in govt we have three tier system phcs for primary care basically aimed at..preventing and referring any complicated health problems to referral centre.they also aid in treating in minor ailmentsas well as family planning operations.
for secondary care we have community health centres..where ..specialist. .care to some problems...like obg, pediatric, ortho pedic,radiology available
for tertiary care...we have teaching institutions. .where they deal with the above specialities as well as..other super specialities. .besides they do teaching !
govt is funding all these programmes.. from budget[that is tax payers money].
the drugs, the beds, the nursing care,the hygiene care,the investigations, diet, electricity, water, toilets, as well as doctors consultation is all worked out ..with the above budget and provided free of cost to the patient.
govt employs doctors, staff nurses,pharmacists, lab technicians, and also fourth class employees.the diet, drugs, and some accessories for hospitals will be provided on tenders system. those who provide them at lowest cost..will be offered a contract.
now this system has failed to provide a decisive care..simply becoz..
1]the wages of the employess is too poor and also a lot of work...more than required..for the patient.poor wages with over burden work,,leads to less motivation.. from health workers.since you are blamed if you totally absent from work..rather than not doing proper work.so they chose later..hence delayed health care
2]the drugs, are coated through tender system rather than the best available drugs. so very quality drugs are given in public health care.so the patient is not provided with best available pharmacological service.
3]the equipment supplied is very poor. i never heard of a company..name. .which is producing, warmers, incubators,. when we got them in our IPCU..THEY STOPPED WORKING, SO THEY REMAIN SPACE OCCUPYING LESIONS IN IPCU..so poor quality of equipment
4] the corruption among fourth class employees is very high...even our gate man at my dept earnds more than HOD of dept.there is no supervision over them.. poor punishment as wll as..patients ignorance to brought the issues to authorities. .leading to rampant..corruption .now with inroduction of arogya sri..it is acting like a mafia.
5] the hospital care...is also very poor. the beds are full of bed bugs. the elctiricity is erratic. the fans never work full of dust.the toilets are not maintained.. at all. always filled with bad smell.the diet is very poor quality. if some eats that rice and other items. he will be diseased.there is no supervision over the quality...of food served.this is largely becoz of tender system.
6]teaching. it used to be very good. under graduates were taken regular classess. ugs and pgs read in library. listen bed side rounds. and learn the art of history taking and physical examination. the whole faculty..including the HOD, assist professors,senior pgs used to take clasess..regularly. this helped in retaining some of the basics..in medical education.becoz we have such a huge case load..we have variety of cases..and experience in managing wide variety of conditions.
but now what is happening..from ugs to pgs.. their main aim is..to pass exam..rather than learning medicine.the motto is some how pass the exam, take a dowry, open a clinic,then if you are lucky and you have strong community., public relations, then you are settled. if you dont get that lucky, then join some hospital or you are finacially more independent go abroad or work out side the state.there is no passion for them.no satisfaction through service. i am seeing impatience among present genaration.. unwilling to be have patience with time.they are also comparing our profession with soft ware profession.. which is totally unjustified. i am sure all of you agree that the name you earn through this profession and the satisfaction you get from this profession is un matched..with any other profession
no body is interested in spending time in library referring wide variety of books written by various authors. no research work..at all. i rarely see a genune paper presentation.
i believe all this is leading to severe erosion of confidence about them selves.this is exhibeted... when they are dealing with patients.the human bonding is missing.they rely on investigations. .thats all.hence the society is facing severe heath care mis management.
i am sure in coming days public health care in india is going to face tough time.
Sunday, January 11, 2009
public health service in india
in govt we have three tier system phcs for primary care basically aimed at..preventing and referring any complicated health problems to referral centre.they also aid in treating in minor ailmentsas well as family planning operations.
for secondary care we have community health centres..where ..specialist. .care to some problems...like obg, pediatric, ortho pedic,radiology available
for tertiary care...we have teaching institutions. .where they deal with the above specialities as well as..other super specialities. .besides they do teaching !
govt is funding all these programmes.. from budget[that is tax payers money].
the drugs, the beds, the nursing care,the hygiene care,the investigations, diet, electricity, water, toilets, as well as doctors consultation is all worked out ..with the above budget and provided free of cost to the patient.
govt employs doctors, staff nurses,pharmacists, lab technicians, and also fourth class employees.the diet, drugs, and some accessories for hospitals will be provided on tenders system. those who provide them at lowest cost..will be offered a contract.
now this system has failed to provide a decisive care..simply becoz..
