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  • Change course, doctors tell Gov’t

    ALMOST 90 per cent of Jamaican doctors recently surveyed feel public health care delivery is headed in the wrong direction, with a quarter of them saying the best way to turn this around is to end the free health care system.

    The data is from a new survey done by the Jamaica Medical Doctors Association (JMDA) and released exclusively to the Observer yesterday at the newspaper’s weekly Monday Exchange.

    A representative sample of 140 doctors spread across various levels of the health care system islandwide were polled by the association between May and June this year as it sought to give weight to repeated complaints about high levels of discontent and frustration among public health care practitioners.

    Seventy-eight per cent of those polled were medical officers, 10 per cent were interns or student doctors, seven per cent were consultants, while senior health officers made up the remainder of the sample.

    The doctors delivered a scathing indictment of the current free health care system with a whopping 88 per cent of them saying public health care is going down the wrong path.

    “It is alarming, it is very concerning that 88 per cent of us think we’re going in the wrong direction and things are not as they should be,” JMDA President Dr Shane Alexis told reporters and editors at the Monday Exchange.

    The survey also asked the doctors what they thought should be done to improve health care delivery. 27.3 per cent said “reverse free health care”.

    Dr Alexis hastened to temper this verdict, noting that the JMDA was not totally against the “no user-fee” health care system. Instead he said the doctors just wanted more resources to prevent public health care standards going into free-fall.

    “The JMDA has maintained the principle that we are not averse to the policy of the abolition of user fees,” he said. “What we believe is that every policy should be adequately funded so the resources must be put to support a policy. It can’t just be a policy suspended in the air, it has to be a policy supported from the ground up.”

    The pilot study indicated that about 22 per cent of the doctors polled thought an increased budgetary allocation to the health sector would solve a lot of problems.

    “In other words, of your GDP, the percentage that we allocate should move from four per cent where it is now to 10,” said the JMDA president.

    Seventy-five per cent of respondents in the JMDA poll also admitted they were dissatisfied with the level of health care given at the medical facility to which they were assigned.

    These included the Bustamante Children’s Hospital, the Kingston Public and Victoria Jubilee hospitals, Cornwall Regional in St James and the University Hospital of the West Indies, classified as urban centres. The sentiment also reflected that of doctors employed to rural medical facilities such as those in Mandeville and May Pen and health clinics.

    http://www.jamaicaobserver.com/news/...ors-tell-Gov-t
    Last edited by Karl; November 16, 2010, 07:18 PM.
    "Jamaica's future reflects its past, having attained only one per cent annual growth over 30 years whilst neighbours have grown at five per cent." (Article)

  • #2
    Drivah!!! Dont stap at all
    Solidarity is not a matter of well wishing, but is sharing the very same fate whether in victory or in death.
    Che Guevara.

    Comment


    • #3
      Doctors lament absence of CT scan machines at public hospitals

      MEMBERS of the Jamaica Medical Doctors Association (JMDA) yesterday bemoaned the absence of functioning Computed Tornography (CT) multi-detector imaging machines in the nation's public hospitals which, they insist, is central to the saving of lives.
      President of the JMDA Dr Shane Alexis expressed his desire to see the situation resolved, while making a presentation on health care reform to reporters and editors at the weekly Observer Monday Exchange at the newspaper's Beechwood Avenue head office.
      "There are no functioning CT scans in any public hospital in Jamaica today," he said.
      His statement comes more than three months after the Observer reported that none of the island's top three public hospitals — Kingston Public Hospital and the University Hospital of the West Indies (UHWI), both in Kingston, and the Cornwall Regional Hospital in St James — were in possession of a functioning CT scan machine.
      As a result of the absence of functional CT scans in the public sector, public relations officer for the JMDA Dr Tahira Redwood said patients had to be referred to private health care facilities for examination.
      "Because of the lack of maintenance (and) because we don't have the funds to maintain the CT scan, we have to send them somewhere private to get the CT scan that they need," she said.
      The South East Regional Health Authority (SERHA) has said the referring public hospitals were responsible for footing the bill for the more seriously ill patients who have to go to the private health facilities to get a scan done.
      But secretary for the JMDA, Dr Twesige Mugisa-Malcolm, said sending a patient to do a CT scan elsewhere is not a feasible solution to the current situation.
      "There are some instances where there is an immediate need and you cannot be transported from one facility to another, and whatever has to happen has to happen right there (at the hospital)," she said.
      Second vice-president for the JMDA, Dr Dane Miller, said the absence of CT scan machines has placed further stress on medical practitioners who are already being forced to improvise due to the lack of essential equipment in the island's hospitals.
      "We are in a service where CT scan is essential to what is done, and right now at the University [Hospital], it has been expressed and it is a fear of mine, that the MRI machine that is there is going to come under more pressure because we have nothing else to use," he said.
      The cost of repairing a CT scan machine at the UHWI could amount to $2.4 million, while it would cost $1.5 million and $1.6 million at KPH and Cornwall Regional Hospital respectively. KPH alone received between 400 and 450 referrals for CT scans prior to the breakdown of the machine in March of this year.
      Dr Alexis said instead of giving excuses for the breakdown of the machines, the Government needs to be unveiling some additional machines to take health care in the island to another level.
      "You can't explain parts to the family of a patient who had just died, you cannot explain parts to a patient who may have some metastasis — either a spread of a cancer to their brain or any other part of their body — because you are guessing because you don't know," he said.

