Crackdown on errant medics

  • 11 Dec 2005 01:34:10 GMT

    There is a misunderstanding that people who go to a specialist at a private channeling are rich. There is also a misunderstanding that by going to a specialist you get better treatment too. People also have no idea ,to which doctor they should go to. What ever it is, at the end a service is rendered, substandard but relatively fair looking at other 3rd world countries.

    If those specialist do not see patients privately, then the service they could provide to many decreases than increases, nor the standards of the Government hospitals going to improve. Specialists remaining in side hospital premises during a time period of 9am to 5pm do not improve quality of care since junior doctors and nursing staff obtaining consultations from specialists timely and appropriately about patients what matters in providing good care.

    As usual like in education ,in Health care too, our politicians are trying to drag an old system without reforms with the fear of loosing support from the public. Public unaware of the potential for improvement through reforms are easily mislead by those who advocate only a welfare system for political opportunism.

  • 11 Dec 2005 05:39:18 GMT

    If the government had allowed specialists to do private channeling it should be understood that the physicians who see those and admit them to private hospitals are responsible to take care of those patients too. So what is wrong a specialist in that situation visit another hospital to see for instance a seriously ill patient? How could that patient not be seen until 5.00 pm.

    One has to understand, that to provide good medical care to our people in the country there aren`t enough number of physicians, so they have to work extra hours too.

    The country needs more physicians. The slots available for medical education in universities should be increased by allowing youth to pay for their education if they are qualified to enter for a medical degree . These additional slots should be given purely on merit basis and a student loan be provided for tuition which they could start paying back after graduation. Others who enter using the free education system should sign a bond for several years to work only in the government sector, else pay back the government the same amount the others pay with interest.

  • 11 Dec 2005 08:30:01 GMT

    Pera,

    Please watch out, don`t get caught at home looking after the `poor patients` during working hours.

    Why can`t the Kandy doctors get together and build a fly over around wembly cinema area to avoid the road block caused by the doctors servicing the `poor patients` around that area.

    Or can`t you all shift the venue to some place away from these busy roads?

    I accept that it is not only a service to the poor, but also stimulates economic activities. Pharmacies, unqualified nurses, brokers, touts, unofficial park wardens and many more, so let it carry on but at a better place.

    For some dostharayas working hour is the resting time and that is not good I think.

    Bye , nada

  • 11 Dec 2005 15:25:22 GMT

    This is a creditable effort and something had to be done long time ago.But there is a small problem.Why we target docs and allied services only. could any one of the government officer lift your hand who had not taken anything illegally from their offices.

    I think this action is to get popularity and show the general public that he is honest.Mr.N.S.Silva please answer this simple question. Are you a honest person?

    WHAT i strongly believe is rather than ruining the innocent families change the entire system.

  • 11 Dec 2005 20:53:46 GMT

    I have not seen any major step taken by any governments of Sri Lanka to improve standards of care in Government hospitals.

    Recently government had opened a BSc degree course to train MLTs , not only free of charge but but also given a salary. Then they are not obliged to serve the government sector,no bond or etc. This is how government is loosing money.

    Government should be able to employ them in government laboratories and offer a fee for service to the public in an affordable way bringing revenues to the health sector.

    National hospital OPD in Colombo provide service to 3,000 patients a day. This includes a doctors seeing a patient as well as medications given freely to take home. Surely the OPD can charge Rs 10 from each patient making revenues for the OPD to further improve quality of care.

    None of the Government hospitals in Sri Lanka have designated teams ,to urgently attend to cardiac and respiratory arrests in the hospitals.

    There is no Hospice care in the entire country. End of life care for elderly , cancer patients and others are pathetic. There is no liquid morphine to be prescribed to these patients other than the `Maharagama Mix` prepared by the cancer hospital pharmacy crushing MScontin but not very effective.

    No discussion about hospitalized patients` condition with families are carried out by Doctors in government hospitals. One of the main reasons is the visiting time for families are the time Doctors go for lunch and then after 5.00 pm.

    Neither in the Government sector nor in the private sector withdrawal of life support is discussed with families . In the private sector in ICUs it is common to keep elderly patients following major strokes with no meaningful recovery on life support exhausting family members funds.

  • 11 Dec 2005 20:58:13 GMT

    I have not seen any major step taken by any governments of Sri Lanka to improve standards of care in Government hospitals.

    Recently government had opened a BSc degree course to train MLTs , not only free of charge but but also given a salary. Then they are not obliged to serve the government sector,no bond or etc. This is how government is loosing money.

