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Updated: August 19, 2012 18:47 IST

AP to ban private practice by government doctors

Special Correspondent
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Medical Education Minister Kondru Murali Mohan.
Medical Education Minister Kondru Murali Mohan.

The government is planning to impose a ban on private practice by its doctors all over the State with a view to enabling them to discharge their duties more effectively, the responsibilities of the posts served by them.

An in-principle decision to put an end to private practice by government doctors has been taken by Chief Minister N. Kiran Kumar Reddy to improve the situation in government hospitals and restore people’s faith in them.

Disclosing this to reporters here on Saturday, Medical Education Minister Kondru Murali Mohan said steps would be taken immediately to ensure the presence of government doctors in their respective hospitals for the stipulated six hours.

A watch would be kept on them to ascertain whether they functioned properly in the hospitals where they were posted and whether they were leaving the premises early to work at their clinics.

Sources said the Chief Minister, during a recent review of the issues relating to Health Department, had noted that the private practice by government doctors was one of the main causes for the deteriorating situation in government hospitals. Owing to this, all sections of society, including the poor, were opting for corporate hospitals in preference to government ones.

The authorities were forced to empanel private/corporate hospitals to the extent of 70 per cent for implementing Rajiv Arogyasri.

An official said at present, non-practising allowance was being paid to certain (teaching) categories of government doctors while other categories are allowed unofficially to work in their own clinics after working hours in the government hospitals.

Kiran kumar reddy has now realized arogyasree is monster with a large
appetite... JP from loksatta had brought this up years back... gov
primary focus should be on gov hospitals and improve the infrastructure....

from:  shashi
Posted on: Aug 19, 2012 at 21:33 IST

This is another idiotic decision from the govt.They are just trying to
transfer the blame over to the doctors for the pitiful state of govt
hospitals.I have worked as an internee at osmania general hospital and
I know first hand how awful the conditions are for the patients as
well as the doctors...the medicines which are being issued are mostly
outdated compared to the treatment given in the private sector,even
the emergency depatments need a lot more infrastructure..i dare any
ministers to first have their families go to the govt hospitals and
use only their facilities...a comitee has asked the govt to spend 2.5%
atleast on health sector...the govt spends far less...

from:  goutham
Posted on: Aug 19, 2012 at 20:15 IST

To fix this, we need more equipment, more staff etc. But this will need more money. But unfortunately, money is spent on populist schemes like 1 rupee rice etc and there is no money. So they need a scape goat and the easiest thing is to blame it on doctors and private practise. Does not need a rupee to make the excuse and can get sympathey votes from stupid illiterate people. This is how our crooked politicians work, Tough luck, fate of our country::::

from:  Dr Ajay Chipiri
Posted on: Aug 19, 2012 at 18:54 IST

The intention is good but is unlikely to render the intended objectives. This ban might
prevent non-performing Govt. doctors to get Govt. salary but will not help in improving
the reach of the health care to all. The major reasons being, inadequate facilities,
corruption in recruitment of doctors and procurement of medicines and facilities,
negligence and callousness of the doctors towards patients and their plight, would only
render the people prefer private hospitals.
Govt. doctors should be appointed through some commissions like UPSC. Physical
absence in the stipulated working hours should render them jobless with the provision
to bar them from any medical practice. The same should be the case, for negligence
and callousness... To render swift justice, every interaction of the doctor with the
patient should be recorded. The onus to provide quality recording as proof should be
on the doctor, else the judge should decide in favor of the patient. also in
procurement...

from:  Bharat
Posted on: Aug 19, 2012 at 18:23 IST

It has become a fashion nowadays to criticize doctors. The problem is not among the doctors. If you look at the ratio of the post graduate seats to the under graduate and RELUCTANCE from government to add more doctors into government hospital as led to this situation. Those are against doctors should visit a local PHC and see the number of additional works , other than treating patients , doctors need to do. Not to forget all the schemes government is thrusting upon the doctors. Also why only target doctors ? Are they asking similar kind of return from engineers , IT people ? Why shouldn't doctors earn when they too need to buy the same food , gas , water at such high prices. Is government subsidizing anything specially for doctors ?

