemia. A 2008 epidemiology study by the Chinese Medical Association, conducted in 14 provinces throughout China, estimated an astonishing 92 million adults with a diagnosis of diabetes, a 9.7% prevalence rate. It is very likely that China has become, or will very soon become, the country with the highest number of diabetic patients in the world.

Diabetes is a chronic condition in which blood sugar levels are higher than normal (hyperglycemia), as a result of either the body not producing enough insulin—a hormone which regularly removes excess glucose from the blood—or because the body does not respond to the insulin that is produced.

Diabetes increases the risk of heart disease and stroke. About 50% of people with diabetes die from cardiovascular disease, primarily heart disease and stroke. Diabetic neuropathy, or damage to the nerves as a result of diabetes, affects approximately the same amount of people. Common symptoms are tingling, pain, numbness, or weakness in the feet and hands.

This increases the chance of foot ulcers and eventual limb amputation.

Damage to the retina in the eye (retinopathy) caused by diabetes is a significant cause of blindness. Blindness from diabetes can occur as a result of long-term accumulated damage to the small blood vessels in the retina. After 15 years of diabetes, approximately 2% of people become blind and about 10% develop severe visual impairment.

Moreover, diabetes is among the world’s leading causes of kidney failure. About 10-20% of people with diabetes die of kidney failure. The overall risk of death amongst people with diabetes is at least double the risk of their peers without diabetes.

Although incurable and potentially deadly, all types of diabetes can be manageable to minimize the complications mentioned above through a combination of correct lifestyle choices, maintaining a healthy body weight and medication.

6

The LDL (low density lipoprotein) target for diabetics is less than 2.58mmol/L (100mg/dL). LDL can be called ‘bad’ cholesterol. Too much LDL in your blood will deposit fat in the arteries and reduce blood flow.

The Looming Danger

of Diabetes in China

Types of diabetes

Getting screen for diabetes

• Type I diabetes • Type I diabetes is related to insufficient insulin production.

The exact cause of Type I diabetes is unclear and it is not preventable. A patient with Type I diabetes requires a daily injection of insulin.

• Type II diabetes • Of all the people with diabetes in the world, 90% have Type II diabetes. This form of diabetes is caused by a combination of genetic and environmental factors. The condition results from the body’s ineffective use of insulin.

• Gestational diabetes • Gestational diabetes is a condition in which women have elevated blood sugar level (hyperglycemia) during pregnancy. It is usually detected during pre-natal screening. This condition confers a high risk of developing diabetes later in life.

• Pre-diabetes • Pre-diabetes describes the intermediate stages between normal blood sugar regulation and diabetes. This condition is usually found during a health screening. Early recognition and management of pre-diabetes may slow down the progression to or even prevent the development of full-blown Type-II diabetes.

Some people are more at risk than others. Consider getting screened for diabetes if you: • • • • • • • • • • •

Are 45 years old or older Are overweight (with a body mass index of 25 or greater) Have a family history of diabetes in a first-degree relative Are habitually physically inactive Have delivered a baby weighing more than 4.1 kilograms (9 pounds) Have a history of gestational diabetes Have hypertension (blood pressure ¬140/90 mmHg) Have dyslipidemia – an abnormal amount of fat and cholesterol circulating in the blood Have pre-diabetes Have polycystic ovary syndrome Have a history of vascular disease

Diabetes prevention You can actively prevent diabetes from happening to you.

Minimize your chances of getting diabetes through regular physical exercise to achieve and maintain the optimal body weight for your stature. Changing your diet will also help to prevent diabetes. Consult a dietitian to create an appropriate diet. In addition, certain medications may reduce your likelihood of developing diabetes. Please talk to your doctor for more information about these options.

If you have just been diagnosed with diabetes…

Do not panic. Remember that diabetes management is a long-term process in which you have some control. The complications mentioned above result from chronic, uncontrolled diabetes.

Do not feel overwhelmed by the amount of new information you have received. Dealing with diabetes is like learning to drive a car.

You must learn the basics first, such as how to start the car and how not to veer off road. Your doctor is your instructor who fine tunes your skills by adding new lessons step by step as you feel comfortable with learned ones.

Do not delay treatment. You may have few or no symptoms before the diagnosis is made, but early evaluation is crucial for avoiding health complications that are already developing.

Do not lose hope. Having diabetes does not necessarily mean you can’t enjoy the food you like. With proper diet management, you can learn how to achieve a lifestyle with which you’re comfortable without interfering with your glycemic control.

References: 1. http://www.diabetes.org 2. UpToDate 3. WHO, Media Centre, Diabetes, January 2011

Dong Benhao, MD, PhD, DABIM Chair of Internal Medicine Shanghai United Family Hospital & Clinics

For more information or to book an appointment with Dr. Dong, please call SHU (021) 2216 3900; for BJU (010) 5927 7000; for GZU (020) 8710 6000; for TJU (022) 5856 8500

7

Pollution: Air, Water, Food, Oh My!

The Evolution of the Chinese Diet Way back in the 1980’s a team of scientists from Cornell University came to China to study the eating habits of rural villagers and the prevalence of chronic disease. What they learned was that the traditional plant-based diet of the villagers seemed to protect them from many of the chronic health issues that were plaguing the western world. Even in the big cities of China at this same time period, the incidence of chronic disease such as cancer, cardiovascular disease and diabetes was far less than in the more affluent developed world.

But times have changed, the once traditional diet of China —plenty of vegetables, rice and soybeans with a sprinkling of meat—has morphed into an east-west joint venture of fast food, dairy and meat alongside the rice and vegetables of previous generations. Chinese people aren’t just eating different foods, they are eating more as well.

There are plenty of socio-economic reasons to explain the changes in the Chinese diet—rising incomes, the one child policy, migration from the countryside to the cities, increased farm production and the globalization of the food supply—all of which could be an article in themselves. But most of us just need to walk a block to the local KFC, Coco’s Drink stand, or Dairy Queen to understand the change in the daily Chinese diet.

China still eats more pork and chicken than beef, but you know beef consumption is rising when you see that McDonald’s now has over 1,600 outlets in China, and they are just one of the many restaurant chains where beef tops the menu. Consider that in 1985 the average meat consumption per person (includes all meat: chicken, beef, fish, pork and mutton) in China was 20kg/year and by the year 2000 that number had doubled to 40kg/year; today that number averages 60kg/year per person.

Predictably, with the increase in dairy, meat and processed food consumption, China has seen dramatic increases in the serious health issues of the modern world—such as diabetes, hypertension, cardiovascular disease and cancer—that were not necessarily “typical” in the 1980’s.

However not all change is bad. While the taste for meat and dairy products along with sweet drinks is transforming the Chinese diet, there is also another movement influencing what is going on the dinner table. Spurred on by the recent food scandals, more and more Chinese are looking to organic foods for a safe and nutritious alternative to their daily bread. A survey of shopping behaviors suggests that Chinese consumers are willing Even in the smaller cities of China, which may or may not have to pay extra for safer, cleaner foods. And if you haven’t noticed it western fast food restaurants, there is a proliferation of quickalready you will start to see many more people tending their own serve restaurants all happy to meet the demand of a young vegetable patches and balcony gardens in an effort to feel secure population that lives life in a hurry. There is a feeling among the older generation that young people today think that “drinking about the foods they eat. In addition, for some families, going out milk and eating bread” is more modern and that it “takes too to the “countryside” to pick fruit and vegetables is becoming a weekend outing. long” to make the traditional congee that started their grandparents’ day. Contributing to this is the lack of cooking skills among Growing and picking your own food may not catch on as fast as the first generation of one child families. Why cook when you can afford to stop by the nearest street stand and pick up a quick KFC did, but it is a sign that there is still room for change in the “modern” Chinese diet. meal? Or better yet have your favorite dish delivered right to your door Changing tastes have also impacted the daily choices of this generation. Thanks to former Prime Minister Wen Jiabao, who in April 2006 wrote, “I have a dream to provide every Chinese, especially children, sufficient milk each day,” the Chinese are drinking milk, and lots of it. Milk consumption in China has tripled in the last 8 years and the Chinese have developed a taste for cheese and other dairy products that were once thought to be intolerable by most Asians.

Margaret Keefe, RD Registered Dietitian Shanghai United Family Hospitals & Clinics

For more information or to book an appointment with Ms. Keefe, please call SHU (021) 2216 3900; for BJU (010) 5927 7000; for GZU (020) 8710 6000; for TJU (022) 5856 8500

8

I’ve discussed many wellness topics on my health blog—www.MyHealthBeijing.com— but the major interest, by far, is pollution.