    Government should be able to employ them in government laboratories and offer service for a fee to the public in an affordable way bringing revenues to the health sector.

    National hospital OPD in Colombo provides service to 3,000 patients a day. This include doctors seeing patients as well as medications given freely to take home. Surely the OPD can charge Rs 10 from each patient making revenues for the OPD to further improve quality of care.

    None of the Government hospitals in Sri Lanka have designated teams ,to urgently attend to cardiac and respiratory arrests in the hospitals.

    There is no Hospice care in the entire country. End of life care for elderly , cancer patients and others are pathetic. There is no liquid morphine to be prescribed to these patients other than the `Maharagama Mix` prepared by the cancer hospital pharmacy crushing MScontin but not very effective.

    No discussion about hospitalized patients` condition with families are carried out by Doctors in government hospitals. One of the main reasons is the visiting time for families are the time Doctors go for lunch and then after 5.00 pm.

    Neither in the Government sector nor in the private sector withdrawal of life support is discussed with families . In the private sector in ICUs it is common to keep elderly patients following major strokes with no meaningful recovery on life support exhausting family members funds.

  • 12 Dec 2005 04:52:15 GMT

    Magha are you trying to justify govt. doctors doing PP during working hours?

  • 12 Dec 2005 04:58:21 GMT

    Could somebody please educate me the credentials of Mr. Nimal Siripala de Silva to be the minister of Health care.

    Long time ago then President of the Over Seas Medical Graduates Association, now one of the directors of the municipality health system, approached me to gain support for foreign medical Graduates, and we had several discussions with then Health Minister Renuka Herath, a humble woman who was a school teacher, about foreign qualified Medical doctors, and I respected her very much since she was ready to listen and learn what she did not know.

    In 1989 or 1990 being the health minister, She advised us to lobby Vasudeva Nanayakkara, member of the Parliamentary committee for health issues , then an LSSP member, who in fact was in the opposition to gain support for the Foreign Medical graduate`s issue. As a result of that on the parliamentary committee meeting on issues of health care, with the blasting by Vasu of LSSP, and of the support of governing UNP Health Minister Renuka Herath against the Sri Lanka Medical Association and the GMOA ,the rights of the foreign medical graduates who studied abroad through the scholarships awarded by the Higher Education Ministry of Sri Lanka were established. What I want to emphasize is that we need to educate politicians on many matters since we elect them.

  • 12 Dec 2005 05:30:59 GMT

    Kiwikanga,

    I am trying to point out the failures in the whole system.

    If you do not have any understanding about the medical proffesion in Sri Lanka I would like to emphasize that the vast majority of the specialists who provide service to patients in the private sector are also working for Government hospitals. The number of patients in the private sector they provide service is huge, and those people are also citizens of Sri Lanka who wanted a service that the government can not provide. The enormity of this task is not easily understood .

    Generally in a government hospital there are about 30 patients in a ward not counting patients without beds. A specialist will do ward rounds with the juniors every day and then see at least 20 patients at a session as out patient clinics. This is more than average what a specialist should do according to established standards. Furthermore he extends his service seeing patients by private channeling which I personally consider as a service.

    Good example of how much above average work they do can be assessed when they go on work to rule policy as trade union actions. Then the country will appreciate the work of the medical profession in government sector and the need to have more doctors for the country.

  • 12 Dec 2005 05:33:59 GMT

    Could somebody please educate me the credentials of Mr. Nimal Siripala de Silva to be the minister of Health care.

    Long time ago, then President of the Over Seas Medical Graduates Association who was unemployed during the uncertain years from 1986 to 1990 , now one of the directors of the municipality health system, approached me to gain support for foreign medical Graduates, and we had several discussions with then Health Minister Renuka Herath, a humble woman who was a school teacher, about foreign qualified Medical doctors, and I respected her very much since she was ready to listen and learn what she did not know.

    In 1989 or 1990 being the health minister, She advised us to lobby Vasudeva Nanayakkara, member of the Parliamentary committee for health issues , then an LSSP member, who in fact was in the opposition to gain support for the Foreign Medical graduate`s issue. As a result of that on the parliamentary committee meeting on issues of health care, with the blasting by Vasu of LSSP, and of the support of governing UNP Health Minister Renuka Herath against the Sri Lanka Medical Association and the GMOA ,the rights of the foreign medical graduates who studied abroad through the scholarships awarded by the Higher Education Ministry of Sri Lanka were established. What I want to emphasize is that we need to educate politicians on many matters since we elect them.