      http://www.jamaicaobserver.com/news/...pitals_8157137
      "Jamaica's future reflects its past, having attained only one per cent annual growth over 30 years whilst neighbours have grown at five per cent." (Article)

      Comment


      • #4
        2.4 million to repair? Then how much for a new machine?
        "Jamaica's future reflects its past, having attained only one per cent annual growth over 30 years whilst neighbours have grown at five per cent." (Article)

        Comment


        • #5
          but dem waan Audley Shaw fi send him dawta to a local hospital!

          thoughtless and cruel!


          BLACK LIVES MATTER

          Comment


          • #6
            Hmmmm, wonder if this has anything to do with the sudden rise in the private facilities advertising these services at elevated prices far out of the reach of most Jamaicans... maybe I think too much..
            Solidarity is not a matter of well wishing, but is sharing the very same fate whether in victory or in death.
            Che Guevara.

            Comment


            • #7
              Originally posted by Lazie View Post
              2.4 million to repair? Then how much for a new machine?
              2.5?

              Seriously, I can bet it is several times that. Those things not cheap!


              BLACK LIVES MATTER

              Comment


              • #8
                A 2008 model with all the new technology would cost upwards of US$3.5 million.


                BLACK LIVES MATTER

                Comment


                • #9
                  Well, according to answers.com


                  siemens ------------------200000 usd approx
                  toshiba -------------------180000 usd approx
                  beckam coulter------------250000 usd approx
                  sharp------------------------200000 usd approx
                  ge----------------------------300000 usd approx phillips ----------------------140000 usd approx
                  "Jamaica's future reflects its past, having attained only one per cent annual growth over 30 years whilst neighbours have grown at five per cent." (Article)

                  Comment


                  • #10
                    Originally posted by Mosiah View Post
                    A 2008 model with all the new technology would cost upwards of US$3.5 million.
                    Thats J$255M. Damn!
                    "Jamaica's future reflects its past, having attained only one per cent annual growth over 30 years whilst neighbours have grown at five per cent." (Article)

                    Comment


                    • #11
                      in America or China?
                      • Don't let negative things break you, instead let it be your strength, your reason for growth. Life is for living and I won't spend my life feeling cheated and downtrodden.

                      Comment


                      • #12
                        Headed in di wrong direction because ah wah?? Dem start soun like di pale dem from up yah. Mi understan di Health Service need more resources an dat nuh lie, but dat ah dat ah di ongle reason. It nuh did always under funded??

                        Comment


                        • #13
                          them a gwaan like wid the user fee it did a head inna the right direction.

                          25% say to change it, then that is good if 75% no want it to change.

                          With or without free healthcare we always have the very SAME problems.
                          • Don't let negative things break you, instead let it be your strength, your reason for growth. Life is for living and I won't spend my life feeling cheated and downtrodden.

                          Comment


                          • #14
                            Mi membah people use to haffi pay bout $6000 ah visit to di clinic dem an prescription anodah $4000 or suh, at least di $6000 gone, dat ease off likkle sumpn offah di people dem. An di said $6000/visit weh dem use to get from di people, weh dat did guh mi wouldah like fi know.

                            Comment


                            • #15
                              read up a top. Nuff a di hospital them use to run racket but nuff man through them hate Bruce and JLP them a chat.
                              • Don't let negative things break you, instead let it be your strength, your reason for growth. Life is for living and I won't spend my life feeling cheated and downtrodden.

                              Comment

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