1]the wages of the employess is too poor and also a lot of work...more than required..for the patient.poor wages with over burden work,,leads to less motivation.. from health workers.since you are blamed if you totally absent from work..rather than not doing proper work.so they chose later..hence delayed health care
2]the drugs, are coated through tender system rather than the best available drugs. so very quality drugs are given in public health care.so the patient is not provided with best available pharmacological service.
3]the equipment supplied is very poor. i never heard of a company..name. .which is producing, warmers, incubators,. when we got them in our IPCU..THEY STOPPED WORKING, SO THEY REMAIN SPACE OCCUPYING LESIONS IN IPCU..so poor quality of equipment
4] the corruption among fourth class employees is very high...even our gate man at my dept earnds more than HOD of dept.there is no supervision over them.. poor punishment as wll as..patients ignorance to brought the issues to authorities. .leading to rampant..corruption .now with inroduction of arogya sri..it is acting like a mafia.
5] the hospital care...is also very poor. the beds are full of bed bugs. the elctiricity is erratic. the fans never work full of dust.the toilets are not maintained.. at all. always filled with bad smell.the diet is very poor quality. if some eats that rice and other items. he will be diseased.there is no supervision over the quality...of food served.this is largely becoz of tender system.
6]teaching. it used to be very good. under graduates were taken regular classess. ugs and pgs read in library. listen bed side rounds. and learn the art of history taking and physical examination. the whole faculty..including the HOD, assist professors,senior pgs used to take clasess..regularly. this helped in retaining some of the basics..in medical education.becoz we have such a huge case load..we have variety of cases..and experience in managing wide variety of conditions.
but now what is happening..from ugs to pgs.. their main aim is..to pass exam..rather than learning medicine.the motto is some how pass the exam, take a dowry, open a clinic,then if you are lucky and you have strong community., public relations, then you are settled. if you dont get that lucky, then join some hospital or you are finacially more independent go abroad or work out side the state.there is no passion for them.no satisfaction through service. i am seeing impatience among present genaration.. unwilling to be have patience with time.they are also comparing our profession with soft ware profession.. which is totally unjustified. i am sure all of you agree that the name you earn through this profession and the satisfaction you get from this profession is un matched..with any other profession
no body is interested in spending time in library referring wide variety of books written by various authors. no research work..at all. i rarely see a genune paper presentation.
i believe all this is leading to severe erosion of confidence about them selves.this is exhibeted... when they are dealing with patients.the human bonding is missing.they rely on investigations. .thats all.hence the society is facing severe heath care mis management.
i am sure in coming days public health care in india is going to face tough time.
for secondary care we have community health centres..where ..specialist. .care to some problems...like obg, pediatric, ortho pedic,radiology available
for tertiary care...we have teaching institutions. .where they deal with the above specialities as well as..other super specialities. .besides they do teaching !
govt is funding all these programmes.. from budget[that is tax payers money].
the drugs, the beds, the nursing care,the hygiene care,the investigations, diet, electricity, water, toilets, as well as doctors consultation is all worked out ..with the above budget and provided free of cost to the patient.
govt employs doctors, staff nurses,pharmacists, lab technicians, and also fourth class employees.the diet, drugs, and some accessories for hospitals will be provided on tenders system. those who provide them at lowest cost..will be offered a contract.
now this system has failed to provide a decisive care..simply becoz..
1]the wages of the employess is too poor and also a lot of work...more than required..for the patient.poor wages with over burden work,,leads to less motivation.. from health workers.since you are blamed if you totally absent from work..rather than not doing proper work.so they chose later..hence delayed health care
2]the drugs, are coated through tender system rather than the best available drugs. so very quality drugs are given in public health care.so the patient is not provided with best available pharmacological service.
3]the equipment supplied is very poor. i never heard of a company..name. .which is producing, warmers, incubators,. when we got them in our IPCU..THEY STOPPED WORKING, SO THEY REMAIN SPACE OCCUPYING LESIONS IN IPCU..so poor quality of equipment
4] the corruption among fourth class employees is very high...even our gate man at my dept earnds more than HOD of dept.there is no supervision over them.. poor punishment as wll as..patients ignorance to brought the issues to authorities. .leading to rampant..corruption .now with inroduction of arogya sri..it is acting like a mafia.
