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Thread: Cghs services- scope for improvement

  1. #21
    Senior Member vnatarajan is on a distinguished road
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    Dear CGHS Beneficiaries,

    Today I wish to draw the attention of all concerned regarding the most irritating and "life-consuming" practice of the CGHS system. Called the "Specialist Referrals" it can be mock-named as "Suicidal Routes"!. Quite a few instances of denials of timely Referrals to the beneficiaries have resulted in irrepairable damages to the health of the latter and one or two have also been expedited to reach the heavenly abode much before their time! Fortunately, the indifference/negligence had not been taken to legal avenues!


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    5.. SPECIALIST REFERRALS- A PROBLEM TO PENSIONERS

    There is also another type of inadequacy in the services provided by the CGHS concerning the Specialist Referrals. Without a formal order or memorandum of understanding with the Govt. Hospitals, the CGHS member-patients are required to go to them for specialists opinion in case of sicknesses/ diseases/ ailments etc. for diagnosing/ treating of which the CGHS team do not have the required expertice/ specialization etc. In such Govt. Hospitals, the CGHS referees (Even Pensioners who are all Senior Citizens) have to stand for hours in the OPD queue to get their turn and in some glaring cases, the Cgovt. Hospital MO(s) has/ have refused to give any specialist attention! If the CGHS has to IMPROVE ITS SERVICES in this specialist sector, this referral system needs a relook. The following points are relevant; (1).There must be binding order from Govt. to Govt for the system to be given sanctity—or a specific MOU must be signed between the CGHS and Govt. Hospitals say for spans of 5 years/ even till next review or so (2) Or provision must be made to allow the Govt. Hospital Specialists to give their opinions in their own clinics outside the Govt. Hospitals as they are legally allowed by Govt. Hospitals to practice beyond duty hours inlieu of NPA. Ethically, after all, the opinion given by such Specialists whether at their Hospitals or at their respective clinics cannot vary/ differ. This will help the CGHS Patients/ particularly Pensioners to suffer the ordeal of standing in crowded long queues for hours.(3) Private reputed hospitals also should be recognized for the purpose because of the need to cover the healthcare to all Govt employees/ Pensioners who are spread over the far ends and the remote nooks and corners of ever-expanding metros.
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    Here, I have to quote paras 5 and 6 of Shri RS's post at sl no2 in page 1:

    "In cases where specialist advise is called for one can understand the difficulties of providing doctors for each specialty at each dispensary. Equally understandable are the difficulties of older patients to commute from one corner of the city to the Central Clinic and wait to see the specialist. This needs a lot of discussion.

    The system of advance sanctions for elective surgeries and intervention treatment for chronic diseases like Diabetes ,Hypertension, Dialysis and Ischeamia needs a
    thorough look into. . These definitely need suggestions from experienced government servants".



    vnatarajan
    Last edited by vnatarajan; 24-04-2009 at 08:42 AM.

  2. #22
    Senior Member vnatarajan is on a distinguished road
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    Dear All/ Shri RS also,

    I find not much of participation is visible on this Forum. Though I am sure there are quite a few who go through whatever "no-sense" (I didnt want to degrade myself by writing non-sense!) and may be they have not registered in the Gconnect and so are not able to type out their comments!

    I can only request senior members like Shri RS to kindly take action to post the "CGHS" material in other Forums like IOFS Brotherhood etc- as I am not able to do so- due to lazyness- lack of time!.

    TODAY I WANT TO MENTION ABOUT UTILITY OF "AFTERNOON PAY CLINICS" as in practice in West Bengal and many other Cities/ States (Not so in Chennai) and I think some of them are recognised for various purposes.

    Let us know something about PAY CLINICS: I am posting some study material on such units functioning in West Bengal carried out by some research unit in 2004 for background information of all:

    __________________________________________________ ________________________

    Afternoon Pay Clinics, West Bengal

    Summary Background:

    Medical Officers (MOs) of different specialisations are supposed to work between 8am and 4pm. However many were not staying at their posts for the full day - either leaving to practice privately or to go home. Many MOs would also not stay at their place of posting for the entire stipulated duration.

    To give the MOs an incentive to stay at their post until 4pm, it was decided to set up pay clinics in the afternoon. The money charged to the patient would be split between the Government, doctors and the institution. Typically, out of an INR 50 charge, INR 10 would go to the Government, INR 2 would go to the institution and the rest would go to the MO. This service is aimed at patients who can afford it, though services are still free to those below the poverty line (BPL). Charges for the clinics are set by the Government.

