Please pay on attention on these factors.
Doctors prescribe medicine with commercial name instead of generic names(Bcoz they get a higher commission from those companies-It is said to over Rs 20 Bn for a year )
If we take qualification .How this district basis work.A pupil who has got heighest mark in an area like Monaragala (Lowest cut off mark for Medicine) will be equivalent to a colombo pupil who is in 350 of its rank in colombo district.
When I consult a doctor at a leading hospital which gives a foreign medical professional support , I had a chance to speak to her .Her qualification is lesser than of most of doctors Here.But we are paying more on them.No one questions that.(India produces a large number of doctors and send them around the world ....But We.......)
we spent over Rs 30 Bn for foreign education.No one talks about that.
If doctors are found with guilty with their profession they wont loose their jobs here (If they kill 100 patients )But other jobs here ...and other countries .
They earn more than 10-15 times of their basic salary from private practice.
we do have one doctor for 1300 patients where as the normal average should be 300.
Can we talk to doctor ask like .....why did u write commercial name of a medicine instead of generic name, do we get side effects on this medicine etc......NEXT DAY THEY WILL GO ON STRIKES PUTTING INNOCENT PATIENTS AT RISK ,....BUT THEY WILL DO PRIVATE PRACTICE DURING THE SAME PERIOD........
There is lot of issues in the health care sector.
1. National health policy – there is no proper policy - just one A4 paged document
2. There is no proper drug policy -
Develop and implement a National Drug Policy for the rational use and distribution of drugs.
This is what the National health policy is saying about the drug policy. Although there is a draft version it is not approved by the cabinet. http://www.who.int/medicines/areas/policy/NMDP_SriLanka.pdfIf there is a proper drug policy lot of malpractices can be minimised
Promotion of generic drugs rather than brand names for eg. Incentive can be given for generic prescriptions.
Can ensure quality drugs by limiting number of brands per generic (currently there is 50 odd branded versions of drugs available for generic paracetamol. For other drugs also the scenario is same. This warrant huge investment for post marketing surveillance, where ministry of health cannot afford it) and limit entering counterfeit drugs to market.
3.How many pharmacies are there without a registered pharmacist?
4.How many people are treating patients without qualifications? (Without SLMC registration)
5. If you see the annual health bulletin, the latest one we have is 2007 (http://www.health.gov.lk/AnnualHealthBulletin.htm). Now we are heading to 2012. So there is lack of information (out dated information)
4. All the doctors working in the government sector are allowed to work in the private sector after duty hours (if they wish). Usually this is not allowed in other countries. But government is not interested in implementing proper GP system... why... Simply they cannot increase salary so they allowed working in both sectors. Do the public need that sort of system?? Will the quality of service can be increased by that sort of system..?? (Yes). Will it promote development of Medical field? (Yes), will it reduce health care delivery cost??
6. Most of the rural areas are underserved.
........ Regarding PMC at Malabe
There is no issue if we can maintain quality and standards to deliver quality output when establishing private medical faculty or any other faculty. And it should not destroy the National University system.
Other thing is cant we restructure the national university system to attract foreign students. If you consider Malabe faculty.. They need to pay for the Russian university so it save little amount of foreign exchange.
Issue here is it is difficult to believe what Higher education minister is saying.
He is Threatening every one earlier he threat to dissolve the Sri Lanka Medical Council (which is the governing body) if they not approved the Malabe Medical faculty.
Latest one is he is threatening the Medical officers association..
I dont think the Government is doing exactly the right thing...