Much Know wrote:@murenj, question for you as a doctor and your experience at KNH. Is PK's flagship idea for 46 more KNH type hospitals making any sense to you. Where will all the specialist (No private practice opportunities in North eastern/machakos/kitui and so on, so they will depend fully on those jobs unlike Nairobi) come from assuming we have the resources to equip and manage 47new KNH's, renal, heart, cancer units and so on, is it more realistic say 5 new KNHs first? Can he be made to look ridiculous during the debate because of this idea. I think it is the most ridiculous thing i have heard during this campaigns, please prove me wrong.
the modern trend in medicine is to have 'specialized hospitals' eg pumwani, mathare, UON dental etc,. large hospitals have complicated administrative procedures and protocols that slows down decision making, Impacting negatively on patient care and clinical incomes. they have many administrative layers, that result into a bloated workforce.
2) we do not require more KNH like structures. The facilities at the grass roots are poorly equipped., limiting their scope of practice.
3) we have many specialists out there at the grassroots who lack the tools of trade.
4) KNH is always underfunded by a factor of 50% or so.....47 KNH type hospitals....? show me the money first.
5) sweden has no private medical facilities.....the ruling class gets attended to in the same public hospitals.....
7) only a small portion of doctors are engaged in private practice...in places like india, Doctors Tarmack