Everyone in China is very concerned about the safety of the air they breathe and the food and drinks they put into their bodies. It’s easy to be overwhelmed by the seemingly constant food scandals and pollution spikes, but you actually have full control over your environment. You can limit your exposure to most of these risks, and you can thrive here as much as anywhere! Let’s now get into more details.

Air In terms of health risks, there is accumulating research that air pollution causes both long-term and short-term risks, and children are considered more at long-term risk because their lungs are still developing. For girls, lungs finish developing at 18 years, while a boy’s lungs mature by their early 20’s. The American Academy of Pediatrics published an official position paper in 2004 detailing the health risks and recommending an aggressive community approach, led by pediatricians, to ensure children’s health. One of most concerning research findings is from the University of Southern California Children’s Health Study, following thousands of kids in smoggy Los Angeles over 9 years, from 4th to 12th grade. The results showed a worsening of lung function over those years of exposure in those children who had the most exposure to air pollution. In Los Angeles, the average annual Air Quality Index (AQI) is around 50, which is at least 2 times lower than most major metropolitan areas in China.

In order to minimize your risks, you first must understand the data. That’s why many people monitor the Air Quality Index (AQI) from smartphone apps or dozens of websites. Until recently, the Chinese AQI assessed particulate matter of 10 microns (PM10), but growing research showed that the smaller particles, PM2.5, cause many more health effects. This is why China recently upgraded their system to monitor the more relevant PM2.5 with hourly reports in dozens of cities, and they are now ahead of many developing countries with their monitoring system.

When people must be outside on bad days (which I would say includes any AQI over 200), I recommend using a good protective mask; the key is to find a good mask. Officially certified “N95” commercial masks are the best. ”N95” means that the mask eliminates 95% of larger air particles; this theoretically would bring down an AQI day of 500 to a healthy 25 AQI. You can usually find good masks, especially made by 3M, in most major Chinese cities. Totobobo also manufactures comfortable and less awkward-looking masks made from transparent plastic. These can also be cut down to fit the smaller faces of your children.

Other well designed masks include Vogmask and I Can Breathe.

Parents should know that Vogmask has just come out with a line of masks designed specifically for children’s smaller faces.

It’s important to remember that we all spend about 80-90% of our lifetime indoors, so it’s also good to protect your indoor air, which often has similar pollution levels as outside. Evidence suggests that indoor air purifier systems are very effective, whether it’s a stand-alone machine or built-in HVAC filters in your home vents and air conditioning units. Such machines, especially in bedrooms, are very effective in lowering indoor air pollution levels. Indoor plants also will help, but only slightly, and are no substitute for a good air purifier, especially in your child’s bedroom.

9

If you have a newborn baby, the healthiest milk in any country remains breast milk, so it would be best to breast feed for as long as possible. Otherwise, most doctors I know recommend only buying infant formulas imported from other countries, from the most reputable brands, as well as from the most famous stores. I would definitely not recommend getting formula or anything of consequence from Taobao, as the counterfeit industry is very large.

For grown-ups, if you don’t trust regular milk products, give soy milk a try—it has better nutritional value and is easier to digest for many.

Water When it comes to the essentials of life, there isn’t anything more basic than water. We all require H2O every day of our lives and you wouldn’t last more than a few days without any water. OK, we get that, but as usual when living in China, we need to filter this basic concept through our gray-tinted glasses and ask which water is safe to drink?

My initial response is that you shouldn’t drink straight from the tap, as while many central water systems are clean, there may be heavy metals and bacteria collected in the piping along the way.

But I would be saying this in almost any city in the world, so the same idea applies here. Actually, in New York City the tap water is famously clean, but even while living in San Francisco I always used a Brita table-top water filter and kept refilling it all day.

I think the same concept applies to the major cities in China: a recent Global Times headline, “Half of Tap Water Undrinkable,” certainly didn’t dissuade me from my caution. Several years ago, the Beijing Times exposed that half of Beijing’s bottled water jugs were counterfeit, using tap water or fake Watson’s stickers. Also, the water jugs you get delivered to your homes and offices may not be as safe as you think. One very concerning stat from a July 2011 survey in the China Daily showed that 31 water brands had failed inspection due to high levels of bacteria.

That’s why I recommend you use a water filtration system at home and avoid home water delivery. When I first came to China, we used a table-top filter for a several years, but we later upgraded to an installed water filter under the kitchen sink. You can read a lot of good consumer information about water filtration systems at www.consumersearch.com/waterfilters/review.

Food In a number of recent Chinese polls, food safety is currently the number one major health concern. How could it not be? Every few weeks it seems we read about a new food scandal, or even worse, the recurrence of an old scandal. It might be yet another “gutter oil” crackdown; exploding watermelons; illegal clenbuterol found in pork; etc. The most well-known food safety scandal, by far, involved contaminated infant formula in 2008, which killed 6 children and sickened 300,000 others, many with permanent kidney disease. Unfortunately, since then this melamine chemical has been rediscovered in a few dairy products, and thus all of China remains justifiably wary of the entire dairy industry.

For fruits and vegetables—an essential part of everyone’s diet—again the main issue is trust: do you know exactly where they come from? If you buy your produce direct from an organic farm, and you’re comfortable with the farm’s practices, then you should be safe. However for most of us this is an impractical or expensive option, so I prefer to buy organics as often as possible from the large hypermarkets such as Carrefour, Metro, Walmart, Tesco and Auchan. I prefer organics not so much for the taste and quality, but more for their quality chain of production, traceability and oversight by multiple governmental agencies. In other words, you have a much better chance of getting healthy and safe produce from a heavily monitored farm than elsewhere. You should be wary of getting produce grown on small farms, where pesticide, growth hormone and other chemical rates are enormous, not to mention very high rates of water pollution runoff.

No matter where you buy your produce, it remains crucial to wash them all very well, especially the leafy greens. If you do not prepare food at home yourself, it is important you educate whoever does, not only on proper food washing, but also simple hygiene such as correct hand washing or not mixing raw meats and veggies on the same cutting tables. There’s a program from the World Health Organization called the “Five keys to food safety” which I really like; they have many handouts in multiple languages which you can print out.

Of all food groups, I am most uncomfortable with seafood in China. A diet rich in fish is beneficial for all ages, as fatty fishes are filled with nutritious omega 3, a crucial element for a child’s brain, as well as an adult’s heart. But finding any safe fish in China is a serious issue, as many local rivers and waterways are seriously polluted. As usual, always buy the freshest seafood from a popular market; try to avoid smaller seafood restaurants with slow turnover; or spend a little bit more for imported frozen fish (Alaskan or Norwegian salmon, for example). As for meats, again I recommend organic meats at larger markets, mostly again because they have their own, independent supply chains, traceability and stricter government oversight.

When eating out, the unfortunate truth is that the smallest mom-and-pop restaurants and street vendors simply may not have the money to offer the safest or freshest foods, nor is the hygiene in the kitchen as reliable. Also, you should look for the mandatory restaurant ratings that are commonly found inside the front entrance. If it is not an A or B rating (Beijing) or a green

10

happy face (Shanghai), perhaps you should reconsider eating there.

To sum up, we all need to be more careful in order to ensure safe food for our families. But with a little extra knowledge, we can thrive just fine.

References: 1. American Academy of Pediatrics: www.pediatrics.org/cgi/content/full/114/6/1699 2. China Xiaokang: http://xkzz.chinaxiaokang.com/xkzz3/newsview.asp?id=6079 3. “Half of tap water undrinkable.” Global Times. www.globaltimes.cn/NEWS/tabid/99/ID/708496/Half-of-tap-waterundrinkable.aspx 4. My Health Beijing: www.myhealthbeijing.com/pollution/ 5. “Questions remain over safety of bottled water.” China Daily. www.chinadaily.com.cn/cndy/2011-08/16/content_13119459.htm 6. WHO: www.who.int/foodsafety/consumer/5keys/en/index.html

Richard Saint Cyr, MD Family Medicine Physician Beijing United Family Hospital & Clinics

For more information or to book an appointment with Dr. Saint Cyr, please call BJU (010) 5927 7000; for GZU (020) 8710 6000; SHU (021) 2216 3900; for TJU (022) 5856 8500

11

Demystifying Medical Imaging Technology Medical imaging diagnostics is a specialized field of medicine. It uses a variety of advanced technical means to form an image of the human body, giving doctors the information they need to make accurate diagnoses and treatment plans. I believe that many people who have visited a hospital have had some experience in taking an X-ray or ultrasound examination. Others may have heard of Computed Tomography (CT), Magnetic Resonance Imaging (MRI) and other terms, but are not really familiar or clear on the principal differences between these detection methods. Often questions arise such as, “Will taking a CT or MRI make me feel sick? Will the radiation exposure cause harm to me or my child?” In this article, I will briefly introduce the most commonly used medical imaging procedures: X-rays, MRI, CT and ultrasound. Hopefully this will help answer some of the most frequent questions and alleviate the fear and uncertainty surrounding radiology.

