Taweesin Wissanuyothin, MD Permanent Deputy Secretary of the Ministry of Public Health together with Dr Pimpetch Sukhumalphaiboon Director of the Joint Project Management Office to produce more doctors for rural people press conference on the shortage of doctors in the public health system After the news abouta doctor has resignedmany said that the problem of shortage of manpower in the public health system occurs in the medical profession and other professions such as nurses, radiologists etc in the doctor’s part In the system of the Ministry of Public Health there are 24,649 people, which is 48% of all the doctors in the country
1 doctor looks after 2,000 people.
have to look after around 75-80% of the population, which represents The doctor-to-population ratio of 1:2,000 is quite a heavy workload. The production capacity of public and private doctors is 3,300 people per year, 1/3 of which is produced by the Ministry of Public Health. Regarding the allocation, there will be an allocation committee (Consortium) and a number of allocation agencies.
According to the study of the workforce reform plan and the health service mission of the Ministry of Public Health between 2018 and 2027, it was found that 2,055 doctors are needed per year, but approximately 1,800 – 1,900 have been allocated per year.
By 2023, there were 2,759 graduates, of which 1,960 were allocated. The remainder is allocated to the Ministry of Defence. 6 faculties of medicine in the region and various government agencies It corresponds to the number of doctors or intern doctors who improve skills that the Medical Council needs to practice skills in 117 hospitals, which has the potential to 2022 to receive 3,128 people, but which has been allocated to 2,150 people, which is 68.7%.
Doctors have a very heavy workload.
From the survey during 15-30 November 2022, there are 65 hospitals that perform more than 40 hours/week of work, divided into More than 64 hours / week 9 locations More than 59 hours/week 4 places More than 52 hours/week 11 places More than 46 hours/week 18 places and more than 40 hours/week 23 places There is a plan to fix 3, 6, 9, 12 months time to’ each other. hours can already be reduced 20 locations
data section ‘Doctor resigns’ During the last 10 years (2013-2022), a total of 19,355 doctors were found to have been recruited. 226 doctors resigned in the first year, which is 1.2%, which is an average of 23 people per year, which is a relatively small number of cases. to the requirement that doctors have to pass Improve skills before going to study, 2nd year doctors resign 1,875 people, which is 9.69%, an average of 188 people per year, this group is the highest because they can go to study, 858 doctors resign in the 3rd year, representing 4.4% An average of 86 people per year and doctors resign after spending the capital 1,578 people, which is 8.1%, an average of 158 people per year
655 doctors leave the system each year
Including 455 doctors resigning each year, plus 150-200 retired doctors per year, so 655 doctors leave the system each year. Up to 80-90% of doctors from the Collective Production of Doctors for Rural People Program (CPIRD) stay in the system because medical students are selected from local people.
Looking after personnel in all professions, focusing on 4 issues
- Compensation increase There is a discussion with the General Manager’s Department to adjust different payments. in line with workload and the economy
- Welfare, including accommodation, environment, security, various facilities
- Work progress has been discussed with the Civil Service Commission on the workforce framework. located higher
- workload There is still a need to produce doctors and request more allocations to fill the system by the new workforce framework published in 2022-2026
In the year 2026, the rate of 35,000 doctors was set, including discussions with the Civil Service Commission on new forms of workforce management. and diverse employment
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