Published on February 14, 2014
Summary: Hangout Sessions
Background This is the output of 3 Google Hangout sessions we ran with healthcare administrators, medical practitioners and patients to understand their experiences and frustrations with the healthcare delivery system in Nigeria. You can watch the Hangouts here: Healthcare Administrators – http://www.youtube.com/watch?v=rXmzzPDw6b4 Medical Practitioners – http://www.youtube.com/watch?v=kTqZtgWf4tQ Patients - http://www.youtube.com/watch?v=nJaQmMLLsTk
Hangout 1- Frustrations of Nigerian Healthcare Administrator
Hangout 1 - Frustrations of Nigerian Health Administrator Managing Hospital Records All our records are manually inputted and stored on paper Our filing system is complex with so many files over the years Medical records, patient history and case notes often get lost Capacity Utilization Low bed occupancy less than 25% The hospital runs for 24 hours with less than 20 patients coming in Hard to balance the books without overcharging patients Inventory Management & Purchase Policy Hard to keep track of which drugs and equipment we have/need It takes longer to replenish stock so things finish Purchase approval takes time and payment can also be delayed
Hangout 1 - Frustrations of Nigerian Health Administrator Getting Paid Efficiently Financing of healthcare needs revisiting as staff have to contend with patients not paying bills The NHIS should also be computerized to make it easier for hospitals to facilitate claims Contribution collection from HMO and NHIS Verifying what hospital claim for treatments. Location The location of hospitals affect uptake of our service Some locations have too many hospitals Some locations have too few hospitals Hospital as a Business Our business is not sustainable. We spend more than we make. We do not go out to market like other businesses
Hangout 2- Frustrations of Nigerian Medical Practitioners
Hangout 2- Frustrations of Nigerian Medical Practitioners The Hospital Environment Not sufficiently clean and organized to allow efficiency and comfort for health workers and patients Patient Records Patient information is captured on cards and paper which are often not stored properly and hard to retrieve Medical records, patient history and case notes often get lost Multiple records across different PHCs and even within the same tertiary centre The details of services delivered at home are often times not properly recorded and synchronized with patient files Drug Availability Doctors are not aware what drugs are available in pharmacy and often prescribe drugs that patients cannot get conveniently if at all
Hangout 2- Frustrations of Nigerian Medical Practitioners Material Shortage Paper shortages means doctors to have to source their own paper to capture consultation details Basic equipment not available to carry out necessary tests to aid diagnosis Maintenance of hospital facilities and equipment is often shoddy Appointment and Referrals Appointment booking all done manually often with errors in reconciliation Referral process for tertiary centres also causes confusion as often PHC doctors do not know the appropriate clinic day Clinics start late sometimes as much as 3 hours in a bid to retrieve patient records amongst other factors Home Service Hazards Personal safety concerns for practitioners who have to carry out home visits
Hangout 2- Frustrations of Nigerian Medical Practitioners A loss of compassion and empathy by healthcare practitioners A profession in healthcare is now more an economic choice rather a choice based on love and interest Recruitment and Progression Conditions Promotion should also not be about time spent in the system but about competence Process of nurse qualification and recruitment should be reviewed Safety and Risk Hazard from contact with patients with contagious diseases with no compensation Freedom to save lives in emergencies (gunshot wounds) without fear of repercussions Communication Communication within hospitals can also be a nightmare with staffers having to use their personal phones
Hangout 3- Experiences & Frustrations of Nigerian Patients
Hangout 3 - Frustrations of Nigerian Patients Source of medical information Google, my mother, nurse or doctor I know, church (faith) What I do when I feel unwell? I call my mum or a doctor/nurse I know I pray I self-diagnose and go to the chemist for drugs I think will work I google what I think the cause is and seek treatment What stops us going to hospital before it becomes a crisis? Cost of treatment is most likely going to be out of pocket There is no time available to go to hospital until it is a crisis Loss of confidence in the system
Hangout 3 - Frustrations of Nigerian Patients Why have we lost confidence in the Nigerian health system? Competency Unclear Unclear how to choose the right hospital to use Lack of clarity on the competency of medical practitioners - “Is my doctor actually a male nurse?” Not Enough Information Not enough information given about my condition and treatment Doctors get offended when you ask for more information or demonstrate that you know Not clear if the diagnosis and treatment are correct – no opportunity for second opinion on everything Ill-equipped Hospitals Absence of the appropriate equipment and no way to know this Power cut while operation is happening and back-up generators not functional
Hangout 3 - Frustrations of Nigerian Patients Why have we lost confidence in the Nigerian health system? Poor Quality of Service Poor quality service at the different touch points in the healthcare centre The attitude of medical personnel when they deliver information - "how you say it not what you say” Hospital staff can be rude to you Literacy and age can lead to acceptance of bad service without complaint Patient education on the quality of service they have the right to expect People jumping the queue based on who they know or who they “settle” Help in Emergency Situations Health emergency lines are not known by most people In emergency, how do I know where to go for appropriate treatment to reduce time spent looking for the right hospital Hospitals refusing to treat emergency cases without being paid first
Hangout 3 - Frustrations of Nigerian Patients Why have we lost confidence in the Nigerian health system? Complex Process Lack of signage especially in large tertiary centers make them a nightmare to navigate The hospital processes and procedures can be long, complex and hard to understand even for literate people Too long waiting times at every stage of the process - registration, for consultation, getting test results etc
Calcification Inhibitors in CKD and Dialysis Patients
Social Change Lab aims to identify, ... It is for this reason that we are convening the Social Change Lab for Health. ... THE OUTPUT of the lab will be 6 ...
Share Evidence for Chemical Change Lab. ... Social Change Lab for Health Hangouts Output This is the output of 3 Google Hangout sessions we ran with ...
Share Iniciación a los hangouts. ... Social Change Lab for Health Hangouts Output Digital Hangouts: Reaching Outside the Building Video Marketing ...
IN HEALTH AND SOCIAL CARE ... For example, measuring change in wait times ... Set up an annual meeting/listserv/monthly hangouts on open health data
Follow Us on Social Media; We the Geeks Hangouts; ... ’s Innovation Lab to improve the ... to solve using human-centered design? To improve children ...
Follow Us on Social Media; We the Geeks Hangouts; ... Audacious Goals in Eye Research. ... goals as well as other output that stemmed from the ...
Get Google products on your mobile phone ... Hangouts Conversations that come to life. Anytime, anywhere, for free Social Google+ ...
Even more » Account Options. Sign in