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Seminar on Financing Health Care for the
Poor
Hospital Contributions to those Who Could Not Effort
Dr. Nu Nu ThaMedical SuperintendentYangon general Hospital
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U N I O N OF M Y A N M A RM 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 HOSPITAL1500 BEDDED HOSPITAL
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Free Medical Care - Government Budget
Cost sharing - Essential drugs – revolving fund
Chargeable Cases Cost-sharing programs for services FOC
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Financial ResourcesBudget- - limited amount - rules & regulationsTrust Funds - only for medicineOther Account (OA) – rules &
regulationsDonations from well-wishers
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Patients in YGH
Out PatientsSpecialist OPDScheduled time table on respective daysRequire referral from primary health center or
secondaryhospitalsFacilities for investigations - Imaging - LabMedicines – out of pocket
Admission to the respective wards for further treatment
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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.
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Supporting Facilities for A& E
Radiology X-Rays, Ultrasound, CT, MRI
Lab24-hour cost sharing lab (fully auto
)
Medical Social WorksMedical Record
Department
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Total Attendance of Out-Patients By Speciality [2010]
Specialty New Old Total Attendances
As % of Total Attendances
Specialists' OPD 7981 30320 38301 18.42
Radiotherapy + Medical Oncology 6037 54993 61030 29.35
Nuclear Medicine 10295 16463 26758 12.87
Physical Medicine 7888 6856 14744 7.09
Dermatology 9468 11603 21071 10.13
Special Skin 1252 4332 5584 2.69
Dental OPD 8007 5076 13083 6.29
Plastic Maxillo Facial & Oral 809 1886 2695 1.30
Pain Clinic 204 743 947 0.46
Epilepsy Centre 52 272 324 0.16
Emergency Receiving Centre . I 12089 - 12089 5.81
Emergency Receiving Centre . II 11342 - 11342 5.45
Total 75424 132544 207968 100.00
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Total Attendance of Out-Patients By Speciality [2010]
Specialty New Old Total Attendances
As % of Total Attendances
Specialists' OPD 7981 30320 38301 18.42
Radiotherapy + Medical Oncology 6037 54993 61030 29.35
Nuclear Medicine 10295 16463 26758 12.87
Physical Medicine 7888 6856 14744 7.09
Dermatology 9468 11603 21071 10.13
Special Skin 1252 4332 5584 2.69
Dental OPD 8007 5076 13083 6.29
Plastic Maxillo Facial & Oral 809 1886 2695 1.30
Pain Clinic 204 743 947 0.46
Epilepsy Centre 52 272 324 0.16
Emergency Receiving Centre . I 12089 - 12089 5.81
Emergency Receiving Centre . II 11342 - 11342 5.45
Total 75424 132544 207968 100.00
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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
Surgical Operations by O.T.H. [ 2010 ]
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Definition of “a poor patient”
FOC- Urgent & emergency
cases- Government employees- poor
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Fund raising - well wishers
Income generation - rental fees - cost sharing
programs
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Cost sharing Programs for Services
Room fees - for private rooms
- Lab investigation
- Imaging - X-rays - Ultrasounds - CT - MRI
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Cardiology- Cath lab – angiogram- ECHO- ETT
Gastro-enterology- Scopy
Haemo-dialysis
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Room fees 25%-25%-25%-25% 50%-50%
InvestigationsX-rays - for continuous supply of filmCT, MRI, US - 100% - maintenance fund
Lab - Main lab & 24-hr lab - reagents and equipment
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Cath-lab - cardiac catheter - ECHO - ETT
Entero-scopy – 100% - maintenanceHaemo-dialysis -
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Medicines - donations in kinds - cash for emergency case - trust funds…..>1L - local ward funds
Diet – hospital diet encouraged self diet
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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)
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Role of Medico-social workers
& allotted budget (05 03)
Sanction 9Appointed 2Trained personals (ward
sisters)
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Patient
Investigations
Accommodation
Drugs
Diet
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The story is all about good management .
Essential elements of management
Drive Thinking ability Communication ability Human relation ability Technical ability
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1. Drive Responsibility Vigor Initiative Persistent Healthy
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2. Thinking ability Original thinking Critical thinking Creative thinking Analytical
thinking
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3. Communicative ability Listening and verbal
comprehension Oral and written communication
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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
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5. Technical ability Must have additional
training, expertise and understanding the specific techniques, tools, activities and problems of the department.
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Find ways to analyze and change processes to improve quality, which is the focus of TQM.
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In fact in the present situation there’s a lot of ways & means to provide free medical care for those who could not effort .
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