In Trinidad and Tobago the present system of health is highly centralized. The Ministry of Health maintains supervision of five regional health jurisdictions. All these are the North West Regional, North Central Regional, Eastern Regional, South West Regional and Tobago Regional. South West, North West and North Central would be the largest places; each catering to your own healthcare needs of over 300 million individuals.
So that it is able to supply top quality care for patients, medical system should be reformed. Patients should be well-educated to make the most of a healthcare strategy that is competent, exceptionally organized and skillfully handled. Finally reform has to involve all stakeholders; private practitioners, government and citizenry.
Even a convergent bottom up and top down model should be adopted so that there was to health reform capable of adding to societal and economic development of the nation’s human capital. One reform which needs to be executed is currently granting absolute independence. They ought to be able to generate their own funding by charging fees for their services. This may eliminate dependency on the nation or Ministry of Finance.
Each regional health authority should be able to invest in the stock market or undertake income generating measures it deems feasible. Its capital should be spent in compliance with medical needs. Regional government should be responsible for primary, secondary and tertiary healthcare. Moreover, they ought to be given oversight of private hospitals and health centers in their regions. Private facilities should be subject to price controls in order to avoid charges and ought to be asked to pay for at least ten per cent of their annual profit to the jurisdiction. This article contains suggestions for health sector reform from the small island state nation of Trinidad and Tobago.
If these and other reforms are adopted, the general health of the nation is going to be improved. Its citizens will benefit from a well managed strategy. It’s palpable that the boundaries of each jurisdiction have been redefined so that they are of almost equal population size.
At this time around South West Regional is accountable for greater than one half million people. Given its limited funds, it cannot be expected to perform with maximum efficiency. Considering that the fact that the higher health facilities are situated in urban centres, this would be a challenge that has to be overcome judiciously. To adapt this reform, regional authorities should cause public and private partnerships at the supply of healthcare centers in rural and different districts not as accessible to hospitals and health centers.
A reform must be the specialization of this Ministry of Health in fewer functions. By way of instance, it could concentrate on data compilation and analysis. It ought to be staffed with health researchers tasked with assessing developments in epidemiology, and trends in mortality and morbidity. That the Ministry of Health should have the capacity to instruct regional authorities to make fluctuations dependent on the statistics collected and examined. Regional bodies must be mandated to provide health based statistics to the Ministry of Health quarterly.
The Ministry of Health must maintain supervision of authorities. Reports should be produced by it centered on self- monitoring and evaluation of all performances those systems and struggles in each region. Ideas should be made for incidences and also developments of white-collar offense prosecuted. Additionally, regional authorities should have the power to make certain that all of health institutions and providers stick to certification standards.
The Ministry of Health should be charged with responsibility for growing federal accreditation standards in most elements of health institutions’ operations. These should consist of hospitals, pharmacies training. Also conventional and other medicines ought to be subject to accreditation standards. Everything and every health established association ought to be subject to accreditation standards related to those of countries like Canada and the United States.
Health reform indicates the fluctuations in health management, health planning and, health research which puts focus on health challenges aimed toward improving health preparation, health management and healthcare. They will combine to produce an efficient model of healthcare delivery capable of increasing patient physical, medical and psychological safety.
Health reform ought to be driven by empirical data, best practice and evidence based practice. A variety of health statistics; including as manpower needs mortality, technology operation and patient satisfaction; employed and ought to be analyzed in strengthening health systems. To make the health strategy efficient, a digital health record strategy ought to be developed and executed. This will guarantee that care could be accessed by patients . It would make it easy to access medical records within any authority possessed and administered out of any health club.
It’s expected that the Ministry of Health should take a major role in this enterprise. Records of patients at hospitals ought to be accessible to regional authorities given that they may be transferred to a hospital in the event the maintenance they require cannot be achieved there.
Sometimes for reasons like excessive cost, patients could be transferred to a general hospital. Regional bodies may collaborate in health planning. Their business, strategic and budget plans can be developed by them . They could tweak their plans to fit their public needs.
The main benefits of centralized planning will be accountability, transparency and inter-operational functionality. Inter-planning ensure that scare resources are used economically and can reduce competition between regions. Employment policies should enable the free movement of expertise and skills . On a needs basis, practitioners and highly technical surgeons need to be provided to patients in other regions sometimes. In other words, one region may pay the next to the professional services of physical tools or its human demanded.