Health Sector poised to take a leap in Gulbarga.
Health care delivery is poised to take bigger strides in Gulbarga from its position of stagnation in recent times. The gears are slated to shift from containment and self-satisfaction to progressive acceleration.
A decade or two ago, Gulbarga was a recognized referral center not only for Gulbarga district but also for this whole region. The commencement of Medical College by visionary Late Shri Mahadevappa Rampure saw the pooling of skilled medical professionals. It was a period of establishing identity and survival.
However, the arrival of second generation of health care professionals coincided with period of quality care of patient and life quality of health care professional himself. It was an easy period of maintenance and sustenance. This shift in focus and attitude didn’t match with the requirements of patient satisfaction and market forces. The lack of support for merit in teaching institutions, economic and cultural milieu of this region compounded the disenchantment.
This resulted in exodus of large number of patients to neighboring health care centers. The situation was so grime and glaring that it drew the attention of the government administration. An interactive session with the doctor community was initiated by Dr. Shalini Rajneesh, Secretary, Hyderabad Karnataka Development Board.
Today, the cycle of proactive initiative in the health sector is taking shape. Some out of need, the rest out of inevitability.
Reputation tarnished, the arrival of third generation of professionals with super specialty qualification in significant numbers, the high concentration of doctors in relation to the population of urban Gulbarga challenged the sustenance. Spearheaded by Shri Shashil Namoshi, HKE Society’s Basaweshwar Hospital is taking the institutional lead in amending the anomalies constructively and innovatively.
Amidst this, almost like God sent, Arogyasri health scheme is slated for implementation in Karnataka. This is a cashless, tertiary care programme to all BPL cardholders of the state. It is a win-win situation for the citizens, doctor and government.
One of the requirements for empanelment of hospitals is 50 beds setup. Doctors who don’t up scale their establishment are set to loose out on major chunk of patient population. Consequently, market forces will invoke professionalism amongst the doctors.
This shuffle in health care scenario will have its strain on Doctor-Patient relationship. Unless this Doctor-Patient relationship is understanding and harmonious, the productivity will be hampered. There will be need to work on this association – recapitulation and reassertion of few basic tenets.
Basically, doctor assists nature in alleviating pain and disease to increase the longevity. The end of destiny is inevitable. Emotional outbursts and the subsequent violence as an alibi are deplorable. Secondly, medicine is an inexact science of probability with ambiguous clinical situations. Expecting the doctor to assure or convey a certain outcome is undesirable. Thirdly, health care delivery is a teamwork executed by supervision in a coordinated fashion. Assigning 24-hour responsibility to the treating doctor is asking for too much from the already beleaguered doctor. He is leading a busy and challenging life situation. Finally, don’t expect your doctor to share your discomfort. Involvement with the patients suffering might cause him to lose valuable scientific objectivity.
Finally, the law of the land has included the health care delivery under the purview of Consumer Protection Act. Thereby, implying that the profession is not a seva. An individual cannot have both the cake and the cream.
Subtle reorientation, adjustment and collective change will see a vibrant health sector hub in Gulbarga again. People of Gulbarga have excelled in most spheres, even in adverse circumstances. There is every reason to believe that better times will be back, too soon for the people to perceive.
Sharad M. Tanga
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