5] the hospital care...is also very poor. the beds are full of bed bugs. the elctiricity is erratic. the fans never work full of dust.the toilets are not maintained.. at all. always filled with bad smell.the diet is very poor quality. if some eats that rice and other items. he will be diseased.there is no supervision over the quality...of food served.this is largely becoz of tender system.
6]teaching. it used to be very good. under graduates were taken regular classess. ugs and pgs read in library. listen bed side rounds. and learn the art of history taking and physical examination. the whole faculty..including the HOD, assist professors,senior pgs used to take clasess..regularly. this helped in retaining some of the basics..in medical education.becoz we have such a huge case load..we have variety of cases..and experience in managing wide variety of conditions.
but now what is happening..from ugs to pgs.. their main aim is..to pass exam..rather than learning medicine.the motto is some how pass the exam, take a dowry, open a clinic,then if you are lucky and you have strong community., public relations, then you are settled. if you dont get that lucky, then join some hospital or you are finacially more independent go abroad or work out side the state.there is no passion for them.no satisfaction through service. i am seeing impatience among present genaration.. unwilling to be have patience with time.they are also comparing our profession with soft ware profession.. which is totally unjustified. i am sure all of you agree that the name you earn through this profession and the satisfaction you get from this profession is un matched..with any other profession
no body is interested in spending time in library referring wide variety of books written by various authors. no research work..at all. i rarely see a genune paper presentation.
i believe all this is leading to severe erosion of confidence about them selves.this is exhibeted... when they are dealing with patients.the human bonding is missing.they rely on investigations. .thats all.hence the society is facing severe heath care mis management.
i am sure in coming days public health care in india is going to face tough time.
Friday, January 9, 2009
satyam shock!
well ramalinga raju..is highly respected man in andhra.but that does not..forgive his sins.in a bid to stay at top..he had commited some accounting fraud..pretending that every thing is rosy..in the company.he has shown some lossess as profits...in the balance sheet..and hoped that situation will improve ,then he can cover up his lossess.but bad luck to him situation has worsened.he evn mortagaged some his shares..to save some time.but even then ,the situation has got deteriorated..so every thing is exposed.
its impact on the company's future prospect is huge.i dont think satyam can no longer exist. it has got 53000 employees all over the world..all of them had to find jobs..in other companies..like wipro, infosys..all of a sudden. in these recession times for small time employess and employees with little exposure..may not get easy placements.even if they do get jobs..they will be paid much less than previous time.now that..they have a lifestyle up to now..and several loan committments..on house, plots, flats or car..all in severe stress.
its impact on other software job seekers is also high. new peoplecoming into software profession will have to look at their job profile. nearly experienced and talented53000 of them are already.challenging them for jobs.so no more fresh chances for them. their dream of high 5 digit or six digit salary per month may not be viable.. already..software grooms are difficult to get a bride..now it will be more difficult.
its impact on IT industry is also high. as customers and clients...now will look at them and their balance sheets..after..satyam fiasco more suspiciously than ever..that means less orders and less projects than ever. the customers..all over world..will now look for non indian..software firms.and other BPO industries. with less projects the WIPRO'S , INFOSYS OR TCS shall have to cut jobs.that is adding to existent problems.
its impact on country's image as well as state image is also high. FIIs will now cautiously invest in indian companies..after such a malignant accounting fraud. the trust factor has taken a beating.so frsh investmets i would say..will be slowed down[alreay slowed due to economic recession] if not totally stopped.
our state's image has also taken a beating. CBN has tried his level best to improve..state's image as software hub especially he encouraged firms like satyam very much..of course..all his policies are vigorously some times..aggressively followed by YSR. now that ..image has gone. i dont think we can see another satyam like firm from our andhra pradesh...in the near future..its all over..as far as andhra pradesh concerned. the dreams of vizag and other satellite towns being..other software hytechs now gone.
