The permanent secretary of the Ministry of Public Health reveals he will take leave from medical studies in 13 fields, without paying salary, starting from the next academic year, June 2024. He believes this will not affect his workload. There is turnover in the system. Explain that there is a shortage of doctors as in the past. There is a problem of dispersion, found in about 200 districts in 3 health zones, order to accelerate the distribution of doctors in adequate proportions in each zone.
On December 28, Dr Opas Karikawinpong Permanent Secretary of the Ministry of Public Health (MOPH) discussed the next steps to the resolution. The Office of the Public Health Commission authorizes doctors in the Ministry of Public Health to take leave to study in 13 fields as if performing normal government duties. The salary that will start from the next academic year, from June 2024 onwards, has not been paid, during this period further details on the various operations will be released, but as regards study leave, don’t worry, it will affect your workload. Because everything is according to the criteria AND there are already measures in place. must work inside the hospital according to the specified period. When they take study leave, once it ends, they will return to work. It’s always been like this. But in the past, when I took leave to study. This group of doctors had their salaries cut. Even if going to study increases knowledge and competence in a specific field. which will be more beneficial to the healthcare of patients suffering from various diseases
“In reality, everything follows the doctor’s cycle system. Like a newly graduated intern doctor. On average, around 3,000 people graduate in a year, distributed to carry out various tasks. As for doctors who take leave to study after 3 years, they will return, going into a vicious circle like this. This is normal for the system. The only change is that doctors in 13 fields of study who study do not have to pay a salary penalty. But it’s like going on official duty. The salary is considered as usual, while the doctors of the Ministry of Public Health increase every year by 500-1,000 people,” said the Permanent Secretary of the Ministry of Public Health.
Journalists asked when doctors increased each year. Does this mean there is currently no shortage of doctors? According to Dr. Opas, if we compare the numbers, there is no shortage like in the past. There are currently more than 30,000 doctors and the shortage is not as great as in the past. But when asked whether it is enough or not, it must be said that having more is a good thing in terms of providing more services to people, the problem is that it is more dispersed. If we consider the areas that are deficient and need to be further distributed, they will be areas where people do not want to go, such as Health Zone 8 in the upper Isan area, Health Zone 2 and Health Zone 10, which when compared to other health zones, it is found that these 3 zones will be the smallest. Therefore, the objective is to add manpower in these 3 health zones.The Ministry of Public Health will issue several criteria.
“Every district, every province The distribution is not the same. Like big cities, there will be economic incentives. Many doctors will be present. Therefore, the inspector general They rotate in their areas, with the Ministry looking at the district level, while the inspectors must look at the area. Focus on uniform distribution in order. It emerged that there are around 200 districts that need to include doctors, but that they are still missing because we aim to. Small districts with a population of less than 30,000 inhabitants must have at least 4-6 doctors. Districts with a population greater than 30,000 must have approximately 8-10 doctors. Except for newly opened hospitals that do not have inpatients, they can have 1 doctor -2 people, with this line starting from 2024,” said the Permanent Secretary of the Ministry of Public Health.
This was reported by journalists. Data from the Ministry of Public Health collected in 2022, in the case of 1 public health worker per population, found that Thailand has a ratio of doctors between 1 and 1,265.8, while data on health personnel overall audience in the country found that they were 52,497. doctors, representing a doctor-to-public ratio of 7.94:10,000 people, of which 49% in the Ministry of Public Health, 43% in the private sector, 2% in other states, and 6% in the Ministry of Education higher education and science, research and innovation.
In this regard, the ratio of public health personnel to the Thai people Compared with Western and Asian countries, it is still considered small. Because Western countries For example, the United Kingdom has a ratio of 58.2 doctors per 10,000 inhabitants, while as regards Asian countries, For example, Japan will have a percentage of doctors equal to 24.8 per 10,000 people.
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