The continuing error/saga of management’s cost cutting over service provision in a public hospital. The mainstream media reported latest CCDHB action.
“Dr Jimenez left Wellington blaming hospital management as one of the main reasons for resigning.He also said the Capital & Coast DHB, management “lacked vision” and prioritised cost-cutting.District health boards and the Ministry of Health had been “irresponsible” in not stepping up their attempts to keep & train more Kiwi doctors in specialist fields.
There IS an “abysmal disconnect” between clinicians and management.
“Doctors are not empowered to make changes or grow services, as the decision-makers are more interested in cost savings over service delivery.””Stuff.co.nz
This story is repeated each time an intelligent reputable specialist gets imported (at great cost) and upon assessment wants to improve unsafe and unsatisfactory areas of his/her health care.
If the problem is management, training more NZ drs as specialists (is good but) is not the solution. Management is the problem. In my other blog I posted the point drs have exact same problem with management in the USA, they say hospital management are un receptive, they dictate and make medical decisions as funding decisions leaving the dr to obey/mop up.
Hospital management in NZ dictate denial of services for cost cutting in the USA management dictate more than needed services to make more money. Both USA & NZ hospital management systems are about profit$ for some shareholders.
I say a good start to the solution of disconnect is to get rid of the unresponsive dictators that are “hospital management” decision makers that do not care about or support the provision of gold standard health services they just care about money and profit .
Unfortunately in the health system the same disconnect exists between Doctors & patients. The dr /patient relationship holds the same dysfunctional disconnection pattern we can see in the management/doctors relationship .
The next thing would be to allow transparency for the patients who are ultimately the real ( but currently dis-empowered) funders.