Like that saying of "happy wife happy life"? Because they ARE, the CENTER of the medical care systems, and the NOT enough pays, the way too many patients per nurse ratio, how can these medical professionals, be happy, working in this realm, so of course, Taiwan's overall health is bound to, deteriorate…how things relate to each other, and the adverse effects of this, bad, trend is impacting the society here…off of the Front Page Sections, translated…
Awhile ago, the presidential office Healthy Taiwan Activate Committee held its very first conference, the president, Lai promised to improve the work environment for the medical professionals in the country; he'd stressed that all the proposed plans showed the determination of his government's building up a "healthier Taiwan", and showed that "Healthier Taiwan" isn't just a motto, that it'd already, become something that his government is working hard on.
But, the core problem of this program is in how having the happy medical professional staff members, making the patient care to get higher up in quality. And yet, this area had not been, mentioned enough or put up for discussion.
if this is what they're dealing with constantly, then, how can we expect that everything will go right in the O.R.??? We can't! Photo from online
Are the medical staff members happy? It's clear, from the great exodus, the lacking of enough medical service personnel being staffed in the hospital setting, shutting down the wards, etc., etc., etc.
Just how unhappy are the professional medical staff members? There are almost no one who cares in this country. Take for instance in the U.S., the highest suicide rate is in the profession of medical doctors, with over four hundred who committed suicide per year, about the total numbers of graduates of two medical schools, gone. The U.S. had long ago set up the specific foundations, associations to deal with this matter, to intervene in the mental health of the medical professionals, in recent years, the AMA set September 17th as the "National Physician Suicide Awareness Day", offering the supports needed for the medical staff members with the high suicide risks. Compared to the other professionals, the medical has a higher rate of career fatigue, overworked, depression, and other problems, and all of these, impact the quality of care provided to the patients in need.
Why are the medical professionals so unhappy? This has to do with the policies, and the work environment. Based off of the surveys in the U.S., the fatigue of work comes from too much paperwork, without enough time to take care of the patients (weird isn't it!); the lack of respect from their employers, their patients, without the autonomies, needed to work toward that quota, and, work by the policies.
When the medical professionals treats their patients, they'd needed to fulfill the requests of the patients, their families, the hospital, the units of government that oversees the medical field, along with their own conscience, and these can be fulfilled all at the same, time. So which one can get, sacrificed?
The physicians wanted to treat their patients with more care, but couldn't because of the cost, the standards, the rules, etc., etc. If the physicians couldn't live up to the first three, they will get punished by the external, get complained on, getting sued or, assaulted, get fined, etc., etc., etc. And in the very end, these medical professionals can only, satisfy their own, conscience, causing the "ethics damages", and started showing symptoms of guilty conscience, anxiety, insomnia, depression, emotionally drained, and career fatigue, to even suicide.
The modern day system of medical care focused on the economical first and foremost, although, the wellbeing of the patient is also the highest considerations, but, this is only towards the patient care as a group, not the individual patient that the medical staff member is overseeing the care of, these two are too different. The hardest of managerial kind of medicine is pulling these two closer, and so, the systems often get criticized for growing worse. I'll use the two principles to explain.
marching for the rights of medical professionals...like this, and they still get complained, for doing the best they possibly can to save the lives, to treat their, patients...photo from online
The first, the Parkinson's Law, the managing units leaned toward handing off the busy work, making the employees look busy, giving the affirmation of the existence of working in the job. As the work load increases, the organization needed to expand, but the personnel are getting busier and busier, and the medical staff member being employed under this are naturally, having it, harder.
The Goodhart's Law, when a measure becomes a target, it ceases to be a good measure. The medical staff in order to match the requirements of the standards, they will, adjust their behaviors as a whole, and this doesn't necessarily benefit the patients, and naturally, the conscience of the medical professional is also, reduced.
Finally, the medical profession is a job of people taking care of people. And the core requirements of the medical reform should also be focused on "person". The medical professionals being unhappy, the interactions with the work environment is the primary cause of problem in medical care. Any policies have the justifications and the reasoning, we can't keep on using what worked well yesterday, that's caused the problems today, to keep on trying to resolve what the problem has come to currently.
So, this is on how stubborn the systems is toward change, despite how the problems are already out into the opens, and yet, the systems still use that same old way of handling the problem, which worked well from way back when, and expected that it will work just as well today, but, this cause the interactions to get stuck, because what worked back then, may not work as well currently, because the requirements, the expectations, the settings are, different compared to before, and unless someone from higher up in the government comes up with a better plan, the medical staff members will never be happy, which means, that the quality of medical care is still, heading down that slippery slope, and we still have a long way to go until we hit rock bottom here!
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