X-rays In 1895 while researching electrical charges in various types of vacuum tubes, a German scientist named Wilhelm Conrad Röntgen discovered "a new kind of ray." He temporarily named it an “X-ray,” as it was still as yet unknown. The name stuck, and within just a few months time, X-rays were starting to be applied to medical imaging. In 1896, the Royal Hospital in Glasgow, Scotland established the world's first Radiology Department.

Today, an X-ray is one of the most common imaging methods used by hospitals throughout the world. The image is produced when radiation is directed at parts of the human body, with these X-rays being absorbed by different tissues and bones in different amounts, producing black and white pictures showing what lies underneath our skin. X-rays can be used to diagnose a variety of bone issues, such as fractures, and lung diseases such as pneumonia, lung cancer, or emphysema.

Abdominal X-rays can help detect intestinal obstruction, gases within the body cavity and certain types of kidney stones.

The radiation dose of a chest X-ray image is about 0.15 mSv. (Note that “mSv” means millisievert, or 0.001 Sieverts, which is a measure of radiation named after a Swedish scientist; this means a typical chest X-ray exam gives a dose of about 0.00015 Sieverts). In our daily lives, we are affected by cosmic radiation in typical doses of about 2 mSv per year. In routine medical use, X-ray radiation dosage is carefully controlled to be highly secure and safe. According to the International Commission on Radiological Protection, 1 Sievert carries with it a 5.5% chance of eventually developing cancer, so a chest X-ray would have a 0.000825% chance of causing harm. With the latest advances in technology, today’s X-ray machines are safer and more effective than ever, while also being fast and inexpensive for patients.

This makes it a widespread choice for doctors to quickly and easily help with diagnoses, giving the X-ray a unique position in medical imaging.

12

CT

however, is not useful in diagnosing issues with bones or

gas-bearing organs such as the lungs.

Computed Tomography imaging or “CT,” is a digital reconstruction of multiple radiation images. It is produced when different When administered properly, the benefits of imaging exams groups of radiation waves are beamed into the body, creating normally far outweigh the possible risks to patients, depending several levels of images as a result of the different levels of bodily on their situation. Moreover, medical imaging normally does not absorption. These images are then reconstructed digitally with cause pain. For certain CT and MRI examinations, patients are the aid of a computer, and presented in a layered manner, sometimes asked to take substances that can help compare and providing a reconstructed cross section of structures within the contrast different organs and tissues, allowing for a better underhuman body. By digitally adding multiple layers into a crossstanding and clearer pictures for doctors. In these cases, patients section, radiology technicians and doctors can effectively exammight be asked to take the substances orally, by intravenous drip, mine a three-dimensional image of the problem area, noting the specific characteristics and nuances from every angle. This or through an enema, which may cause temporary discomfort. In addition, a small number of patients may find it difficult to high-resolution technology is incredibly convenient for doctors remain still during the examination process, such as those with in making diagnoses chronic pain, acute claustrophobia, or other such discomfort. For these patients and under a doctor's direct supervision, Images from CT scans can be used to diagnose tumors, inflampain-killing, or other pharmaceuticals may be administered to mation and pain in all parts of the body. Internal organs, bones, help stabilize them so that the examination can be completed. soft tissues and blood vessels all appear clearer in a CT image Female patients that are pregnant should always inform the than in X-ray images. Therefore, CT scans can have particular radiologist before scheduling an exam. advantages when doctors are seeking to understand the effects of complex problems such as a brain hemorrhage, pulmonary and cardiovascular disease, a complex bone fracture, or kidney and gall stones.

MRI Approximately 70% of the human body is composed of water.

Magnetic Resonance Imaging (MRI) technology relies on the stimulation of protons in water. When the body, with its majority liquid makeup, is placed in a magnetic field with the appropriate electromagnetic wave exposure, it forces hydrogen protons to resonate and change their orientation. This allows for the release of electromagnetic waves that can be analyzed. Because different groups of protons can produce different electromagnetic signals, when processed by computers, doctors can gain a unique picture of internal body structures.

If you or your child has already previously completed an imaging examination, please inform your radiologist so that they can check the results and avoid repeating the exam if not necessary.

We suggest you communicate fully with the radiologist or technician all your past histories and any special situations before the examination, especially if you believe there is any chance you may be pregnant. This will allow radiology staff to be more attuned to your wishes, provide you with more details, and generally tell you about which things you may need to be aware.

An MRI scan can produce an image with excellent resolution of soft tissues. It is also useful to doctors in looking at solid organs, such as cranial nerve systems, musculoskeletal systems, spinal cartilage and thyroid glands. It has excellent diagnostic value when looking at the liver, bile, spleen, kidneys, pancreas, adrenal glands and reproductive organs (such as the bladder, uterus, ovary and prostate, as well as breasts). Compared with a CT scan, MRI offers safer imaging without radiation, but a longer scan time is required as the patient lies within the MRI machine for several minutes. Since MRI systems produce a strong magnetic field, patients undergoing MRI exams are required to remove all metal jewelry. An MRI exam is not suitable for some patients who have metal implants within their body, such as those with pacemakers, or certain hip replacements.

Ultrasound High frequency sound waves are used in medical ultrasound imaging, whereby sound is projected at human tissue and echo signals bounce back, forming a group of signals that computers can generate into a comprehensive image. Ultrasound exams are useful in examining solid organs of the human body, such as the liver, gallbladder, pancreas, spleen, kidneys and uterus.

Ultrasound is also useful for getting a look at organs like the thyroid gland, mammary glands, eyes and cardiovascular system. It helps with the detection of lesions under the skin, and is often used for fetal and prenatal examinations. Ultrasound also has the advantage of being “real time”, showing a moving image, which is extremely helpful in analyzing dynamic processes in the body, revealing functional information about the heart, blood flow, and muscular and digestive systems.

Due to the convenient non-invasive and non-radiation nature of the ultrasound, it is widely used in hospitals. The ultrasound,

Li Song, MD, PhD Chair of Radiology, Sonologist Beijing United Family Hospital & Clinics

For more information or to book an appointment with Dr. Li, please call BJU (010) 5927 7000; for GZU (020) 8710 6000; for SHU (021) 2216 3900; for TJU (022) 5856 8500

13

Finding Inner Peace in Life

Many older people did not get braces when they were young. Either their parents could not bring them to the orthodontist or their teeth could not be straightened with the limited techniques of 30-40 years ago.

As a result, problems with teeth and gums are common among older generations. Teeth are worn down and many people, perhaps even you, are unhappy with their smile. But now there is much better technology available and braces are affordable, and you are thinking you want to do something about it.

The first question you might ask is, “Am I too old for braces?”

In China today there is a growing interest in the field of mental health, but many Chinese still wonder whether it is worth the money to, in their minds, simply speak with a psychologist yet receive no medication. There are persistent doubts whether or not this approach is effective. In many ways a psychologist is no different than other people; we too like to chat, wear nice clothes and travel. However, psychologists are trained to interpret people’s emotions and actions—like joy, anger and sadness—and help patients develop wholly new perspectives on life that can make them healthier.

When should someone see a psychologist?

Many people in China often misunderstand the timing of when they should see a psychologist, believing they should only seek such help when they reach a critical stage of severe insomnia, anxiety, or suicidal thoughts. This limited approach to mental health can create a lot of problems, since it is often much easier to treat such issues at the primary stages of their appearance than when these problems have reached severe levels. When these issues develop to the point of having an obvious impact on a patient’s physical health, often a psychiatrist—with the ability to prescribe medication—will be needed. At these later stages, the impact on a person’s interpersonal relationships and physical condition can be much greater and this progression may have been avoidable through the earlier intervention of a psychologist.

On a positive note, the past few years have seen a change in China, with growing awareness by individuals of the benefits a psychologist can have for their overall good mental health. For instance, I often have patients scheduling my time for a consultation on how to better improve their child’s, or their own, emotional intelligence (EQ). I recently had one mom bring in two full pages of printed-out, detailed questions asking me how to best parent her child. Some patients see me for help in learning how to face their new environment after returning to China from a long stay abroad. Others seek help for everyday type issues they face in their home or workplace, such as: Why don’t I often praise other people? What approach can make people feel my kindness when I speak to them? Why is it that all the nannies I hire can never seem to stay with me for a significantly long period of time? How can I deal with an extramarital affair? How can I face the loss of a loved one? How can I best cope when my family member is undergoing cancer treatment? My patients ask me these and many others such difficult questions everyday.

