Wednesday, March 4, 2009

Consequence

You may consider my worry yesterday somewhat excessive; let's take aside those butterfly effects and focus on the problem at hand: Does more liberal investigation of medical incidents (in government hospitals) improve the standard of care ?

There would only be one effect: the reputation and trust to the public hospital go down.

And the consequences are not difficult to imagine:
  1. More patients would move to the private sector.
  2. More (capable) public doctors would move, too.
(The reason for the second point is obvious and I would not repeat here.)

On a first glance, the two effects seems balancing each other. But, look, public hospitals employ less than half of all the doctors, while taking care of over 90% of the patients. If 10% of the doctors and patients leave for the private, it would just be a small increase in the number of private doctor, but a double in the market.

Oh, is it the real objective ?

And I feel needless to elaborate on the quality of care for those patients (the vast majority, unfortunately) who remain in the public sector.

1 comment:

Vincent Wong said...

We should be glad that he does not plan to proactively investigate medical incidents at private hospitals as well. Imagine what would happen if there is a reversal in the patient flow you described.