The Ministry of Public Health is discussing with 4 Medical-Public Health Clubs, explaining that “workload” has increased from many parts, it has been found that the transfer hospital has stopped many services until the patient flows back to the hospital to discuss the fund Increase benefits to balance defense personnel, increase jobs. Aiming to study the advantages and disadvantages if the month of February is published, manage people completely on their own Manufacturer to break the problem of Medical Intern for the university – the Medical Council, produce, study for 7 years and then come to work.
On 8 June, at the Ministry of Public Health, Dr Opas Karnkawinpong Permanent Secretary of the Ministry of Public Health (Public Health) discusses with 4 medical and public health clubs, including the Provincial Public Health Doctors Club. Association of Central Hospitals/General Hospitals Association of Community Hospital Directors and Public Health Club of Thailand to cooperate at the level of public health services
Dr. announced Narong Apikulvanich, Permanent Deputy Secretary of the Ministry of Public Health, after the meeting that the meeting was discussed. 1. Upgrading services and service units Dealing with primary care, community hospitals, hospital centres/general hospitals and a Center of Excellence by adapting the systematic role of the Public Health Region (SorSor.) in relation to the transferred hospital and new missions to be carried out Community hospitals must develop and expand their potential beyond the current framework. A Hospital Center / General Hospital developed towards a Center of Excellence by integrating management in the entire province. by the State Public Health Doctor (MD) discussing with everyone Create a picture of 1 state, 1 hospital 2. Take care of personnel morale, workload and restrictions. for well-being for all The hospital sets up a subsidy scheme to improve the well-being of personnel, such as building a house. improve the internal landscape The Ministry of Public Health has implemented and spent about 1,500 million baht in 43 hospitals, compensation adjustments have been made when last January. in the range of compensation for each service unit will solve the problem to some extent
for workloads in Each hospital level has more by many factors. People’s lifestyle and expectations more people using the service Currently, more than 3,000 public health hospitals have been transferred. You will see that there are gaps in the organization of many services that used to be suspended. Service recipients flow back to community hospitals or center/general hospitals. Adapting non-transfer personnel and negotiating transfer agencies may also need to increase the number and quality of services. Another part that needs to be discussed with relevant agencies, such as increasing the benefits of each health fund. The balance of personnel and workload may not be discussed. causing part of the workload to be added The Ministry of Public Health tries to balance the workload of personnel and the rights that people should have.
“When it comes to each person’s lifestyle, each generation is different. Right now, there will be some resignation and fatigue at work. We must understand with these young people The team discusses that in the province, the Sor Sor Sor, the director of the hospital must communicate closely to take care of this group and have a mentor system to support. As for the pain points that are uncomfortable, everyone will discuss with each other to communicate with Dr. Sor Sor and inspectors to help take care of them,” said Dr. Narong.
said Dr Narong 3. Personnel management We have to admit that we are not doing a complete job in the number of jobs, we have the Office of the Civil Service Commission (OCSC) looking after it if we can do it ourselves. We have the same concept as a teacher or a policeman. Can the Ministry of Public Health control it completely or not? with a committee from the Ministry of Public Health, etc. It is a preliminary discussion concept and 4. The issue of doctors spending money. In particular, doctors who improve skills (Interns) must inform that the mechanics of medical graduates each year has 3 parts: production, allocation, and providing an environment or welfare for existence. The production part will be on campus. The Ministry of Public Health is involved in producing 1 in 3 out of every 3,000 people a year. At the moment, there is a production called 6+1, which means studying for 6 years and increasing the skill for another year.
“If we look at this matter as a problem one point of view is Will it change to 7 at all or not? We have to discuss it again. because now the workload is part of improving skills The meeting discussed and is trying to discuss that with the Medical Council and the university The Ministry of Public Health will receive personnel who are ready to carry out their duties. bring the issue of improving skills back to the process of revising the curriculum or not to be 7 years or not, we have to go back and discuss in a systematic way a section on allocation If you look at the number of 3,000 people , the Ministry of Public Health has had about 1,800-1,900 posts, which is not enough to navigate the system and the workload. In terms of the welfare of existence The Ministry of Public Health has communicated with all units to help take care of the living environment, wherever it is a pain point, listen to the children. and down to management In order to increase the persistence, it was confirmed that the Ministry of Public Health is trying to raise the level of service. Let’s look at the systematic management workload and also pay attention to looking after personnel at all levels as much as possible,” said Dr Narong.
Ask if that Intern doctor is not enough. Is it possible to sort it manually? said Dr Narong Originally, we could come and practice more. A Centre/General Hospital in one health area and then going to a community hospital in another health area. But this year we take this principle. Managerial flexibility was partially lost. In terms of the equality in the field of health, it is the first place. In terms of cross regions, we have to discuss together The emphasis is on asking Dr Sor Sor to speak to the director of the General Hospital Centre, Community Hospital, try to adapt the personnel in the province to rotate with each other is the Pain Point, can it be different? Some states have many problems in the central hospital / general hospital. In some states, it may be in a community hospital, depending on the information. shortage of parts Each of them can adjust control differently. At least the problem should be minimized. But still not going to solve the main cause, such as the completeness of limited budget personnel management The increasing advantages of individual production funds have not solved that. But use the district level mechanism to solve the initial problem.
Reporters asked if the meeting discussed whether the workload problem has been accumulating since getting the gold card. said Dr Narong only part Having these funds gives more access to services. Which looks at access to the arrangement of benefits But perhaps not discussing the balance of the current personnel. But if you look at the statistics, the service access rate for Thai people has increased rapidly. and more than the average of many countries Compared to the waiting time for surgery See a doctor with many countries Thailand is shorter than many countries. But the number of people entering the service is greater than many countries. Funding makes access to more services But it is an increased workload or performance. Today we identify how to set benefits to discuss with service providers how much we can do. If the goals are placed together the imbalance will be reduced.
he asked if it was necessary for Thailand to have a co-payment system Or a cow payment, Dr Narong said asking permission for this matter to be sensitive. But the management of the budget in the past has had problems. pre covid Many hospitals have less income than expenses. But when COVID came, they found that much of the income was greater than the expenditure. so he took this money to develop welfare Let’s develop various systems, housing, etc., which may require adjusting the general budget. But the issue of joint payment has not yet been answered in this case.
When asked if there was a question about whether personnel salaries should be separated from health insurance funds. in order to allocate enough of the budget to the hospital And make full compensation, Dr Narong said he was not sure if he would be able to answer here or not, having to see if the salary had been deducted. What will the budget look like when details are shared? The budget must be balanced on many issues. must be in numbers
Inquire about comprehensive personnel management. is leaving february at all? said Dr Narong The implication is therefore We must come back to look at the management constraints in terms of numbers, jobs and related budgets. If you are stuck in this limitation, you have to see if it is time or not. It would not hurt if there was another comprehensive management option in the hands of the Ministry of Public Health, one option and one proposal at the meeting was to seriously consider and study it. If there are advantages in wages, compensation, promotion, if there are more advantages than disadvantages, go ahead.
Ask whether or not you need to communicate more to the public. Because now I’m sick it’s just a hospital that increases the workload says Dr Narong Not being sick is the best, and then having health literacy, being able to take care of yourself when you’re sick. know how to manage Choose the right service, you may not have to go to the hospital centre/general hospital. Using services close to your home which is close to the heart or telemedicine can reduce service access and potential congestion