After consultation with a psychologist, patients generally obtain the emotional support and cognitive correction skills they need to better understand all the possibilities they can chose from when facing such predicaments. As people go through this process of self-discovery, it can at times be somewhat emotionally painful, especially when they uncover things they have not realized about themselves. It can be hard to bring up the past all over again and judge previous actions, but it can truly help them understand how to best move forward.

14

Are You Too Old For Braces?

There is no age limit for orthodontic treatment The answer is “no” you are not too old. There are no age limits for getting braces! Orthodontic treatment can easily be done for those in their latter years, and it is a growing trend. In fact, nearly a quarter of orthodontic treatment is presently done on adult patients. It is quite a change from 20 years ago when only children were wearing braces.

Psychologists can be sought out for their help with many issues people face. I suggest everyone consider seeing a psychologist when one or more of the following things occur: • When you have to make a critical life decision such as changing a career, resigning from a job, considering marriage (especially those with a previous marital history), divorcing your spouse, considering having a child (this could be a joint consultation), or adopting a child.

• When you are negatively affected by interpersonal tension with your spouse, colleagues at work, close friends, or a family member such as your child.

• When you experience a deep lack of confidence including a fear of authority, being obsessively concerned about someone, being overly precautious, being unable to overcome small mistakes or issues, or being indecisive.

• When you feel a great amount of stress and pressure, and as a result you are not willing to communicate with anyone, lose sleep, are constantly irritable, or often lose patience.

In short, a psychologist is an excellent social resource you can call upon and effectively utilize to make your life happier and provide you with a better sense of control. When you visit the psychologist’s office, it doesn’t mean that you are weak, but rather it illustrates that you are soundly rational and mature, making a smart decision to address your issues early on.

Zhang Xusheng, MA Licensed Therapist Beijing United Family Hospital & Clinics

For more information or to book an appointment with Ms. Zhang, please call BJU (010) 5927 7000; for GZU (020) 8710 6000; for SHU (021) 2216 3900; for TJU (022) 5856 8500

The condition of your teeth, gums and supporting bones is the most important factor in determining your potential for orthodontic treatment. The biological processes involved in tooth movement are the same for both adults and children.

Benefit of adult orthodontics When your teeth are crooked, they are harder to clean and can unevenly wear down. Your gums can inflame causing tooth pain; eventually, you can lose your teeth. Orthodontic treatment inhibits gum problems and prevents tooth loss.

It is important to know that chewing is the first step of digestion.

If you do not chew your food properly, the rest of you digestive system will have to work harder. The harder you digestive system works, the faster it ages. As a result, orthodontic treatment will prevent premature aging of your digestive system.

In addition, you may have concerns about your appearance. A perfect smile can even help in your career. Surveys have indicated that people who have had braces feel better about themselves. With better self-esteem, individuals that have undergone orthodontic work live longer and statistically have a lower risk of cardiovascular disease.

Modern techniques make adult orthodontics more comfortable Modern orthodontic practices have evolved considerably over the last 40 years. Back then, traditional one-size-fits-all brackets and stainless steel wires were the standard of care. The most radical changes in the orthodontic industry are the use of nickel titanium arch wires and self-ligation brackets. These new arch wires have a unique memory effect and super elasticity. They can generate light, continuous force during tooth movement, which will shorten treatment time and largely reduce patient discomfort. The new passive self-ligating brackets use a slide mechanism that allows the wire inside to glide. This mechanism not only reduces friction and pressure, but also results in more effective forces that make treatment more comfortable.

The difference between adult and childhood orthodontics The reason it is easier for a child or teenager to undergo

are still growing and have not yet set. The unbalanced growth of the upper and lower jaws can be corrected in a child through growth modification. Since there is no growth potential for the adult bone, jaw discrepancies need to be corrected with surgery.

Another major difference between adolescent and adult orthodontics is that the procedures take longer to complete. The adult bone, muscle and soft tissue around the teeth need more time to heal as they adjust to the changes. After all, the jaw is more than just bones; it is composed of muscles too. Therefore, going slowly allows the muscles to adapt.

There are, however, several notable advantages of adult orthodontics. For instance, following an orthodontist’s treatment plan is easier as there are more options which are unavailable to younger patients. Children often wear braces only because their parents want them to, and they may not always follow the doctor’s instructions. Conversely, adults are more motivated and are typically better listeners. Adults are rewarded with revolutionary treatment options including lingual and clear braces. If you are interested in finding out more about what braces. If you are interested in finding out more about what treatment plans are available for you, please schedule a preliminary consultation with an orthodontist.

References: 1. Dinesh, K Bagga. “Adult Orthodontics versus Adolescent Orthodontics: An Overview.” J Oral Health Com Dent. 2010; 4(2): 42-47.

2. Proffit, William R., Contemporary Orthodontics (Fourth Edition).

3. Scott P, Fleming P, Dibiase A. “An Update in Adult Orthodontics.” Dental Update. Sep2007; 34(7): 427-8, 431-4, 436.

Sandy Tang, DDS, MS Orthodontist Shanghai United Family Hospital & Clinics

For more information or to book an appointment with Dr. Tang, please call SHU (021) 2216 3900; for BJU (010) 5927 7000; for GZU (020) 8710 6000; for TJU (022) 5856 8500

15

The Effects of Today’s Communication Technologies on Children

China’s Healthcare Reform Efforts

drugs, and some herbal medicines, which must be covered by insurance.

So far, these efforts seem to be working, but significant challenges to China’s healthcare reform still remain. Former minister, Chen Zhu, remarked earlier in 2013 that “China's ongoing medical reform has entered its most difficult stage” in China’s plan to reach its stated 2020 goals. In 2012 the estimated total cost of healthcare services in China was US$474 billion (RMB 2.89 trillion), an 18.8 percent rise compared to the previous year.

There are currently over 9 million medical staff in the country, marking an increase of over 500,000 healthcare professionals from just the previous year. There are also 565,000 more hospital beds compared to the year before, making a total of 5.73 million.

Outpatient visits also rose in China by about 10 percent from the same period the year before numbering in the multi-millions.

For many countries, these numbers may seem staggeringly large, but for China, it is just a start. In recent reports from China’s National Health and Family Planning Commission, the government admitted its own efforts were still not enough as China’s current spending on healthcare as a percent of GDP remains quite low at just over 5% of GDP (compared with 8.8% in Brazil, 17% in the USA).

As the world’s most populated country, China faces some enormous challenges. Among them is reforming its complex and overburdened healthcare system.

As a result of such a large and aging population demanding better and more effective care, China has had no choice but to put resources into modernizing its healthcare system. While much work remains to be done, there have been some significant achievements thus far.

In 2012, China completed its 3-year, US$123 billion tranche of government-backed healthcare spending on its overall reform goal to provide safe, effective, convenient and affordable healthcare to all of its citizens by 2020. Current government spending in 2013 on reform also seems significant. China’s healthcare reform path and its achievements all started from the previous leadership’s 2009 ideology shift to build a “harmonious society” in China, which included plans to put more resources towards the basic healthcare needs of every Chinese citizen. This top-down philosophical change provided the fundamental impetus needed for China to move forward with healthcare reform.

Most notably, China has achieved an unprecedented level of healthcare coverage for its citizens: over 95% of China’s population is enrolled under a common national health insurance system. This means that almost every Chinese individual can theoretically access a doctor and be reimbursed for at least a portion of their visit, making modern healthcare both more accessible and more affordable. This marks a significant change, since it was only 10 years ago in 2003 when merely 55% of China’s urban residents and only 21% of its large rural population had access to such health insurance coverage.

In addition to better healthcare financing, many remarkable and well-documented reforms have changed the nature of care for the average Chinese. For instance there is now a modern and clearly identified community health center in every community in each of China’s cities. Each Chinese citizen is entitled to receive a personal resident health card, tied into computer systems, with the ability being developed to access electronic medical and

16

One critically important part of this healthcare reform is the build-out of a national Primary Care model. This will mark a shift in China’s recent emphasis on specialization promoted by revenue generation and physician compensation models.

Though an emphasis on primary care is not new to China (remember its storied history of ‘barefoot doctors’, going from village to village), retrofitting a modern primary care system into a specialty driven system is vital to the success of national health reform efforts. In a current Shanghai pilot, 2,200 general practitioners (or Family Medicine doctors as they are known in parts of the West) have been installed in 10 areas involving 136 community medical centers, affecting 1.6 million families. This pilot, if it works well, will eventually be broadened to the rest of China.

immunization records, make appointments, pay bills and more.

