tag:blogger.com,1999:blog-3537002903624765538.comments2023-09-29T09:06:27.450+01:00Success in HealthcareSuccess in Healthcarehttp://www.blogger.com/profile/00598131849595828217noreply@blogger.comBlogger111125tag:blogger.com,1999:blog-3537002903624765538.post-8135123391475948142017-02-20T03:36:16.076+00:002017-02-20T03:36:16.076+00:00this is very good idea to raise the district hospi...this is very good idea to raise the district hospitals to teaching level. It will sove lot of problems like malpratice and non ethical pratice and better quality patients care.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-22061533396770454152016-09-08T06:14:13.453+01:002016-09-08T06:14:13.453+01:00Great article tracing the origins of a discriminat...Great article tracing the origins of a discriminatory system creating tiers in the training and careers to fill gaps in the rota whilst making it look legitimate.<br /><br />As you pointed out, 2 years for MTI is grossly inadequate to train and obtain qualifications especially since it realistically takes 6 months to get acclimatised in a new country and to know all the infinite protocols and guidelines and paperwork for most clinical work these days.<br /><br />I have only known 2 so far who managed to get their exams in Anaesthesia because they came well prepared and worked hard on nothing else but this. <br /><br />Well written Hemadri. Thank you for shedding light on this important aspect of doctors' training and workforce.Nanduhttps://www.blogger.com/profile/15278582485578856940noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-83690909101058349412015-08-08T13:53:22.527+01:002015-08-08T13:53:22.527+01:00Dear Mr Hemadri
I always read your thought provok...Dear Mr Hemadri <br />I always read your thought provoking, uptodate, use of technology, management issue realted and even think ahead of time blog. <br />The only thing how much we can improve the perfection. I do not know we reached the perfection or not. I think at the end it's cost which limit almost every thing. Even in any treatment new instrument even in private, it's all depend on price and who is paying. <br />Sorry I am just going away from this blog. <br />How best we can reduce the cost of health care where 65% of expenditure on salary and this is not going to come down if you want real talant and dedicated people. <br />Yes if tag will be cheaper compare to current practice we all will use. <br />Regards<br />Vikas Kumarhttps://www.blogger.com/profile/06018715639657818817noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-43615559093495797592015-03-31T06:56:42.684+01:002015-03-31T06:56:42.684+01:00If N.H succeeds as a business model which is susta...If N.H succeeds as a business model which is sustainable.It will be a rare combination of social service and financial viability in a short period of time. One has to address succession issues.Dev shelty is an extra ordinary person.His energy level, capacity to work long hours and passion are rare and very few human beings measure up to his standards.harihttps://www.blogger.com/profile/05538945581917271998noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-86210952819795249582015-03-21T23:16:50.494+00:002015-03-21T23:16:50.494+00:00Hi Praveen
Thank you for your comments.
You are ...Hi Praveen<br /><br />Thank you for your comments.<br /><br />You are absolutely spot on. <br /><br />Tolerating corruption and injustice - is it a matter of scale or a matter of principle? I feel that Indians working abroad seem to think its a matter of magnitude <br /><br />Success in Healthcarehttps://www.blogger.com/profile/00598131849595828217noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-87443586522074693092015-03-21T11:55:14.278+00:002015-03-21T11:55:14.278+00:00Dear Hemadri
I have always admired your emails on ...Dear Hemadri<br />I have always admired your emails on indigo, but First time I read your blog, and very impressed with the maturity and clarity of your thoughts. <br /><br />Whilst India is progressing in leaps and bounds, day to day life is still very challenging due to all the issues you have already mentioned. There are various reasons people want to migrate, some of which you have already mentioned.<br /><br />I am also intrigued as to why so many of us come to the UK, when other places offer potentially more money or better work environment? For example US offers much better chances of equality and merit based progress(logically, its a country of immigrants, although I do not have any figures to substantiate this) and places like US, gulf or Australia that are more rewarding financially.<br /><br />I guess it is down to well laid pathways over the years that make it easier to migrate to the UK, plus perhaps an element of mental slavery still exists? While many would contest this, I feel that NHS is the archetypal 'sarkari' system like in India that rewards mediocrity. there is no incentive for anyone to push the boundries, indeed that can be detrimental! It therefore offers a great escape for people who do not want the cut and thrust of private practice in India/US where you are judged by your results everyday!