SV: {UAH} KIPENJI, SOMETHING VERY WRONG: How can we tame ruthless private hospitals?
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11:51 AM |
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Okeya Petero,
Please do not listen to Akim KIMBO because in England you will be isolated since UKIP wants to sink the boat bringing black people to the UK and I do not want that to happen to you. Since the BREXIT votes the foreigners coming to UK must be the likes of MULINDWAS who doubt his/her Africanness. But you are Acoli by both blood and birth without doubt!
Ocaya pOcure - your blood and birth Acoli UNCLE!
Den fredag, 28 oktober 2016 20:04 skrev akim odong <akimodong@gmail.com>:
Gwokto;
Well done. You could transfer that system to the UK if they haven't got one yet . At the moment the news is full of the NHS, as the hospital is referred to here. I am sure you will not regret.
FEDBY20/20 Campaign. Supporting federalism as a system of governance in future Uganda.
On Fri, Oct 28, 2016 at 4:19 PM, Peter La'Kitgum <ggwokto@gmail.com> wrote:
WBK,I totally agree with your observations. In developed (Western countries) such items are in fact costed in hospital resources utilization. I developed a cost accounting tool for appointing and monitoring physician utilization known as Physician Impact Analysis (PIA) for Halifax's Queen Elizabeth II Hospital - the first of its kind in a Canadian hospital and now used in hospitals as far as The Ottawa General and prairie Edmonton. It's an in-depth cost accounting tool for for appointing and monitoring physician utilization of hospital resources. If you are a physician looking forward to working at The Ottawa General Hospital there is a 100% chance you will be exposed to the rigorous assessment using this tool developed by the Kitgum baboon.The need for this tool was triggered during a time Canada was swallowed in waves of hospital mergers. In Halifax where I gradated at Dalhousie School of Health Admin, altogether 6 hospitals were merged into one under a new name The Queen Elizabeth Hospital. Just a couple aspects of the PIA - say, a retiring physician was to be replaced. The obvious replacement would be an employable one who trained in newer equipment. Should the hospital deem the new physician as that it wants, the hospital uses the PIA to work out the cost of employing the physician. Such costs will obviously include the purchase of equipment the new physician is well-versed with. Some physicians would need offices and staff and being the hospital is also a teaching hospital many physicians double as lecturers.Such physicians are given the option of either having offices and staffs provided by the hospital or by the university.Every two years their utilization of resources for practice and admin are assessed using the PIA. It never lies factoring and costing the utilization of things as little as a broken and discarded syringe by its many features, abilities and capabilities.I could transfer this knowledge to a serious Uganda hospital but waaaaapi....! They are all money-minded and heartless to patients.Public hospitals in Uganda made us believe all aspects of patient care from accommodation to treatment are "Free". That is not the true and never a fact of life. Even more, not for private hospitals. The woman's piece is damn misleading. So much to expect from profit-driven hospital which she will never get.--On Fri, Oct 28, 2016 at 9:42 AM, WB <kyijomanyi@hotmail.com> wrote:
Folks:
This caught my attention. The journalist writes "It is a shame for a respected hospital to send someone a bill including fees for gloves, syringes, nurse, meals, etc"
No shame because that is how hospitals bill. It is the same, actually the norm in Western hospitals including in jurisdictions that have public provision of care. Hospitals comprehensively bill the government for treatment, bedding, doctors and nurses fees, food to cleaners and other cost including water and power etc.
That is why are you ready, diem rates per day in many western hospitals run over 1000 dollars. Yes over 1000 dollars for each night a patient sends night in a public hospital. Check any country with public provision of care and chances are health care take sup the largest chunk of their budgets perhaps as high as 40% or close. Precisely for what apparently horrified Ms. Lumbasi in Uganda.
That is why Obamacare care, granted it is not perfect but is a work in progress and a move in the right direction because many patients simply cannot afford to pay for such high daily rates. In cases where insurance companies pay for care, they now push hospitals to discharge patients -and give them cheaper/generic versions of drugs- once they are out of the woods. It is cheaper to care for them at home than keep them in hospital.
And that is precisely why Ugandan hospitals are in such dire state. Health care is very expensive.
Here is a suggestion to Ms. Jackie Lumbasi and other journalists, go ask the ministry of health how they budget for inpatients care in Ugandan hospitals. How much do they budget for inpatient care? The experience should be her teaching moment and frankly a wake up call.
Bottom line: before you post or get angry at photos of rotting hospitals in Uganda ask the big question: how much is actually budgeted for hospitals especially patient care in Uganda. Obviously not much.
WBK
From: ugandans-at-heart@googlegroups .com <ugandans-at-heart@googlegroup s.com> on behalf of Peter La'Kitgum <ggwokto@gmail.com>
Sent: Friday, October 28, 2016 1:03:23 PM
To: ugandans-at-heart@googlegroups .com
Subject: {UAH} KIPENJI, SOMETHING VERY WRONG: How can we tame ruthless private hospitals?--How can we tame ruthless private hospitals?Written by JACKIE LUMBASIA visit to a private international hospital in Kampala last week was a heart-wrenching experience.