China’s former Health Minister, Chen Zhu, predicted that by 2015 about 80 percent of the population (over 1 billion people), will possess the life-long health card. In 2010, China started to heavily subsidize individual insurance coverage for selected diseases, such as pediatric congenital heart disease and leukemia, for residents in poorer, rural areas. In the past 2 years, the government’s new insurance coverage pilot program expanded to cover breast and cervical cancer, psychotic disorders, kidney disease, drug-resistant tuberculosis, HIV/AIDS and 20 types of cancers. The government pursued these reforms in the hopes of realizing substantial savings in providing early treatment for diseases that carry a particularly high cost burden, but rely on already well-established treatment programs.

Several additional pilots that started in county-level hospitals are now being readied for transfer to large urban providers, as well as hospitals throughout the country. These include the digitization of prescriptions to carefully monitor and put a stop to doctors that dishonestly attempt to over-prescribe certain drugs for personal gain. There have also been improvements in physician training programs in which doctors receive broader and more relevant clinical practice experiences before degrees are awarded, increasing competencies and engendering greater trust from patients. In addition, China established a "National Essential Drug List" of Western and Traditional Chinese Medicine

The movement toward increasing primary care in China (and elsewhere) is a very smart and strategic move in healthcare reform. There is excellent evidence to show that when we increase the number of primary care practitioners, and encourage the public to see them, especially Family Medicine doctors, there are better overall health outcomes. The United States went through the transition to an emphasis on primary care in the 1950’s, and by 1969 Family Medicine was a recognized specialty that not only treats disease, but importantly tries to prevent disease while promoting health. If individuals feel ill or have questions about their health, they can go to Family Medicine doctors first to get an assessment and advice on whether specialists are needed, get referrals and receive general guidance on the proper route to overall good health. The idea is to train large numbers of doctors to competently treat 95% of problems that any patient would have, regardless of age or situation, and refer those patients with illnesses requiring further specialty consultation. When referrals do happen, the Family Medicine doctor keeps in touch with the patient and helps coordinate the process throughout the healthcare system, ensuring the patient gets the most appropriate care. This eliminates waste and promotes better prevention and overall health. In a place like China, these improvements in efficiency and outcomes quickly add up to a win-win for health authorities trying to manage care for so many.

At United Family Healthcare, we are proud to be pioneering China’s very first world-class, internationally-managed Center of Primary Care Practice and Education (CPCPE), which we hope will be a resource for China. Within CPCPE, we have created United Family Healthcare’s Family Medicine Training Program (UFH

FMTP), which includes a physician training program that creates China’s first international-standard primary care curriculum, with learning formats adapted from leading Family Medicine and general practice training programs in the US, UK, Canada and other Western countries. Our goal is to train Chinese physicians who have finished other residencies in China. Once trained in the UFH FMTP, these bright young physicians will be able to practice Family Medicine at the standard of the aforementioned countries. UFH is excited to play this additional role in contributing to China’s healthcare reform plans.

While the challenges are daunting for China, the achievements in healthcare reform over the last few years are truly breathtaking. While it is uncertain if China will be successful in reaching all its stated goals by 2020, there is no doubt that healthcare reform in China is off to a good start. With the national rollout of successful pilot programs and the switch to an emphasis on primary care, China not only has the potential to improve the health and well-being of the country with the largest population on earth, it is also finding solutions to challenges that other countries similarly face. United Family Healthcare applauds these efforts and, to the extent possible for a private healthcare system, we look forward to continuing to innovate and model best practices that might be incorporated into the wider public healthcare arena.

References: 1. Cheng, Tsung-Mei. “A Pilot Project Using Evidence-Based Clinical Pathways and Payment Reform in China’s Rural Hospitals Shows Early Success.” Health Affairs. November 2012.

2. Cheng, Tsung-Mei. “Early Results of China’s Historic Health Reforms: The View from Minister Chen Zhu.” Health Affairs. November 2012.

3. “China's Health Care Costs Increase: Official Data,” Xinhua News. June 19, 2013.

4. Ji, Xiaojun. Information personally gathered and presented in “Crossover,” China Central Television English News Channel, interview with Dr. David Rutstein, first aired January 14, 2013.

5. Shan, Juan. “China Medical Reform in Crucial Stage.” China Daily. Feb. 26, 2013.

David Rutstein, MD, MPH Vice President for Medical Affairs United Family Healthcare

For more information, please call BJU (010) 5927 7000; for GZU (020) 8710 6000; for SHU (021) 2216 3900; for TJU (022) 5856 8500

17

KHANJANI, Ferida LIAO, William LIN, Na SCHWEIGER, Mirjam SHAO, Wenhong SZE, Carlynn ZHOU, Jason Internal Medicine JI, Kaiyu AFLATOONI, Sarmad BI, Minghua EASON, Jane GENG, Wei WANG, Haixia WU, Ni YUE, XIN

Beijing Anesthesiology YIN, Bo BAI, Yuhe JIA, Wenjuan KOUZAN, Audrey LI, Bing NIU, Jieping SONG, Xiaohong SUN, Chuanjiang YE, Xin ZHANG, Rujin Cardiovascular Center HU, Dayi GUO, Tim BAI, Shuling CHEN, Yuxiang HOU,Yihua JIN, Zhong Yi LIU, Dong LUO, Zhaoliu MAO, Yuqi QIAN, Rongrong

Chair of Anesthesiology Anesthesiologist Anesthesiologist Anesthesiologist Assistant Anesthesiologist Anesthesiologist Anesthesiologist Anesthesiologist Assistant Anesthesiologist Assistant Anesthesiologist Anesthesiologist Director of Heart Center Director of Catheterization Laboratory Internal Medicine Physician Cardiologist Echo Cardiologist Interventional Radiologist Cardiac Rehab Physician Cardiac Surgeon Cardiothoracic Surgeon Surgeon Internal Medicine Physician Cardiologist

Dental, Orthodontics & Implant Center Chair of Dental/Dentist FENG, Diane Dental Hygienist DENG, Lynn Dentist HUANG, Jing Pediatric Dentist LAU, Irene Dental Hygienist LI, Rong Dentist/Prosthodontist TSE, Chungming Dentist VALAI, Vassal Dentist YANG, Xintao Orthodontist ZHOU, Jasmine Dermatology & Laser Skin Center Section Chief/Dermatologist YUAN, Shan Dermatologist NA, Renhua Dermatologist ZHAO, Na

18

ZHANG, Yanping

Emergency WOOD, Jason CHICKERING, William GU, Lin KOULIEV, Timur SPRINGER, Martin WANG, Houli

Chair of Emergency Medicine Emergency Physician Emergency Physician Emergency Physician Emergency Physician Emergency Physician Emergency Physician

ENT (Ear, Nose, Throat) Clinic LIN, Zhonghui LIN, Jing LIU, Ming MO, Lingyan

Chair of ENT Clinic/ENT Specialist ENT Physician ENT Physician ENT Physician

Eye Clinic XI, Jeanne CHEN, Xue WANG, Lan

Chair of Eye Clinic/Ophthalmologist Ophthalmologist Ophthalmologist

Family Medicine (Primary Care) Chair of Family Medicine WANG, Andy Family Medicine Physician Family Medicine Physician DAI, David Family Medicine Physician DHENIN, Jean-Pierre Family Medicine Physician FANG, Evelyn Family Medicine Physician GAO, Lucy Internal Medicine Physician HOSODA, Setsuko Internal Medicine Physician JIA, Ling Registered Dietitian LIANG, Lijun Family Medicine Physician Family Medicine Physician PERRETT, Andrew Family Medicine Physician SAINT CYR, Richard Family Medicine Physician TSUDA, Naoya Family Medicine Physician WANG, Candice Health Screening CAI, Youhong LI, Chunhui WANG, Juchen Infection Control CHANGIZI, Roo Integrative Medicine CAI, Lang HINSON, Roger

Laboratory SUN, Fei OMAREN, Hakim CAI, Fei QIAO, Xubai Neurosurgery CHEN, Ge JIAN, Fengzeng LING, Feng WANG, Dianne Obstetrics & Gynecology LIU, Sam AFNAN, Masoud CHANG, Ling FARHAD, Sabha GUO, Yinghua LI, Jianjun LI, Xiaohui LIU, Chunmei MA, Hongli WANG, Huixia YANG, Lan ZHAN, Caifang ZHAO, Ellen ZHAO, Yawei ZHOU, Lianghong Oncology LAU, Derick

Immigration Physician Immigration Physician Immigration Physician Chair of Infection Control Family Medicine Physician TCM Physician Chiropractor