<br /><br />Doctors in India today earn more than counterparts in the UK, but the type of practice and environment there is not everyone's cup of tea and therefore many people come back after relocating. Part of the problem is that everything in India has personalised contacts based approach, not robust systems. Daily utilities, healthcare, business or police, nothing moves unless you 'know' someone relevant. In India, as opposed to the west, the person is powerful than the system. Whilst this has its advantages, it benefits select few, and not the masses. unless the systems are improved (development as you have written), where an average joe bloggs does not have to struggle to find contacts for everyday work, there will always be a flight of professionals out of the country. Anonymoushttps://www.blogger.com/profile/11271905384075964958noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-42328033705659281582014-12-27T05:49:18.447+00:002014-12-27T05:49:18.447+00:00Great to see a doctor write so passionately about...Great to see a doctor write so passionately about doing quality improvement in the right way. We need to guard against blaming the method or philosophy when we haven'the invested the effort to learn it well.Anonymoushttps://www.blogger.com/profile/10736717430718763481noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-78815484784060613522014-12-19T23:52:56.440+00:002014-12-19T23:52:56.440+00:00Why did M.K Gandhi fight his battle in India, when...Why did M.K Gandhi fight his battle in India, when he was thrown out of train in S.A?Ravihttps://www.blogger.com/profile/03734866347720276016noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-22595162217372543392014-10-15T21:12:55.340+01:002014-10-15T21:12:55.340+01:00Does it not all arise from lack of respect of anot...Does it not all arise from lack of respect of another's clinical ability and autonomy? When this is lacking, all tools lead to bullying and denigration - sometimes directly, sometimes indirectly, mostly without malice and occasionally with.REFIThttps://www.blogger.com/profile/12568743438781695986noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-62413489103542468972014-06-13T08:58:36.062+01:002014-06-13T08:58:36.062+01:00Awesome post. i hope you will share more articles ...Awesome post. i hope you will share more articles like this..Anonymoushttps://www.blogger.com/profile/05424522318992410860noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-8858923345760352012014-04-10T06:24:00.554+01:002014-04-10T06:24:00.554+01:00Nice blogging...keep share more information,,
Prev...Nice blogging...keep share more information,,<br /><a href="http://www.afnd.in/" rel="nofollow">Preventive Healthcare</a>Anonymoushttps://www.blogger.com/profile/00429838944644843604noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-67642100515282821902014-03-16T17:10:26.035+00:002014-03-16T17:10:26.035+00:00I beg to disagree here. He stayed for his "tr...I beg to disagree here. He stayed for his "training needs" NOT for service commitments. I am a trainee who usually overstay at work so can empathise with him. Having said that, so are so many others and they dont bill the hospital...<br /><br />All in all, this shows a bit of asperger mentality and I would not have been happy to such person to be my colleague. He did not adopt/change in spite of subtle and not so subtle hints and hence in my personal opinion brought it upon himself so no sympathies there.....Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-19864430974701914882014-03-13T12:33:57.897+00:002014-03-13T12:33:57.897+00:00Yes you may Stuart and thanksYes you may Stuart and thanksSuccess in Healthcarehttps://www.blogger.com/profile/00598131849595828217noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-12947288159842142072014-03-09T17:56:21.646+00:002014-03-09T17:56:21.646+00:00May I put this in issue 5 of www.caretosharemagazi...May I put this in issue 5 of www.caretosharemagazine.wordpress.com please? It outlines precisely my motivation in starting the mag in the 1st place?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-10585192072553013252014-02-21T09:35:34.680+00:002014-02-21T09:35:34.680+00:00liked it and easy to readliked it and easy to readAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-39026658771033232552014-02-10T10:47:32.592+00:002014-02-10T10:47:32.592+00:00Hi
Hi, what a great web blog. I usually spend hour...Hi<br />Hi, what a great web blog. I usually spend hours on the net reading blogs on various subjects. And, I really would like to praise you for writing such a fabulous articlehunterhttp://www.drstuartterry.com/noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-47699278455892680842014-01-24T12:02:53.866+00:002014-01-24T12:02:53.866+00:00Glad to read this informative blog. i would like t...Glad to read this informative blog. i would like to give special thanks to the author. Anonymoushttps://www.blogger.com/profile/05424522318992410860noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-24536513790469356462014-01-14T11:09:25.324+00:002014-01-14T11:09:25.324+00:00I'm going to subscribe to this blog mainly bec...I'm going to subscribe to this blog mainly because it's extremely intriguing<br /><br /><br /><a href="http://www.vitals.com/doctors/Dr_Yuriy_Yagudin.html" rel="nofollow">Dr. Yuriy Yagudin Review</a>Anonymoushttps://www.blogger.com/profile/14778469690429252881noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-4172827682884560302013-11-18T09:20:11.086+00:002013-11-18T09:20:11.086+00:00Hi Anon (0137)
