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His response to his professor Dr. Zafar Mirza’s column was published on January 24, bribing doctors, explaining the results of the study published in BMJ Global Health 2024 (he was part of it).
These results are insightful and open rooms to provide an opportunity to review existing methods and suggest possible solutions within the country. Private practice is an important part of our health care system and an asset in private practice. There is some solution to deal with the prescription associated with focusing here.
To provide solutions, let’s look at some important sectors that need to be addressed before minimizing the pharmaceutical -led prescription.
First and most importantly, this is the earnings of doctors. In most cases, trainee doctors and those who are eligible as basic care physicians after years of training do not earn more than $ 350 a month. This is true, especially in the early years of exercise. The salary of every month received by a person is no more than $ 170-180, who has completed only primary school education. It is worth considering to ensure a salary package for doctors. The government can be linked to their overall performance, medical services, maintenance quality, regular quality assurance and diagnosis.
2- There were several medical conferences every year. They should be arranged in educational institutions rather than hotels to become an effective educational resource. It will be very cost -effective and financial matters can be turned for other use such as: Scholarship/ Barrie for students deserving their scientific research papers at national and international conferences. In addition, promotional banners of pharmaceutical drugs should not be displayed in educational institutions or healthcare facilities. We should set standards and protect our students and young professionals in such promotions and methods. When you decide on such matters, it will be able to consider the sloping argument (ethics) to reach a reasonable solution.
3- We can set an example through regularly arranged professional development (CPD)/ continuous Medical Education (CMES) session. Those presenting in such incidents/ speakers can ensure that their contents will not be affected by the pharmaceutical business. This drug should not appear like a drug promotion event with large banners occupying the event hall. Gifts and sponsored visits offered by pharma companies should also not be encouraged. We must be clear what is acceptable and when we should refuse to be polite. We must remind ourselves of the Hopkroti oath in which we pledge that we will serve with integrity and integrity and work in the best interest of our patients.
The World Health Organization encourages the proposal to propose by a general name. Pakistan’s Drug Regulatory Authority issued a notification to healthcare professionals in both public and private sectors to write medicines using non -privileges.
4-compulsory postgraduate training for basic care physicians. Such programs must include discussions on workshops, clinical diagnosis, consultation and clinical landscapes with conflicts of moral issues and interest. Basic care physicians, who are more familiar and empowered and developed advocate and leadership skills, will be able to support this goal with more skill.
The 5-5-Mantatory annual diagnosis of therapists ensures that they are the latest with skill and knowledge. It also offers the opportunity to provide feedback on their performances and clinical skills.
6 The World Health Organization encourages the proposal to be proposed by a general name. Pakistan’s Drug Regulatory Authority has issued a notification to healthcarers in both public and private sectors, demanding that they recommend drugs using instability names.
Adding 7 substances in Family Medicine in the undergraduate medical curriculum. The curriculum should be prepared and taught by eligible primary care physicians. This can offer a better understanding of discipline and improve the health care system.
Both the public and the private sector will smooth the implementation of 8 regular clinical audit antibiotic stories on health facilities.
9 Family Medicine Faculty should cooperate with governments in implementing high quality basic care education through special stakeholders, special colleagues, policy makers and key stakeholders. Secondary care facilities contain examples of successfully organizing external patients with basic care. This approach should be found further to deal with this problem.
10- Government to private general practitioners to achieve the desired results to handle pre-birth care at the community level at the community level at non-communication disease (NCD) management, communication disease (CDS) The meaningful dialogue should be included.
11- A strong and flexible centers to strengthen the country’s overall health system and achieve global health coverage with the support and support of related stakeholders (politicians, regulatory officials, health care commissions, policy makers). In supporting the care system.
Author Health Services Academy is an associate professor at Family Medicine in Islamabad