My friend had given birth and this was meant to be a joyous occasion. Her trouble, however, started when she went to her regular clinic for antenatal check-up and was told she was dilating, and was already at five centimeters (women who have given birth before will understand this).The nurse asked her if she was feeling any pain and she said no. She was asked to go back home. According to specialists, she should have been admitted because the baby was ready to be delivered.After a few days at home without any change, she went back to the clinic for another review. A test was carried out and it was discovered she was still at five centimeters. The nurse on duty asked an assistant to induce labour. There were two expectant mothers and the measurements of the solution used to induce labour were different.My friend had contractions so fast whereas the other one who was at four centimeters was not reacting; meaning the least of the two measurements was given to her, yet it was supposed to be my friend's. My friend pushed the baby without much force, but it came out looking purple and made no sound.The baby was rushed to a nearby hospital, but the parents were not assisted because they were not insured and they did not have enough money. The doctors there could not even touch the child without a cash deposit!They had to try a second hospital. Here, the baby was admitted. Up to this point, the baby had not produced a sound, although the purple colour was slowly clearing. The doctors at this hospital were not friendly either. An old female doctor uttered words such as "your child does not have eyes..."Nobody was saying if such a case had been witnessed before or what the actual problem was. Several tests were done without a proper explanation. On the second day, my friend and her husband could not have any more of the negativity; they asked to be discharged. They were only given a discharge sheet and when they asked for the x-ray and ultrasound scan images, they were told those were hospital property.They went to another hospital. It had been three days and four hospitals since the birth of this child and the parents had received no proper diagnosis but negativity, hurtful words and tests.My friend had had a normal pregnancy and this was her third child. The previous ones were all natural births. At the fourth hospital, doctors insinuated that all this was because she had been sent home after she had dilated five centimeters.It is possible the baby was detached and because it was not delivered immediately, there was a struggle to remain breathing, the ventricles did not close on time. Another test revealed the heart was on the right side, and the baby's blood deoxygenated. The baby was taken to nursery.They stayed in the fourth hospital for several days and were discharged. Two days later, the baby developed a temperature. The mother called the doctor who saw the child last for some advice. She was referred to another hospital that has a neonatologist.On reaching this fifth hospital, the first question was whether they were cash-patients or insured? As soon as they said cash, the demands started: "you won't be admitted unless you deposit some money". Lucky for them, they had some cash. The deposit was made and admission done.Another round of tests started during their three-day stay here, some costing as much as Shs 500,000! Remember they took the baby there because of a temperature; no mention of that was made!It is common in Uganda to talk about public hospitals that lack facilities, but have we ever scrutinized the way private hospitals that seemingly have it all treat their patients? A doctor's main role is to save a life; but in these hospitals, it seems the order is "do not touch a patient unless the money part is sorted".I know these are businesses, but I would expect their biggest priority to be treating a patient, and restoring their life, and not leaving one to bleed to death because they don't have cash at hand!Lives have been lost, hospitals and doctors sued for neglect but it looks like no lesson has been learnt. Healthcare has been made very expensive and those without money die miserably.When a pregnant mother goes to a rural hospital, she is advised on what to carry on the day they are going to give birth. These include gloves, cotton wool, gauze and a few other necessities. It is a shame for a respected hospital to send someone a bill including fees for gloves, syringes, nurse, meals, etc.There is no problem with these things being paid for but I would prefer all that to be classified as medical care or something, not Shs 40,000 being specified as the amount being given to a nurse who did not even spend two minutes on a child.From this hospital visit, I discovered there are a lot of underlying charges that break people's backs. If this goes on unabated, we will have patients and dead bodies retained because of the huge bills presented to people when they finally recover or lose their loved ones.As we make noise about what is not in some of our health facilities, let us not allow the 'well-equipped' ones to exploit people. It has been a gruesome three weeks for this young couple.The author is a journalist working in Kampala.
Gwokto La'Kitgum------------------------------ ------------------------------ ----"Even a small dog can piss on a tall building" Jim Hightower
Disclaimer:Everyone posting to this Forum bears the sole responsibility for any legal consequences of his or her postings, and hence statements and facts must be presented responsibly. Your continued membership signifies that you agree to this disclaimer and pledge to abide by our Rules and Guidelines.To unsubscribe from this group, send email to: ugandans-at-heart+unsubscribe@ googlegroups.com
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Disclaimer:Everyone posting to this Forum bears the sole responsibility for any legal consequences of his or her postings, and hence statements and facts must be presented responsibly. Your continued membership signifies that you agree to this disclaimer and pledge to abide by our Rules and Guidelines.To unsubscribe from this group, send email to: ugandans-at-heart+unsubscribe@ googlegroups.com
--Gwokto La'Kitgum------------------------------ ------------------------------ ----"Even a small dog can piss on a tall building" Jim Hightower
Disclaimer:Everyone posting to this Forum bears the sole responsibility for any legal consequences of his or her postings, and hence statements and facts must be presented responsibly. Your continued membership signifies that you agree to this disclaimer and pledge to abide by our Rules and Guidelines.To unsubscribe from this group, send email to: ugandans-at-heart+unsubscribe@ googlegroups.com
Disclaimer:Everyone posting to this Forum bears the sole responsibility for any legal consequences of his or her postings, and hence statements and facts must be presented responsibly. Your continued membership signifies that you agree to this disclaimer and pledge to abide by our Rules and Guidelines.To unsubscribe from this group, send email to: ugandans-at-heart+unsubscribe@googlegroups.com
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