You miss the point of the blog. Po...Hi Anon (0137)<br /><br />You miss the point of the blog. Political will is essential and some amount of money is of course needed. But I have already made the point that even if the entire per capita earning of India was spent on healthcare, India would spend about a third of what UK spends. That is why looking at GDP or ranking tables is a bad idea.<br /><br />We need infrastructure development on hygiene and sanitation. At this point of time it has the highest leverage in improving healthcare. Success in Healthcarehttps://www.blogger.com/profile/00598131849595828217noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-37946001789085305632013-11-17T01:37:53.625+00:002013-11-17T01:37:53.625+00:00Engineers might be able to help, but they can do o...Engineers might be able to help, but they can do only that much.<br /><br />The only people who can make real a difference are the politicians - But are they going to help help? - Unlikely.<br /><br />Our GDP is 10th best in the world - but the amount of money we spend on health care is 178th. We can`t expect a good outcome with that sort of money even with the best efforts of our planning, engineering and health care team. <br /><br />We defenitely need more trained doctors and allied health care professionals. India is a country with one of the lowest doctor/patient ratio - we have less than 1/1000 where as WHO specifies that it should be more than 4/1000. We have about 8 Lakh doctors in Modern medicine working at presentin India but about 1 Million positions remains unfilled according to govt estimates. We train enough doctors, but they are not ready to stay and work in India as they are not happy with the pay package, especially in the rural areas. <br /><br />More than 90% our rural people do not have access to a trained modern medicine doctor. <br /><br />Goverment got enough money to solve the issue. But they seems to be interested in political gimmicks lika Mars mission to hide their shortfalls.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-52596119788641259232013-11-14T17:32:23.969+00:002013-11-14T17:32:23.969+00:00Thank you Sam
A friend from India has suggested h...Thank you Sam<br /><br />A friend from India has suggested half in jest, that engineers should also perform rural service. <br /><br />I think that is good idea if engineers worked in rural areas for a year, with defined budgets, tasks and locations to solve this problem, before they are signed off from their colleges/universities and eligible to receive their degreesSuccess in Healthcarehttps://www.blogger.com/profile/00598131849595828217noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-16651016698391380512013-11-14T16:35:29.438+00:002013-11-14T16:35:29.438+00:00very good article,
agree that engineers have the k...very good article,<br />agree that engineers have the key to establish health in India .they have a greater role to play in terms of implementing better technological reforms and bringing transparency in the society .samhttps://www.blogger.com/profile/16663501094189491093noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-886812321078696962013-11-13T18:01:49.854+00:002013-11-13T18:01:49.854+00:00Well said Saji
Unless there are breakthrough inno...Well said Saji<br /><br />Unless there are breakthrough innovations with new ideas, India and similar countries will only play catch up for ever.<br /><br />Success in Healthcarehttps://www.blogger.com/profile/00598131849595828217noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-27946912418037065972013-11-12T21:18:08.565+00:002013-11-12T21:18:08.565+00:00Excellent.I appreciate the mammoth effort you have...Excellent.I appreciate the mammoth effort you have taken to assimilate the data.I had been practicing in remote India for 13 yrs and has been now practicing in Australia.If we are planning to implement the system here which is struggling by taking care of mostly aged population mainly by bureaucrats and computers rather than doctors, it will be like stretching legs before sitting.Economic sustainability of a country depends on middle class wealth and poor class welfare not by high class wealth like wise the health care sustainability of a country depends on the health of young age and middle age.There comes the role of social science which should help to do research to implement healthy social behaviors in society,no just imitating what is there inn developed countries.There comes role of complimentary medicines and non corrupt,non jealous attitude of doctors,minimal bureaucratic interference and positive political Will power.The life style changes evolved through centuries of reaserch still hiding in many Indian books are more relevant in developed countries with rapidly increasing metabolic syndromes,compared to 1-2 centuries of research of like style changes and social life which here they are trying hard to drop out due to negative effects like bowel cancer,alcohol,drugs,obesity.May be we need some refinement and research of those life style ideas for the current technological word since we can't wait for few more centuries for the evolution of those ideas through generations.Anonymoushttps://www.blogger.com/profile/16502026880177248944noreply@blogger.comtag:blogger.com,1999:blog-3537002903624765538.post-37779214919520506902013-11-12T11:15:41.935+00:002013-11-12T11:15:41.935+00:00Thanks for your comments JK.
You are absolutely r...Thanks for your comments JK.<br /><br />You are absolutely right, nutrition is of prime importance. Nutrition keeps the population healthy and a population that is generally healthy would seek out better nutrition as well.<br /><br />I would argue though that currently it is general sanitation and hygiene should take a higher priority as preventable infectious diseases are continuously defeating the benefits of nutrition and personal intervention based healthcare.Success in Healthcarehttps://www.blogger.com/profile/00598131849595828217noreply@blogger.com