Posts Tagged ‘General practitioner’

The proposed 1M’sia health plan is based on ineffective and failing NHS-UK model

May 10, 2011
Second Life: National Health Service (UK):

Image by rosefirerising via Flickr

I am just sharing this interesting letter in MKini by Drs Steven Chow & Ng Swee Choon (members of the Federation of Private Medical Practitioners’ Associations Malaysia): “Referendum badly needed on 1M’sia health plan”. I hope and pray that MOH & MMC officials would refrain from attacking this messenger.

We read with great interest and agreement, the article by Dr HT Ong and others ‘1Care outpatient scheme – middlemen didahulukan?‘, on the planned 1Malaysia Healthcare transformation reported in Star May, 24.

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The withered “Medical Referral Ethics” in Myanmar and Malaysia?

October 7, 2010
Of the patients waiting at the Out-Patient Dep...

Image via Wikipedia

I realized that in Burma and Malaysia, only a few specialists are replying to our referral letters given to them. I have noticed this as an awkward but not quite wrong Medical Referral Ethics due to special situation here.

But it may be quite strange for a doctor in UK, if I told them that in my 35 years of GP experience, I have never received any reply letter, indicating of sending back the pt with the follow up plan or instructions.

  1. May be I have worked in Myanmar and Malaysia only and this two countries’ Medical Systems and code of practices are different from UK.
  2. 

  3. Or maybe the consultants here misunderstood our referrals as totally transferring the patients to them.
  4. Or maybe they doubted that GPs are incompetent, would not even read their letters if they instruct us with Follow Up plans.
  5. Or maybe they are not sure that GPs have the ability, skills or will to strictly follow up with their instructions for the continuous welfare of the pts
  6. Or maybe they are selfish and wish to snatch our pts for good.

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Some unethical specialists in Myanmar

September 30, 2010

Your words reminded me of a popular joke (but a little bit old already) told by the emcees (the MCs or the Masters of Ceremonies) during the wedding receptions.

“After married, husband will become the head the future family, must be respected by the wife and made a ‘GENERAL’ of the family. The wife should be satisfied as the lower ranking ‘MAJOR’ position in the family.

After that if there is any ‘General problems’ it will be the General husband’s duty to decide. But all the ‘Majour decisions’ must be left for the ‘Majour’ wife to decide.”

So I used to treat General patients as a General Practitioner and need to refer all the majour problems and majour diseases to relevant specialists.

But I had learned a lot of lessons in referring the patients to the Specialists in Myanmar and Malaysia.

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