On Mon, May 10, 2010 at 10:57 PM, nawab heer wrote:
Dear All,
While interacting with HQ Western Command Officials on the issue of ECHS, it came to our notice another case of injustice to Defence Veterans by Government of India. Per person budget/ payment by Government of India is three times for CGHS i.e for elite Babus and 1/3 rd for Fauzi's ECHS. Can someone with contacts with media get it highlighted having duly confirmed. We have been cheated and are being cheated all over in daylight. Ministry of Finance gave us rank pay to be counted towards Pension in 4th pay commission, but Government of India denied it for so many years. When Supreme court gave us back rank pay, Government goes to courts.
Regards,
Brig Nawab Singh (Retd)
You are right. Allocation ratio ECHS: CGHS IS Rs 2700: 5100 per head one third of the civilians. This is known fact and forms part of our brief/ projections to GOI wherever sent out.
Col RP Chaturvedi (Retd)
If I understand correctly, when I joined the Army 40 years ago, free medical treatment for the rest of my life was one of the conditions of service. In fact my pay packet had this aspect among others like accn etc factored in. Hence what is the legality of I being asked to pay to become a member of the ECHS after retirement?
Brig A Sarker (Retd)
Showing posts with label SIM card. Show all posts
Showing posts with label SIM card. Show all posts
Tuesday, May 11, 2010
Wednesday, March 31, 2010
ECHS: Doctors must be exhorted to maintain records
ECHS Doctors due to heavy rush of patients in the Polyclinic seldom maintain the detailed health records. Now doctors have the technology to assist them. A general practitioner sees patient for all ailments and hence must maintain communication with the patient. If a veteran comes to a doctor with symptoms such as loss of appetite and general disability, the doctor should conduct full investigation from head to toe and then prescribe medications and recommend suitable diet.
Doctors should not resort to intelligent guess work (on hit and trial basis) as a short cut and prescribe over two dozen medications with the fond hope that at least one of the drugs will act! This typically helps the uneducated who feel satisfied with over doze of medications. A good doctor is one who prescribes the right medicine to cure the sickness or disease and not certainly by guess work!
The medicines prescribed in ECHS for the old and elderly is generally a long list which takes the dispensing staff more hours to answer questions relating to multiple dosage and identification of drugs meant for which ailment.
Another is the language barrier. All notices are in English whereas hardly a few of the Veterans and dependents can read English. Notices should be preferably in the Mother tongue of the Veteran or in Hindi. Notices should be minimal and not to fill up the space of the Polyclinic as hardly anyone reads the routine orders which do not concern a veteran. Why overburden him with the bureaucratic style notices?
Contemporary Issue
Background: Bringing the doctors under the ambit of Consumer Protection Act has made an impact on doctor-patient relationship. There has been an increase in legal cases of medical negligence in the recent past. This article provides practical information on medical negligence.
Methods: Complaints received at Army Headquarters were studied to understand the factors involved in medical negligence.
Result: Various aspects of medical negligence including doctor-patient relationship in the military set up have been discussed.
Preliminary measures to be taken to avoid cases of negligence are enumerated.
Conclusion: Good communication skills to build a rapport with the patient is the key to avoid majority of the complaints. The doctor must pay due courtesy, respect and care to the patient besides maintaining medical records scrupulously.
Medical Negligence in Military Hospitals by Brig K Chauhan, Lt Col SM Perumal, Lt Col S Hiwale, Lt Col Rajkumar
Doctors should not resort to intelligent guess work (on hit and trial basis) as a short cut and prescribe over two dozen medications with the fond hope that at least one of the drugs will act! This typically helps the uneducated who feel satisfied with over doze of medications. A good doctor is one who prescribes the right medicine to cure the sickness or disease and not certainly by guess work!
The medicines prescribed in ECHS for the old and elderly is generally a long list which takes the dispensing staff more hours to answer questions relating to multiple dosage and identification of drugs meant for which ailment.
Another is the language barrier. All notices are in English whereas hardly a few of the Veterans and dependents can read English. Notices should be preferably in the Mother tongue of the Veteran or in Hindi. Notices should be minimal and not to fill up the space of the Polyclinic as hardly anyone reads the routine orders which do not concern a veteran. Why overburden him with the bureaucratic style notices?