    Results: There has been no evaluation of this scheme. However an initial rapid assessment suggested that only 5% of hospitals were actually holding afternoon pay clinics. An evaluation for further refinement of the scheme is planned in the near future.

    Cost: Minimal establishment costs like electricity, water, etc.
    Place: West Bengal medical college hospitals, district hospitals, sub-divisional hospitals and state general hospitals from November 2001.
    Time Frame: Approximately 3 months to issue a Government Order.
    Advantages: Funds generation: Not only does the scheme produce income for the MOs, it also generates funds to improve/maintain facilities at the institution.
    Challanges: (1)Generating awareness: Many institutions have had difficulties in getting the message out to patients that the facility is available.(2) Incentivising MOs: Many MOs have been reluctant to take part.
    Prerequisites: Willingness from MOs to take part in the scheme. Awareness generation of the scheme. Issue of Government Order.
    Who needs to be consulted Officials of the Department of Health & Family Welfare; MOs.

    Risks
    Sustainability: Sustainable.
    Chances of Replication: The scheme has been slow in taking off in West Bengal. This was due to a lack of proper dissemination of information to both beneficiaries and MOs and the fact that timings were not suitable for the beneficiaries.
    Comments: Timely payment to service providers and Government order for participation of MOs are required for successful implementation of the scheme............................................ ...........(.November 2004.)

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    vnatarajan
    Last edited by vnatarajan; 27-04-2009 at 07:53 PM.

  3. #23
    Member haringp is on a distinguished road
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    Default scope of credit facility should be all India for pensioners

    For pensioners Right now, one can avail treatment in city where one is registered on credit basis.
    there are situations, where in you may need to be hospitalised in emergency for eg on vacation/stay in a diffrent city with children.
    in such cases one should be allowed to avail CGHS credit facility for treatment in recognised hospital specially in cases of emergency.

  4. #24
    Senior Member jitendraacr is on a distinguished road
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    Dear friends
    MoH has notified new rate for subscription effective from 1/0/09 and also revise the entitlement. Interested person may visit the website of MoH/CGHS.
    Jitendra

  5. #25
    Senior Member vnatarajan is on a distinguished road
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    Dear All

    Many old helpless Pensioners had been literally cursing the services of the CGHS.

    I and a few EC Members of the Pensioners' Forum, through AIFPA, Chennai, had been participating in the concerned local Advisory Council meetings regularly and we had been struggling hard for the improvement of CGHS by cooperating with the management there.

    Many of the CMOs and ADs at the CGHS Dispensaries (particularly at Chennai) are indifferent to such councils.

    They are also not confident enough "both technically" and "administratively" to help out the members (both in service/ retired) even in times of "crisis".

    UNDER THE CIRCUMSTANCES WE HAVE TO WELCOME THE NEW CGEPHIS circular which has notified the expression of interest for the Insurance Scheme.Please visit the RREWA or MOH website for the full circular. I hope GConnect also will post it soon on the Home Page.

    Already the Mediclaim Scheme to supplement the limits of expenses permitted by the CGHS had been welcomed by knowledgeable pensioners.

    The current Expression of Interest shd act as an eye-opener for the CGHS Administration.

    They had been taking for granted everything so far and I rank the CGHS next to MOF in its autocratic style of functioning- only difference is the latter has TEETH but the former has NOTHING to chew!

    Even RTI queries asked by some have gone into dustbins. I think we have to haul every "faulting" units UP as it has happened in the case of DOPT recently.

    Let the Pensioners become more active please.

    WE WILL WELCOME THE CGEPHIS- even if it is a bit costlier.

    Let the CGHS go down the drain- as they themselves are ready to welcome their D-Day!

    vnatarajan
    Last edited by vnatarajan; 05-06-2009 at 10:59 AM.

  6. #26
    Junior Member DR.VBP is on a distinguished road
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    Default Enhancement of cghs subscription

    I am a retired defence civilian. i wanted to avail CGHS. Onthe date of my retirement ie 30 april2009, the subscription was only18000.By the time i got the required certificate of nondrawal of Rs100 medical allowance(ALONG WITH THE PENSION )from concerned DPDO it was 30 May.The subscription was increased to 60000.- huge amount for a pensioner
    My query is : can i seek an exemption from the increase since on the date of my retirement i was entitled for lower subscription

    Dr.vbpillai

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