Doctor questions quality of health care in the Dominican Republic
The quality of health care in the Dominican Republic leaves much to be desired. This is a thorny issue to deal with since the doctor is the risk factor, as are his training, skills, attitudes, responsibilities, and professional ethics. The considerations and reflections correspond to Dr. Nelson Rodríguez Monegro, an expert in health issues and former National Health Service (SNS) director.
There are many problems in that order, but they prefer to remain silent, among other things. However, many remain silent. “It would be unfair if it failed to mention the working conditions, salaries, availability of medicines and supplies, and diagnostic aids available in healthcare centers,” says the professional.
Contradictions
It refers to contradictions with survey reports that refer to high patient satisfaction. The people’s high satisfaction is striking, but those familiar with the system believe that there must be problems with the design of these surveys, says the system analyst.
Access to services
Accessibility of Health Services. Are health services available in communities, and are they equitable for all people regardless of their geographic location or socioeconomic status? The health professional answers no.
Primary Care
The much-vaunted issue of Primary Care has remained in the development plan. However, the integrated networks of Health Services (RISS) are not evident, and the budget items that allow the execution of this already extensive initiative have not been available, analyzes Rodríguez.
This absence results in disparity in care between geographical, rural, and urban areas and in a lack of coverage of the most vulnerable and needy populations.
Costs of Care
When analyzing the costs associated with medical care, are services accessible to the population, including insurance, co-payments, and out-of-pocket expenses?
They ask for help in the media
You don’t have to make any effort to know the reality; listening to the radio and television programs would be enough to find many people requesting financial resources or intermediation from “influential people.”