Contemporary Issue
Background: Bringing the doctors under the ambit of Consumer Protection Act has made an impact on doctor-patient relationship. There has been an increase in legal cases of medical negligence in the recent past. This article provides practical information on medical negligence.
Methods: Complaints received at Army Headquarters were studied to understand the factors involved in medical negligence.
Result: Various aspects of medical negligence including doctor-patient relationship in the military set up have been discussed.
Preliminary measures to be taken to avoid cases of negligence are enumerated.
Conclusion: Good communication skills to build a rapport with the patient is the key to avoid majority of the complaints. The doctor must pay due courtesy, respect and care to the patient besides maintaining medical records scrupulously.
Medical Negligence in Military Hospitals by Brig K Chauhan, Lt Col SM Perumal, Lt Col S Hiwale, Lt Col Rajkumar
Friday, September 25, 2009
ECHS: Parent Polyclinic?
Subject: Temporary Attachment Card ECHS
We have been receiving numerous complaints concerning the Temp Att Card required by Veterans who have to relocate temporarily to stations other than the Parent Polyclinic. Whereas we have in consultation with the ECHS been successful in working out a revised SOP regarding the TAC some doubts still remain. The Temp Att Cert (TAC) is reqd for issue of medicines for LONG durations. There is no other purpose.
We had prepared a proposal, but due to apprehensions of large scale uncontrolled sick reports (beneficiaries from peripheral areas) at polyclinics in NCR and in large cities, the proposal has been withheld. It was seen that there was a significant population that came to Chandigarh, for instance, to draw their medicines probably because the supply position there was better. One alternative proposal (to the one given below) is that for the first month only 7 days medicine will be issued at a time. After the first month when the revised load due to the new entrant has been catered for 30 days medicine can be issued as for all other dependants.
May I invite views from veterans ASAP. Please be brief and to the point. PLEASE DO NOT BE ABUSIVE OF THE ECHS no matter how dissatisfied you are.
Brig SC Kuthiala (Retd), Member ECHS Division IESM
Can ECHS resources cater to cure over 2 million PBOR's ailments?
If IESM is unable to get the problems of PBORS health care sorted out in a reasonable time frame then it should seriously consider taking legal opinion and with the help of Sainik Boards/ and State Governments, being a registered NGO to ensure these PBORs where health care cannot be arranged through ECHS/ Army then they should get proper health care cover from designated Civil Hospitals including Private from their respective States. But these should not be less then their entitlement. In any case it is best alternative for remote places.
Cdr Prem P Batra (Retd)
Apollo gets stiff dose from HC
We have been receiving numerous complaints concerning the Temp Att Card required by Veterans who have to relocate temporarily to stations other than the Parent Polyclinic. Whereas we have in consultation with the ECHS been successful in working out a revised SOP regarding the TAC some doubts still remain. The Temp Att Cert (TAC) is reqd for issue of medicines for LONG durations. There is no other purpose.
We had prepared a proposal, but due to apprehensions of large scale uncontrolled sick reports (beneficiaries from peripheral areas) at polyclinics in NCR and in large cities, the proposal has been withheld. It was seen that there was a significant population that came to Chandigarh, for instance, to draw their medicines probably because the supply position there was better. One alternative proposal (to the one given below) is that for the first month only 7 days medicine will be issued at a time. After the first month when the revised load due to the new entrant has been catered for 30 days medicine can be issued as for all other dependants.
May I invite views from veterans ASAP. Please be brief and to the point. PLEASE DO NOT BE ABUSIVE OF THE ECHS no matter how dissatisfied you are.
Brig SC Kuthiala (Retd), Member ECHS Division IESM
Can ECHS resources cater to cure over 2 million PBOR's ailments?
If IESM is unable to get the problems of PBORS health care sorted out in a reasonable time frame then it should seriously consider taking legal opinion and with the help of Sainik Boards/ and State Governments, being a registered NGO to ensure these PBORs where health care cannot be arranged through ECHS/ Army then they should get proper health care cover from designated Civil Hospitals including Private from their respective States. But these should not be less then their entitlement. In any case it is best alternative for remote places.
Cdr Prem P Batra (Retd)
Apollo gets stiff dose from HC
Subscribe to:
Posts (Atom)