CAI, Weiming LI, Wenyan TIAN, Lijun Pediatrics CUI, Yutao YANG, Ming

Chiropractor Chartered Physical Therapist Acupuncturist & Naturotherapist Physical Therapist TCM Physician Registered Dietitian Rehabilitation Medicine Physician Chair of Internal Medicine Internal Medicine Physician Gastroenterologist, Hepatologist Internal Medicine Physician Internal Medicine Physician Internal Medicine Physician Infectious Disease Specialist Gastroenterologist Hospitalist ICU Physician & Hospitalist Internal Medicine Physician Endocrinologist & Hospitalist Internal Medicine Physician ICU Physician & Hospitalist Chair of Central Laboratory & Blood Bank Services Director of Anatomic Pathology Laboratory Pathologist Pathologist

BAI, Jie ELDADAH, Maher FENG, Yan GOLDMAN, Nathanael GONZALES, Joan HE, Ruijuan LIU, Lijuan LIU, Xiao SABET, Leila TU, Huiling WANG, Juan WANG, Ke WANG, Shuying WU, Xiaoyan XU, Raymond ZHANG, Hanbing ZHANG, Qinming ZHAO, Juan

Pharmacy ZHANG, Helen

Chair of Obstetrics & Gynecology Obstetrician & Gynecologist Chief Medical Officer Obstetrician & Gynecologist Fertility Specialist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist

Pharmacy Director

Psychological Health Center BLINN, Rob CHANG, Wei CHIU, Martha SZE, Maranda TIAN, Chenghua XU, Steve ZHANG, Xusheng

Chair of Psychological Health Center Clinical Psychologist Psychologist Clinical Psychologist Clinic Counselor Consultant Psychiatrist Clinical Psychiatrist Psychological Therapist

Radiology/Imaging LI, Song

Neurosurgeon Consultant Neurosurgeon Consultant Neurosurgeon Consultant Neurosurgeon

Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician/Neonatologist Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician/Neonatologist Hospitalist Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Hospitalist

BAI, Lin GAO, Xuewen LI, Yongzhong ZHANG, Pingna ZHANG, Xingmei

Chair of Radiology/Imaging Sonologist Radiologist Sonologist Radiologist Sonologist Radiologist

Surgery CHENG, Wei REN, Gang LI, Shujun CHAN, Lennard CHOW, Tsangsey HAN, Zonghui HOLLEDGE, Maruo JIANG, Hua LI, Edward LI, Shujun LI, Yang XIAO, Haitao XUE, Zhaoying YANG, Huiqi ZHANG, Jianxin ZHI, Yinghui ZHOU, Fang

Chair of Surgery, Pediatric Surgeon Chief of Orthopedics, Surgeon Senior Surgeon Plastic Surgeon General Surgeon Surgeon Orthopedic Surgeon Surgeon Surgeon Senior Surgeon Surgeon Surgeon Urologist Surgeon Orthopedic Surgeon Surgeon Orthopedics Consultant

Beijing United Family Rehabilitation Hospital Group Director of Oncology Oncologist/Hematologist Chief of Radiation Oncology Division Radiation Oncologist Oncologist Chair of Pediatrics/Pediatrician Chief of Pediatric Inpatient Services Pediatrician

LI, Jianan CHEN, Yaping HU, Dayi JIN, Zhongyi LIU, Fangling PI, Lin SONG, Xiaoyan ZHANG, Xin ZHOU, Jingsheng

Chief Medical Officer Rehabilitation Medicine Physician Chief of Orthopedic Rehabilitation Cardiologist Cardiologist Rehabilitation Medicine Physician Cardiologist Rehabilitation Medicine Physician Orthopedic Rehabilitation Physician Rehabilitation Medicine Physician

19

Guangzhou Dental DEE, Steven Family Medicine GAYNOR, Kate CHANG, Samantha LAMICHHANE, Udaya LI, Robert RAHMER, Ralph YASUFUMI, Fujii Laboratory LIN, Qinghao GE, Zhongmei

Dentist General Manager Family Medicine Physician Consultant Family Medicine Physician Family Medicine Physician General Practice Physician Urgent Care Physician Family Medicine Physician General Practice Physician Laboratory Technologist Supervisor Laboratory Technologist

Pediatrics XIA, Kelly CHEN, Huan MEASE, Alan

Medical Director/Pediatrician Pediatrician Senior Pediatrician Consultant

Pharmacy DENG, Ivy Aiqun FENG, Sharmaine

Senior Pharmacist Pharmacist

Physiotherapy CHEN, Erick

Athletic Therapist

Pediatrics HUANG, Juemin BEAUDREAU, J. Celese CADZOW, Susan ELLIOTT, John C. LI, Xin PU, Jessica SU, Lynn UTESCH, Vera WU, Li ZHANG, George

Psychology CHAMBERS, Alfred

Psychologist

Pharmacy QUAH, Pamela

Radiology/Imaging HUANG, Dustin

Radiologist

FANG, Yijun MATSON, Keeley WILLEMANN, Christine

Shanghai Anesthesiology WAN, Lijun BRUN, Elisabeth HONG, Xi XU, Limin Critical Care & ER Medicine CHANG, Joseph BEAUDREAU, Ronald BROWN, Andy DECONINCK, Niels LI, Leon MOFFETT, Shannon TAN, Clifford Dental Clinic SHAN, Allen IGHANI, Adib LU, Lesley RANA, Rouble TANG, Sandy TEDJARATI, Victoria WANG, Shirley Dermatology & Skin Clinic GUO, Chunying XIANG, Qian Dietetics KEEFE, Margaret

Chair of Anesthesiology Anesthesiologist Anesthesiologist Anesthesiologist Anesthesiologist Assistant Chief Medical Officer Chair of Emergency Medicine Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Chair of Dentistry/Dentist Dentist Dentist Pediatric Dentist Consultant Orthodontist Dental Hygienist Consultant Dental Hygienist Consultant

Family Medicine CHEN, Eunice JOUBERT, Henri MIYASAKA, Lincoln NIETVELT, Sarai TSAO, Grace WREN, Lyn XIONG, Maikong Internal Medicine HAU, Liu DONG, Benhao CAI, Li MIRAFZALI, Saeid TACU, Cristina Laboratory HOU, Qi Mental Health XU, Steve WANG, Paul

Dermatologist Dermatologist Registered Dietitian

ENT (Ear, Nose, Throat) Clinic BURKSCHAT, Jeanette

Ear, Nose and Throat Specialist

Eye Clinic CHENG, June

Optometrist

Obstetrics & Gynecology JI, Ninni CHIN, Meika GAO, Ling KANEKO-SCHMITT, Saori RU, Wei SHE, Yuhong THOMPSON, Angela ZHU, Ruoyun

Assistant Chief Medical Officer Chair of Family Medicine Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Chief Medical Officer Endocrinologist Chair of Internal Medicine Internal Medicine Physician Internal Medicine Physician Internal Medicine Physician Rheumatologist Manager of Laboratory & Blood Bank Senior Laboratory Technologist Chair of Mental Health Clinical Psychiatrist Clinical Psychologist

Radiology/Imaging CHEN, James DUAN, Kiki HU, Yu WANG, Fei

UFH Director of Radiology Radiologist Ultrasound Physician Ultrasound Physician Radiologist

Sports Medicine & Orthopedics Chair of Sports Medicine & Orthopedics DESHMUKH, Ashwin Orthopedic Surgeon Hip & Pelvic Surgeon Consultant BROCKWELL, Jason Knee Surgeon Consultant CHAN, Terence Orthopedic & Traumatologist Spine CHOW, Hungtsan Surgeon Consultant Foot & Ankle Surgeon Consultant KONG, Siuwah Surgery TING, Paul KONG, James MASKAY, Ashish WANG, Jun WANG, Xiaochun

Chair of Surgery/Surgeon Plastic Surgeon Consultant Surgeon Surgeon Surgeon

Traditional Chinese Medicine (TCM) TCM Physician KO, Liuying

Tianjin Anesthesiology KAN, Jiwei ZHOU, Liyuan

Anesthesiologist Anesthesiologist

Critical Care & ER Medicine DAI, David McCREEDY, Samuel HURM, James

Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician

Dental Clinic LI, Xiang HAO, Stephen WANG, Amy ZHOU, Jasmine

Dentist Dentist Dental Hygienist Orthodontist

Family Medicine DAI, David

Laboratory ZHANG, Tina LIU, Junru LIU, Peng SONG, Lusheng Obstetrics & Gynecology WANG, Robert CHANG, Ling

20

Manager of Pharmacy Licensed Pharmacist Assistant Manager of Pharmacy Licensed Pharmacist Consultant Clinical Pharmacist Consultant Pharmacist

Physical Medicine & Rehabilitation Chair of Physical Medicine, LEE, Louis Physical Therapy Consultant Physical Therapy Consultant KAPOOR, Monika Physical Therapy Consultant LENZ, Ute Physical Therapy Consultant YUE, Eric Shan