from:  Asthu
Posted on: Aug 19, 2012 at 18:02 IST

This would be one of the worst decisions. The law has to be
strictly implemented so that doctors would be in the Govt.
hospitals for the stipulated time. They can do practice in the non-
working hours. If this type of rule is there, all the best and good
doctors in Govt service will shift to the private hospitals or own
clinics and the doctors with less demand will only stay in Govt.
services, which will make the scene worser than ever...

from:  Bhoopati
Posted on: Aug 19, 2012 at 17:41 IST

@G N Rajkumar: The powers for the provisions of ample wards, clean
toilets and supervision on other doctors is in the hands of Chief
Medical Officer (CMO) of the hospital. If the funds are not enough, he
can make proposals to the government for providing such amenities. But
in a twisted system such as India's, the CMO is the one who is most
absent in govt. hospitals and even if present, remains unavailable to
the general public. This is kind of leadership that govt. doctors have
and gives a fillip to their practice of avoidance of patients in govt.
hospitals. If CMO is an honest and hard working person, drastic
changes can be felt in the govt. hospitals.

from:  Om Pratap SIngh
Posted on: Aug 19, 2012 at 17:27 IST

Raj
Just another note u forgot to mention the salary and the pension NHS doctors get paid in
UK
Do you know what is the basic salary of a government doctor

from:  Giridhar
Posted on: Aug 19, 2012 at 16:54 IST

What a load of rubbish!!! Doctors being in hospital for their stipulated time of 6
hours, and what after that just go home and sit. What's wrong to do private practice?
Even if all the Doctors stayed in the premises, there are adequate bed facilities, lab
facilities, pharmacy options and theatre facilities.As for the primary health care
centres, less said the better. In addition filthy wards, toilets and absence of essential
items to regularly care for patient. Let these political morons improve these aspects
and the Doctors will automatically stay in Govt Hospitals. Its not the lure of more
money outside, but the inertia and filth inside Govt hospitals that drives Doctors out.
In case anyone disagrees with this statement, just look at the model of the NHS in UK
and the level of commitment by the Govt., doctors, level of consultant-led care
provided, and also ability of doctors to do private practice. Unfortunately this is to
much to ask of illiterate politicians who get "elected".

from:  G N Rajkumar
Posted on: Aug 19, 2012 at 15:49 IST

A few days back, there were reports that the shortage of doctors and
other para medical staff in Govt hospitals in India is about 70% or
even more. The State Govt is yet to open its eyes to the fact that govt
service is not sought after at least in the medical field. Instead of
improving working conditions of doctors, if the government resorts to
this kind of idiotic steps, with howsoever noble intentions, then the
shortage will become 100%!! These will be the consequences if the issue
is not dealt with the sensitivity it deserves. Any way, it is for the
common man to face; politicians and bureaucrats in any case have got
private hospitals in case they become sick.

from:  K M Rao
Posted on: Aug 19, 2012 at 15:08 IST

Its a very very good decision. This way doctors can concentrate more on the needy patients in the hospitals rather than filling up their pockets. But, at the other end Govt needs to find out the reason as to why these doctors are not found in their wards than in their clinics. Give better salary and facility to these doctors so that they enjoy their duty than considering it to be a burden. At the same time, doctors need to think of their oath that they take for the patients and should understand their responsibilities. They are handling lives of others, they need to be extra vigilant and responsible than what is happening in India. Also, people in India should stop "no-work, bandh, hartaal, etc., till govt agrees" attitude as this is the biggest hurdle in progress and messes with other's life, in simple its just a blunder which we have not understood and think it to be right to express, etc.

from:  sourabh
Posted on: Aug 19, 2012 at 14:37 IST

It's not clear whether they are banned from private practice for all
through the day or only during official working hours, say 9-5. Can The
Hindu add a line or two to clarify this?

from:  Kiran
Posted on: Aug 19, 2012 at 14:19 IST

Very good idea..! Good for the people of AP

from:  RAJ
Posted on: Aug 19, 2012 at 14:04 IST

Political tampering with medical practice is not uncommon in India. I have worked in states of tamil nadu and Delhi and the states of Andhra and Jammu kashmir medical fraternity usually suffer slightly out of turn with other medicos.
As far as government and people commit 8 percent of GDP to health government doctors may not do private practice but India is one country where the money is black and percent allocation to GDP for health is extremely less .

from:  krish
Posted on: Aug 19, 2012 at 12:21 IST
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