its imact..on real estate,auto, tourism of our country is also influencial.till now software people send dollars to purchase lands and flats..from abroad. now that will be slowed. some of them..might have to get rid of them..houses flats..due to poor committments.now that will create panic mong bankers..becoz similar problem..arose in US.suddenly they have more properties at less market values..so bankers will dried up..leading to mergers and take overs of bankings..by govt..similar to US.once real estate...collapsed..steel and cement, will be slowed..leading to more job cuts.due to lack of demand for vehicles..auto industry will slow down.. again frsh job cuts. no more flight travels or hotel bookings as well as..travel plans...so tourism ..industry will be down.so more job cuts among them..as well.
its impact...on stock market..IS SIGNIFICANT.satyam stock has collapsed like there is no tomorrow. it even priced 6rs from 256 rs price three weeks back.now many investers lost their money. all other.. index shares are also effected with it..as you can see the above industries are going to be worst affected.so stock market is down as well.
i am not discussing why and what happened to ramalinga raju or satyam..but our society will alow such things to make things for our selves to be more complicated. the satyam shock came at a worst period..when economic..recession..is full blown out side india and in the world. india some how managed to keep its head...out side till now. now there is no escape...we have sunk deep into it.its not a bright start this year.
i hope all my worries and thoughts will only remain like that..and dont..be true. god bless india
its impact on the company's future prospect is huge.i dont think satyam can no longer exist. it has got 53000 employees all over the world..all of them had to find jobs..in other companies..like wipro, infosys..all of a sudden. in these recession times for small time employess and employees with little exposure..may not get easy placements.even if they do get jobs..they will be paid much less than previous time.now that..they have a lifestyle up to now..and several loan committments..on house, plots, flats or car..all in severe stress.
its impact on other software job seekers is also high. new peoplecoming into software profession will have to look at their job profile. nearly experienced and talented53000 of them are already.challenging them for jobs.so no more fresh chances for them. their dream of high 5 digit or six digit salary per month may not be viable.. already..software grooms are difficult to get a bride..now it will be more difficult.
its impact on IT industry is also high. as customers and clients...now will look at them and their balance sheets..after..satyam fiasco more suspiciously than ever..that means less orders and less projects than ever. the customers..all over world..will now look for non indian..software firms.and other BPO industries. with less projects the WIPRO'S , INFOSYS OR TCS shall have to cut jobs.that is adding to existent problems.
its impact on country's image as well as state image is also high. FIIs will now cautiously invest in indian companies..after such a malignant accounting fraud. the trust factor has taken a beating.so frsh investmets i would say..will be slowed down[alreay slowed due to economic recession] if not totally stopped.
our state's image has also taken a beating. CBN has tried his level best to improve..state's image as software hub especially he encouraged firms like satyam very much..of course..all his policies are vigorously some times..aggressively followed by YSR. now that ..image has gone. i dont think we can see another satyam like firm from our andhra pradesh...in the near future..its all over..as far as andhra pradesh concerned. the dreams of vizag and other satellite towns being..other software hytechs now gone.
its imact..on real estate,auto, tourism of our country is also influencial.till now software people send dollars to purchase lands and flats..from abroad. now that will be slowed. some of them..might have to get rid of them..houses flats..due to poor committments.now that will create panic mong bankers..becoz similar problem..arose in US.suddenly they have more properties at less market values..so bankers will dried up..leading to mergers and take overs of bankings..by govt..similar to US.once real estate...collapsed..steel and cement, will be slowed..leading to more job cuts.due to lack of demand for vehicles..auto industry will slow down.. again frsh job cuts. no more flight travels or hotel bookings as well as..travel plans...so tourism ..industry will be down.so more job cuts among them..as well.
its impact...on stock market..IS SIGNIFICANT.satyam stock has collapsed like there is no tomorrow. it even priced 6rs from 256 rs price three weeks back.now many investers lost their money. all other.. index shares are also effected with it..as you can see the above industries are going to be worst affected.so stock market is down as well.
i am not discussing why and what happened to ramalinga raju or satyam..but our society will alow such things to make things for our selves to be more complicated. the satyam shock came at a worst period..when economic..recession..is full blown out side india and in the world. india some how managed to keep its head...out side till now. now there is no escape...we have sunk deep into it.its not a bright start this year.
i hope all my worries and thoughts will only remain like that..and dont..be true. god bless india
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