FLASH
Shkruar nga Astrit Bimbashi*
Is healthcare a business?
Second part
Continued from Part One
It is in this line that a separation must be developed between the mentality of the manager and that of the patient service provider: a collaboration between the demand for performance and the offer of qualified services, with the sole purpose of protecting the most sacred good, health. The last 2 laws are exactly for these problems. But the laws in our country on the way are modeled by clientelistic interests that not only hinder the development but also if we want to call it the health service business. Beyond this, further reflections are required.
Creating a new relationship between doctor and patient is only the first of many steps needed to develop an efficient health service. To be such, a medical service must enable the provision of health care, considering it as part of the collective well-being.
It would seem utopian, even excessive to configure a perfect health system without any shortcomings, however, it is equally true that the current organization focuses more on flaws and irregularities than on highlighting its merits.
It is enough to see the millions of the EU that circulate for aesthetics, dentistry, therapy of assisted reproduction where unfortunately the relevant bodies have no financial and professional control.
The process of regionalization of the health service, of which the main competences are attributed to the local entity, is turning out to be a wrong process both in form and in substance, proven by the facts.
All of Albania intends to come to Tirana. If this process was aimed at increasing the performance of the service by being as close as possible to the citizen, without a doubt the only tangible effect was that of provoking uncertainty and fear that we are inevitably moving towards a private health system that will affect increasingly the poor social classes.
Necessity of training the professional doctor in a new way
Throughout the training journey, the development of practical and communication skills with patients is episodic or minimal. The code of ethics related to different clinical situations and patient diseases is not exhausted in each of the disciplines of different specialties, (as far as I know, maybe I'm wrong)
The format causes the new graduate to identify medicine with the hospital, which is not the same as identifying the relationship between doctor and patient in a specified diagnosis. Only the practical activity after graduation will perhaps correct these mistakes and gaps during the years of study.
Meanwhile, will the feminization of the doctor's profession result in the creation of a new image? The idea that women's medicine will be more humane is not convincing. To say that men are more hasty and women talk more is debatable. It won't be easy.
Since 100 years ago, the aim was to train a doctor with excellent skills and manual skills, favored by the development of technology, but without paying attention to the thought: "There are doctors who spend all their time, even their whole lives, studying a mucosa, performing a catheterization or by administering a preparation into a cavity. This carries the advantage of detailed observation, perfect dexterity; however, this fact also carries the fact of seeming useless. Even when specialists reach this level of expressed limitation and focus of medical knowledge, they enjoy an excellent public reputation, because constant manipulation with the same nosologies and procedures gives them a unique, expert technical value ... but in a clinic is necessary to abandon this simplicity to be envied" [Augusto Murri Quattro lezioni e una perizia. Zanichelli Ed 1906].
Another contradictory reflection is the one on the meaning of the word "perfection". As it is said about other professions "good professional", also in medicine it is time to abandon the word "perfect". Today in medicine, auto references elevate this term to a pedestal. For "perfect" centers and doctors, i.e. good centers and doctors, it makes you laugh at the fact that it is the centers or doctors themselves who evaluate, in order to obtain more funding, prestige, "license to kill" or other benefits.
And after 33 years, it makes me laugh that when talking about private services, clients say "I'm going to the hospital..X. (I don't want to advertise) which practically means that the private has tried to create a brand, with little importance for the names of doctors, while when they come to QSUT, Maternity or Sanatorium, patients or clients we talk about names, I'm going to so and so ... etc. (Continued..)/ Pamphlet
Note: *Prof. Dr. Astrit Bimbashi, Head of Obstetrics Service SUOGJ "Koco Gliozheni"
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