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Seminar on Financing Health Care for the Poor Hospital Contributions

Seminar on Financing Health Care for the Poor Hospital Contributions to those Who Could Not Effort Dr. Nu Nu Tha Medical Superintendent Yangon general Hospital. U N I O N OF M Y A N M A R M I N I S T R Y O F H E A L T H D E P A R T M E N T O F H E A L T H.

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Seminar on Financing Health Care for the Poor Hospital Contributions

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  1. Seminar on Financing Health Care for the Poor Hospital Contributions to those Who Could Not Effort Dr. Nu Nu Tha Medical Superintendent Yangon general Hospital

  2. U N I O N OF M Y A N M A R M I N I S T R Y O F H E A L T H D E P A R T M E N T O F H E A L T H YANGON GENERAL HOSPITAL 1500 BEDDED HOSPITAL

  3. Free Medical Care - Government Budget • Cost sharing - Essential drugs – revolving fund • Chargeable Cases • Cost-sharing programs for services • FOC

  4. Financial Resources Budget- - limited amount - rules & regulations Trust Funds - only for medicine Other Account (OA) – rules & regulations Donations from well-wishers

  5. Patients in YGH Out Patients Specialist OPD Scheduled time table on respective days Require referral from primary health center or secondary hospitals Facilities for investigations - Imaging - Lab Medicines – out of pocket Admission to the respective wards for further treatment

  6. Accident & Emergency Round the clock service for acute cases of medical, surgical and trauma. Provide live saving urgent services as well as minor trauma and surgical cases 23 hour service started since 1.1.2010. Mainly trauma cases.

  7. Supporting Facilities for A& E Radiology X-Rays, Ultrasound, CT, MRI Lab 24-hour cost sharing lab (fully auto ) Medical Social Works Medical Record Department

  8. Total Attendance of Out-Patients By Speciality [2010]

  9. Total Attendance of Out-Patients By Speciality [2010]

  10. Surgical Operations by O.T.H. [ 2010 ] Main OTH = 5115 Emergency OTH = 2544 Trauma OTH = 2520 Neuro OTH = 907 Thoracic OTH = 1544 Cardio Vascular OTH = 494 Plastic Maxillo-facial OTH = 1381 Total Surgical Operations = 14505

  11. Definition of “a poor patient” FOC • Urgent & emergency cases • Government employees • poor

  12. Fund raising - well wishers Income generation - rental fees - cost sharing programs

  13. Cost sharing Programs for Services Room fees - for private rooms • Lab investigation • Imaging - X-rays - Ultrasounds - CT - MRI

  14. Cardiology - Cath lab – angiogram - ECHO - ETT Gastro-enterology • Scopy Haemo-dialysis

  15. Room fees 25%-25%-25%-25% 50%-50% Investigations X-rays - for continuous supply of film CT, MRI, US - 100% - maintenance fund Lab- Main lab & 24-hr lab - reagents and equipment

  16. Cath-lab - cardiac catheter - ECHO - ETT Entero-scopy – 100% - maintenance Haemo-dialysis -

  17. Medicines - donations in kinds - cash for emergency case - trust funds…..>1L - local ward funds Diet – hospital diet encouraged self diet

  18. EMERGENCY Those who could not effort - Drip & Drip sets (3 ½ L)….OA - E Oth 2L (4”, 6” bandage & cotton, and anesthesia drugs) • A&E (POP, Emergency drugs) • Surgical Operations … direct donation All FOC ( including Investigations)

  19. Role of Medico-social workers & allotted budget (05 03) Sanction 9 Appointed 2 Trained personals (ward sisters)

  20. Patient Investigations Accommodation Drugs Diet

  21. The story is all about good management . Essential elements of management • Drive • Thinking ability • Communication ability • Human relation ability • Technical ability

  22. 1. Drive • Responsibility • Vigor • Initiative • Persistent • Healthy

  23. 2. Thinking ability • Original thinking • Critical thinking • Creative thinking • Analytical thinking

  24. 3. Communicative ability • Listening and verbal comprehension • Oral and written communication

  25. 4. Human relation ability • Ascendancy ( feeling and acting as a leader) • Emotionally stable • Sociability ( establish a working contact with environment) • Cautiousness (must be able to see other person's view to take it into consideration) • Cheerfulness

  26. 5. Technical ability • Must have additional training, expertise and understanding the specific techniques, tools, activities and problems of the department.

  27. Find ways to analyze and change processes to improve quality, which is the focus of TQM.

  28. In fact in the present situation there’s a lot of ways & means to provide free medical care for those who could not effort .

  29. THANK YOU

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