N in J
I agree with your opinion. In our country, because most members of society pay for medical expenses from his own pocket, and there is freedom to choose doctors. In fact the government encourages us to use a tiered health care. We first use of primary health care, the health centers and practices of general practitioners or family doctors. If the disease is difficult enough, then referred to secondary care (specialist doctor), even if it should be referred back to the consulting physician. The experience in Thailand that uses a system of national health insurance financing, it was about 80 percent of public health problems could be helped in primary care.
Medical education in our country to grow rapidly. Now, the number of medical school has exceeded fifty. However, every medical school to get guidance and supervision so that the quality of education is expected to be good. To become a registered general practitioners, medical school students both public and private sector need to follow the general practitioner competency exam. Thus, we expect a general practitioner from any faculty we already have the skills required to become a general practitioner.
You are right, general medical education is very solid. A medical student must work hard to be able to pass to become a doctor. He not only must have the ability to understand the disease of all kinds of aspects, but also must have the skills and attitudes that support to become a doctor.
Our general practitioners who pursue advanced training overseas doctors to compete with graduates of other countries. In fact, the best of my knowledge, both at the ASEAN level and even international level, graduates of Indonesian doctors often ranked first. So it is not in place if we lowered our general medical graduates.
Family doctor
Family doctor service has the advantage because the family doctor can perform continuous health care. He knows the state of health of family members more thoroughly. Patients are often moved around the doctor will face a new reality that their doctors will try to know him and his illness was not in a short time. The doctor will examine more laboratory tests and other investigation. Conversely, family physicians, because longer recognize the patient, will be more selective in requesting the investigation. But more importantly, communication with family physicians may be more familiar as you describe.
Every doctor is taught to know its capabilities, and if he faces problems beyond their means, he must send patients to physicians who have the necessary skills. Doctors generally have the ability to widen their field, but not deep making it suitable to address the various diseases that are common in the community. While the disease is more difficult will be referred to a specialist, or if very specific to the consulting physician. So, in fact if it is not necessary cough cold pain medication directly to a specialist.
Hospital services
The quality of hospital care is assessed through the achievement of treatment. For example, the incidence of decubitus (wounds on his back from a long lay) a low, low infusion former infection, infections in hospitals are low, and high success rate of therapy.
The quality of hospital services do not always match the physical appearance of the hospital. In fact, among the medical profession known leading hospitals. The hospital may develop a certain superior capability in that field beyond other hospitals. Doctors usually know seeded-seeded so that they can choose the hospital in accordance with the health problems faced by patients.
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