McCREEDY, Samuel HURM, James Chair of Obstetrics & Gynecology Obstetrician & Gynecologist Midwife Consultant Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist

Chair of Pediatrics/Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician/Neonatologist Pediatrician

Chair of Family Medicine Family Medicine Physician Family Medicine Physician Family Medicine Physician Laboratory Manager Laboratory Technologist Senior Laboratory Technologist Laboratory Technologist Senior Laboratory Technologist Chief Medical Officer Chair of Obstetrics & Gynecology Obstetrician & Gynecologist Obstetrician & Gynecologist

LĂœ, Xiaohong WANG, Dongling WEN, Theresa ZHAO, Yawei Pediatrics CUI, Yutao AN, Jing CHEN, Zhaohui FU, Hongna SONG, Hua XU, Andrea ZHOU, Ying Pharmacy ZHAO, Chancellor DING, Pinlei GAO, Zhuo LIU, Dorothy SUN, Wenjun

Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Chair of Pediatrics/Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pharmacy Manager Licensed Pharmacist Licensed Pharmacist Licensed Pharmacist Licensed Pharmacist Pharmacist Assistant

Radiology/Ultrasound NI, Wenxi WANG, Ruibin WANG, Xiaoli ZANG, Lan

Chair of Radiology/Radiologist Radiology Technician Sonologist Radiologist

Reproductive Medicine Center CAI, Xia MANG, Lie WANG, Xiaoling WEN, Theresa

Chair of IVF IVF Technologist IVF Technologist IVF Physician

21

Shanghai

Beijing

Beijing United Family Hospital

Beijing United Family Rehabilitation Hospital

Facilities: • Beijing United Family Hospital • Beijing United Family Rehabilitation Hospital • United Family CBD Clinic • United Family Jianguomen Health and Wellness Center • United Family Liangma Clinic • United Family New Hope Oncology Center • United Family Shunyi Clinic • United Family Shunyi Dental Clinic

Services:

Direct Billing continued:

• Cardiology • Catheterization Lab • Dental, Orthodontics and Implant Center • Dermatology & Laser Skin Center • ENT (Ear, Nose, Throat) Clinic • Emergency Medicine • Eye Clinic • Family Counseling • Health Screening (Immigration Check-up) • Home Health • Integrative Medicine • Intensive Care Medicine • Internal Medicine • Laboratory • Neurosurgery • Obstetrics & Gynecology • Oncology (Cancer Treatment) • Pediatrics • Pharmacy • Primary Care (Family Medicine) • Radiology/Imaging • Rehabilitation • Sports Medicine • Surgery

• Blue Cross (Asia-Pacific) Insurance Ltd

Direct Billing with: • ACE (ACI, CMI) – School Year Abroad • Aetna International (Mutual of Aetna Global Benefits)

• Allianz Worldwide Care (Based on online verification)

• American Foreign Service Protective Association Inc. (Mutual of Coventry) • AXA PPP Healthcare • Blue Cross Blue Shield – BCBS

• Bupa International • Bupa – IHI (ABB & VKR group only) • CareGroup (Autovision) • Chartis (Based on name list) • Cigna Global Health Benefits (Mutual of Cigna International) • Cigna & CMC • Cseth • MetLife (Mutual of Delam[ALICO]) • Euro-Center China - DKV (“Globality” & “Globalites” cards only) - Die Europaische (Germany) - Europaeiske Travel Insurance A/S (Denmark) - Europeiska (Sweden) - Europeiska (Norway) - Eurooppalainen (Finland) - Europeesche (Holland) • GBG International • Global Health Asia • GMC (Members must bring in their direct billing settlement card) • Healix International • ICBC-AXA LIFE (Mutual of AXA-Minmetals) • IF (Finland only) • IMG (International Medical Group) • IMS (Insurance Management Systems) • JBI • MAI - Medical Administrators International • MediLink – Global • MSH China (Based on online verification) • Now Health International • PingAn Health (Based on online verification) • Sevencorners • United Healthcare • Vanbreda International • William Russell

Facilities: • United Family Guangzhou Clinic

• Shanghai United Family Hospital • Huashan Pudong Hospital International Division – Managed by United Family Healthcare • United Family Minhang SRC Clinic • United Family Quankou Clinic

Direct Billing continued:

• Dental • Family Practice • Gynecology • Internal Medicine • Laboratory • Pediatrics • Physical Therapy • Preventive Medicine • Radiology/Imaging • Traditional Chinese Medicine • Ultrasound • Urgent Care • U.S. Immigration Health Check-up

• Bupa International • Bupa – IHI (ABB & VKR group only) • CareGroup (Autovision) • Chartis (Direct billing eligibility based on the name list) • Cigna Global Health Benefits (Mutual of Cigna International) • Cigna Global Health Options • Cigna & CMC • Cseth • Euro-Center China - DKV (“Globality” & “Globalites” cards only) - Die Europaische (Germany) - Europaeiske Travel Insurance A/S (Denmark) - Europeiska (Sweden) - Europeiska (Norway) - Eurooppalainen (Finland) - Europeesche (Holland) • GBG International • ICBC-AXA LIFE (Mutual of AXA-Minmetals) • MediLink – Global • MetLife • MSH • PingAn Health (Based on online verification)

Direct Billing with: (Mutual of Aetna Global Benefits)

• AXA PPP Healthcare • Blue Cross Blue Shield – BCBS (only policy numbers starting with the R prefix; patient should request GOP)

• Critical Care & ER Medicine • Dental Clinic • Dermatology & Skin Clinic • Endoscopy Clinic • ENT (Ear, Nose, Throat) Clinic • Eye Clinic • Family Medicine • Internal Medicine • Laboratory • Mental Health • Obstetrics & Gynecology • Pediatrics • Pharmacy • Physical Medicine & Rehabilitation • Radiology/Imaging • Sports Medicine & Orthopedics • Surgery • Traditional Chinese Medicine

• Bupa – IHI (ABB & VKR group only) • CareGroup (Autovision) • Chartis • Cigna Global Health Benefits (Mutual of Cigna International) • Cigna & CMC • Cseth • Euro-Center China - DKV (“Globality” & “Globalites” cards only) - Die Europaische (Germany) - Europaeiske Travel Insurance A/S (Denmark) - Europeiska (Sweden) - Europeiska (Norway) - Eurooppalainen (Finland) - Europeesche (Holland) • GBG International • Global Health Asia • GMC (Members must bring in their direct billing settlement card) • IF (Finland only) • IMG (International Medical Group) • IMS (Insurance Management Systems) • JBI • MAI - Medical Administrators International • MediLink – Global • MetLife (Mutual of Delam [ALICO]) • MSH China (Based on online verification) • Now Health International • PingAn Health (Based on online verification) • Sevencorners • United Healthcare • Vanbreda International • William Russell

Direct Billing with: • ACE (ACI, CMI) – School Year Abroad • Aetna International • Allianz Worldwide Care • American Foreign Service Protective Association Inc. (Mutual of Coventry) • AXA PPP Healthcare • Blue Cross Blue Shield – BCBS (Only policy numbers starting with the R prefix; patient should request GOP)

• Blue Cross (Asia-Pacific) Insurance Ltd. (N8H & E.O.S card only)

Tianjin

• Bupa International

Services:

Direct Billing with:

• Dental & Orthodontics • Family Medicine • In Vitro Fertilization (IVF) • Laboratory • Obstetrics & Gynecology • Pediatrics • Pharmacy • Radiology/Imaging • Ultrasound • Urgent Care

• Cigna Global Health Options • Cigna & CMC • Euro-Center China - DKV (“Globality” & “Globalites” cards only) - Die Europaische (Germany) - Europaeiske Travel Insurance A/S (Denmark) - Europeiska (Sweden) - Europeiska (Norway) - Eurooppalainen (Finland) - Europeesche (Holland) • GMC (Members must bring in their direct billing settlement card) • ICBC-AXA LIFE (Mutual of AXA-Minmetals) • MAI - Medical Administrators International • MediLink – Global • MetLife (Mutual of Delam [ALICO]) • MSH China (Based on online verification) • Now Health International • Sevencorners • Vanbreda International

Direct Billing with: • Aetna International

Facilities: Services:

Direct Billing continued:

(Mutual of Aetna Global Benefits)

Huashan Pudong Hospital International Division – Managed by United Family Healthcare We offer direct billing to numerous global insurance providers. For our most current direct billing list, please call us at +86 (21) 5030 9907.

