Kao Klai Party, June 7 – "Mor Keng Wayo" proposes 3 solutions to the problem of medical workload, reducing resignation, reducing workload, increasing the production of both public and private personnel.
Dr. Wayo Asawarungruang, Acting Member of Parliament and the working group on public health, the Kao Klai Party, discussed ways to solve the workload of medical personnel of the Kao Klai Party. Stating that medical personnel currently have too many working hours. Many doctors work up to 80 or even 100 hours a week. Excessive working hours have a negative effect on the efficiency of public services, for example, lower accuracy of medical examinations. This puts the patient at risk of the treatment being wrong. while compensation for both overtime and overtime was inconsistently low. In some cases, overtime compensation may not be received at all.
excessive workload Causing medical personnel to lose their life balance There is also the issue of inequality. Including inappropriate career progression causing the government medical personnel to lose morale and morale in their work lack of job satisfaction and lead to resignation Part of it goes to the private sector that has better returns and quality of life.
Dr. Wayo said that from the case of problems in society The meeting of the Transition Team, which Mr. Phitha Lim Chareonrat The leader of the Kao Klai Party as chairman has set up an additional working group. One of them is the Public Health Working Group. which he is a representative of the far-reaching party, working with 7 other parties, focusing on the workload problem of medical personnel as an urgent agenda
Progressive Party's public health working group sees the problem as a systemic problem. The main roots are the limitation of personnel and budget. Increasing the production of doctors or personnel only does not fill the leak. The problem cannot be eliminated.
Reducing the workload, distribution of the quantity and location of the work. Including adding other helpers To help lighten the workload is necessary. In addition to promoting healthy public health. To reduce congestion at the hospital, it is necessary to do this in parallel. The working group therefore has various agendas. Those who want to be pushed include:
(1) Reduce the turnover of medical personnel, for example, setting a goal to reduce working hours and increase rest hours appropriately. The Progressive Party saw that Working hours for doctors should at worst not exceed 80 hours/week. Nurses should not exceed 60 hours/week. and must have sufficient rest time If working continuously for 24 hours or working in the night shift (0.00-8.00 hrs.), you must rest at least 8 hours before resuming the next shift.
Including reviewing the new compensation fairly. Since the compensation rate of medical personnel has not been adjusted for more than 4 years, there is a request from some groups of representatives of medical personnel to increase it by no less than the inflation rate. and for some groups of medical personnel, such as emergency room personnel which currently receives 8 hours of overtime compensation, which is lower than the minimum wage per day It should be considered to increase the remuneration appropriately. The compensation must be set up criteria that take into account the main 'Do more, get more' Compensation varies according to workload.
In addition, certain regulations must be amended to increase operational flexibility, such as clothing regulations. That allows medical personnel to wear scrubs to work, creating a good working environment, whether it is the gathering rights of medical personnel Opening a complaint channel for medical personnel to the management
(2) Reducing the workload of medical personnel, such as increasing disease prevention and health promotion work. make Thai people healthy reduce the number of hospital visits By raising the right to free annual health check-ups with travel expenses, raising the right to vaccines, raising the level of cancer detection for risk groups, creating a motivated health score base (Personal Health Scoring) and developing training. Volunteers to have specific expertise Trained and given standards to help perform various missions of community health systems and reduce the workload of physicians
At the same time, patients must be distributed in terms of quantity and location. Not to be crowded at the hospital By upgrading sub-district health promotion hospitals (NHSO) and community hospitals (NHSO) by using technology, both telemedicine and telephamarcy, to provide basic medical services and dispense medicines at service locations near home. can especially in the group of chronic non-communicable diseases (NCDs) and develop a palliative care center to encourage palliative patients who are bedridden to be able to return closer to their own homes Reduce congestion at the hospital
Including distribution of patients in terms of service time. By using the Telemedicine system to screen patients and Smart Queing to queue patients at various times. And reserve the emergency room (ER) for real emergency patients, reducing the burden of paperwork. adjust digital database Adjust part of the information system from Intranet to Internet so that the destination hospital can conveniently access the patient database and make referrals. Together with the Central Referal Center, reserve a number of beds from large hospitals to enter the management center. Make transferring patients between hospitals more convenient.
and (3) increase the production of medical personnel from both the public and private sectors. Extend production and encourage to increase Focus on supporting the project to produce more doctors for rural people (CPIRD), supporting institutions to produce more doctors from the private side. But increasing the control of standards to be tighter “Quit blowing into the leaky bottom bag. but caulk the hole with understanding, sympathy, and taking the interests of the people as the center Making doctors and healthcare professionals ready to work have good physical strength and morale for work inevitably affects the productivity and quality of public health services,” Dr. Wayo said.-Thai News Agency
Source: Thai News Agency