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A thread on #MTIAct in Punjab Health.
My father is a doctor & became a doctor myself. I graduated in KPK, served in KPK for a year & then came to UK & trained to be a consultant in NHS; while being in contact with the implementation of MTI in KPK. This is my opinion on MTI act.
My father is a doctor & became a doctor myself. I graduated in KPK, served in KPK for a year & then came to UK & trained to be a consultant in NHS; while being in contact with the implementation of MTI in KPK. This is my opinion on MTI act.
1) Efficiency:
In present health system, individual hospitals have to get most of the major decisions verified from the central health department leading to inertia and stasis. In MTIs individual institutes can make decisions locally leading to improved efficiency.
In present health system, individual hospitals have to get most of the major decisions verified from the central health department leading to inertia and stasis. In MTIs individual institutes can make decisions locally leading to improved efficiency.
2) Recruitment:
Presently, majority of recruitment is done centrally from the health department. If a hospital needs a specialist, post has to be created by health department before recruitment takes place. The delays are sometimes decades. MTIs can recruit to their own needs.
Presently, majority of recruitment is done centrally from the health department. If a hospital needs a specialist, post has to be created by health department before recruitment takes place. The delays are sometimes decades. MTIs can recruit to their own needs.
3) Better health care in Peripheries:
Presently, doctors employed in Jhelum can get transferred to Lahore on sifarish leading to deficiency of doctors in peripheries & congestion in centres. In MTIs, employees will have to work in the hospital they have been recruited in.
Presently, doctors employed in Jhelum can get transferred to Lahore on sifarish leading to deficiency of doctors in peripheries & congestion in centres. In MTIs, employees will have to work in the hospital they have been recruited in.
4) Accountability:
Presently, disciplining an employee is extremely difficult as the decisions are made centrally. In MTIs, individual hospitals will have local procedures to hold doctors accountability. As we know, there can never be success without accountability.
Presently, disciplining an employee is extremely difficult as the decisions are made centrally. In MTIs, individual hospitals will have local procedures to hold doctors accountability. As we know, there can never be success without accountability.
5) Better Training:
In big central hospitals there are dozens of trainee doctors in each ward. Sometimes, one doctor for a single patients. In MTIs, hospitals will only induct numbers that can be trained well. Trainees will be equally distributed throughout the whole province.
In big central hospitals there are dozens of trainee doctors in each ward. Sometimes, one doctor for a single patients. In MTIs, hospitals will only induct numbers that can be trained well. Trainees will be equally distributed throughout the whole province.
6) Hospital based Practice:
In MTIs, the employees will have to do their private practice in hospital. Presently, doctors earn mainly in private setups while working in Govt set up. This leads to conflict of interest & is the major reason why Govt hospitals do not improve.
In MTIs, the employees will have to do their private practice in hospital. Presently, doctors earn mainly in private setups while working in Govt set up. This leads to conflict of interest & is the major reason why Govt hospitals do not improve.
7) Revenue generation:
Through hospital based practice, MTIs will generate revenue to then invest in poor patients.
Private health care is a multi billion rupees industry & even if MTIs get 5% of the share, poor patients can benefit a lot.
Through hospital based practice, MTIs will generate revenue to then invest in poor patients.
Private health care is a multi billion rupees industry & even if MTIs get 5% of the share, poor patients can benefit a lot.
A major lie against MTIs is privatization. Hospitals will be autonomous but their budget still comes from the Govt. Health care will still be free like in NHS. Those who want individualized service, can chose to go to evening clinics to pay, like in private hospitals.
Opponents of #MTIAct have vested interest in present dysfunctional system.
For example, those doctors who have well established private practice or outside laboratories might not want the hospital to provide the same service that will be his/her competition.
For example, those doctors who have well established private practice or outside laboratories might not want the hospital to provide the same service that will be his/her competition.
Trainee doctors do not want to work in peripheral hospitals and want to stay central, partly because they like the big cities and partly because the peripheral hospitals may not have that good training; this will need to be improved.
Govt has mandate of ppl to improve health care & this has to be done no matter what. @Dr_YasminRashid has done extensive discussions & debates with doctors & this should continue but the implementation of #MTIact can not and should not slow down.
(Thread ends)
(Thread ends)
@Dr_YasminRashid P.S: #MTIAct has already been implemented in KPK with revolutionary results! A survey by Herald showed that only 20% ppl from KPK thought that health provision was unsatisfactory and the performance was way better than Punjab and national average.
herald.dawn.com/news/1398560
herald.dawn.com/news/1398560