Tianjin United Family Hospital

• Aetna International

22

Facilities:

(only policy numbers starting with the R prefix; patient should request GOP)

Guangzhou

United Family Guangzhou Clinic

Shanghai United Family Hospital

(N8H & E.O.S card only)

Services:

(Mutual of Aetna Global Benefits)

• Tianjin United Family Hospital

• Allianz Worldwide Care (Based on online verification) • AXA PPP International • Bupa International • Bupa – IHI (ABB & VKR group only) • Caregroup (Autovision) • Cigna Global Health Benefits (Mutual of Cigna International)

* Please note, the direct billing list for TJU is rapidly expanding. For the most current list, please contact Alex Wang at +86 136 620 96402.

Wuxi Facilities: • United Family Wuxi Health and Wellness Center (A United Family managed affiliate)

Services: • Dental Clinic • Dermatology • ENT (Ear, Nose, Throat) Clinic

• Eye Clinic • Family Counseling • Obstetrics & Gynecology • Internal Medicine/Cardiology • Laboratory • Pediatrics • Pharmacy • Physical & Alternative Medicine • Primary Care (Family Medicine) • Radiology/Imaging • Surgery • Urgent care

United Family Wuxi Health and Wellness Center

* Insurance exclusions may apply depending on your specific plan type; if you are not sure about your coverage please contact us.

23

Beijing

Tianhe Highway Junction 天河立交

W. H

United Family Guangzhou Clinic 和睦家广州诊所

uang pu Av e

黄埔大道 西

N. Dongxing Road 东兴北路

S. Dongxing Road 东兴南路

Huaxia Rd. 华夏路

Huaqiang Roa

d 华强路

Huasui Rd. 华穗路

Markor Furnishings 美克·美家 Imperial Traders Hotel 广东外商活动中心

Middle Guangzhou Ave 广州大道中

PICC Building 人保大厦

Jinsui Rd. 金穗 路

Huaming Roa

W. Zhuji ang Rd. 珠江 西路

山一路 Rd. 中 han Yi Zhongs

d 华明路

Huacheng Roa

d 华成路

Line 5 Wuya

ngcun

五号线 五羊邨 站

Line 5 Zhuji

ang New Town

五号线 珠江新 Huacheng Ave 城站 花城大道

United Family Quankou Clinic 和睦家泉口诊所

Beijing United Family Hospital 2 Jiangtai Road, Chaoyang District, Beijing 100015 24-hour Emergency Hotline: +86 (10) 5927 7120 Tel: +86 (10) 5927 7000 Fax: +86 (10) 5927 7200 E-mail: liaison@ufh.com.cn

United Family Liangma Clinic 2nd Floor, The Grand Summit Beijing 19 East Dongfang Road, Beijing, 100600 Tel: +86 (10) 5927 7005 Fax: +86 (10) 8532 5899 E-mail: liaison@ufh.com.cn

Beijing United Family Rehabilitation Hospital 1 North Yaojiayuan 2nd Road Chaoyang District, Beijing 100025 Tel: +86 (10) 8558 1800 Fax: +86 (10) 8558 1850 Email: bju.rehab@ufh.com.cn

United Family New Hope Center 9-11 West Jiangtai Road Chaoyang District, Beijing 100015 Tel: +86 (10) 5927 7008 Fax: +86 (10) 5927 7221 E-mail: oncology@ufh.com.cn

United Family CBD Clinic Suite 3017, Building AB, Vantone Center 6 Chaowai Street, Chaoyang District, Beijing 100020 Tel: +86 (10) 5907 1266 Fax: +86 (10) 5907 3306 E-mail: liaison@ufh.com.cn

United Family Shunyi Clinic Pinnacle Plaza, Unit 806, Yuyang Road Tian Zhu, Shunyi District, Beijing 101312 Tel: +86 (10) 8046 5432 Fax: +86 (10) 8046 4383 E-mail: liaison@ufh.com.cn

United Family Jianguomen Health and Wellness Center 21 Jianguomenwai Dajie, B1, The St. Regis Residence St. Regis Hotel, Beijing 100020 Tel: +86 (10) 8532 1221 Immigration Clinic: +86 (10) 8532 1678 Fax: +86 (10) 8532 3280 E-mail: liaison@ufh.com.cn

United Family Shunyi Dental Clinic Pinnacle Plaza, Unit 818, Yuyang Road Tian Zhu, Shunyi District, Beijing 101312 Tel: +86 (10) 8046 1102 Fax: +86 (10) 8046 1680 E-mail: liaison@ufh.com.cn

Guangzhou United Family Guangzhou Clinic Annex Building, Ground Floor, PICC Building 301 Middle Guangzhou Avenue, Guangzhou 510600 24-hour Emergency Hotline: +86 (20) 8710 6060 Tel: +86 (20) 8710 6000 Fax: +86 (20) 8710 6010 E-mail: gzumarketing@ufh.com.cn

Shanghai United Family Hospital 上海和睦家医院

Line 2 Beix

injing

二号线

d 泉 口

路

密

路

Shopping Mall 百联西郊购物中心

林泉

Ro

Roa

qua

le R

gxi

可乐

Qin

oad

Honggu Road 虹古路

线 环 中

Ke

Lin

E.

nR

路

d青

oad

可乐

溪路

mi

ad

Ha

Ro

Maotai Road 茅台路

路

ad

哈

Xianxia Rd. 仙霞路 g Rin le dd Mi

Kele

ining Rd.

威宁路站

威宁路

Roa

东路

Shanghai

Line 2 We

二号线

d 水城路

Jianhe

nkou

天山路

Road

Qua

Road

Tianshan Rd.

路

Shuicheng Roa

新渔东

Weining

Road

剑河路

E. Xinyu

北新泾站

Yew Chung International School 耀中国际学校

Longxi Road 龙溪路 Rd. eng uich 城路站 水 10 Sh Line 十号线

溪路

gxi

Qin Shanghai Zoo 百郊动物园

桥路 .虹 高架 o Rd 延安 gqia Hon Way h ig ’an H n a Y

青 oad

R

Rd. ngxi

Marriott-Hongqiao Hotel 万豪虹桥大酒店

路站 10 Lo Line 线 龙溪 号 十

Tianjin United Family Hospital 天津和睦家医院 Jinyi Bridge 津谊桥

Yujiang Bridge 郁江桥

Heiniucheng Rd. 黑牛城道

解放南路

S. Youyi Rd.

S. Weijin Road 卫津南路

Tanjiang Road 潭江道

Dongting Road 洞庭路

河

津

卫

路

Suijiang Road 绥江道

Royal Peninsula 半岛豪庭

United Family Minhang SRC Clinic Shanghai Racquet Club, Ground Floor Clubhouse Lane 555, Jinfeng Road, Huacao Town Minhang District, Shanghai 201107 Tel: +86 (21) 2201 0995 Fax: +86 (21) 2201 0996 E-mail: srcclinic@ufh.com.cn

Huashan Pudong Hospital International Division Managed by United Family Healthcare 525 Hongfeng Road, Ground Floor, Area A Jinqiao, Pudong District, Shanghai 201206 Tel: +86 (21) 5030 9907 Fax: +86 (21) 5030 9932

United Family Quankou Clinic 8 Quankou Road, Changning District Shanghai 200336 Tel: +86 (21) 2216 3900 Fax: +86 (21) 6290 6512 Appointment Center: 400 639 3900 Dental Appointments: (021) 2216 3909

Tianjin Tianjin United Family Hospital No. 22 Tianxiaoyuan, Tanjiang Road Hexi District, Tianjin 300221 Emergency Hotline: +86 (22) 5856 8555 Tel: +86 (22) 5856 8500 Fax: +86 (22) 5856 8599 E-mail: tjunited@ufh.com.cn

E-Mart 易买得

S. Jiefang Rd.

山

金

er Riv

友谊南路

in

d紫

oa

eij W

nR

Baiyunshan Road 白云山路

ha

ins

Zij Zhujiang Road 珠江道

Shanghai United Family Hospital 1139 Xianxia Road, Changning District, Shanghai 200336 24-hour Emergency Hotline: +86 (21) 2216 3999 Appointment Center: 400 639 3900 Tel: +86 (21) 2216 3900 Fax: +86 (21) 2216 3919 E-mail: shumarketing@ufh.com.cn

Outer Ring Rd. 外环线

For more facility maps, please visit our website.

UFH is China’s only healthcare network to receive multi-city JCI quality accreditation. 和睦家医疗集团是中国唯一 拥有JCI质量认证的连锁医疗机构。

Wuxi United Family Wuxi Health and Wellness Center (A United Family managed affiliate) 10 Middle Huaxia Road, Dongting, Xishan District Wuxi, Jiangsu 214101 Tel: +86 (510) 8821 9725 Fax: +86 (510) 8821 9722

www.ufh.com.cn