PRIVATE SECTOR’S PERSPECTIVE ON THE

IMPLEMENTATION OF RULES AND REGULATIONS

Dr. Chea Sam An

General Manager

Visalsok Poly Clinic

Intercontinental Hotel7th November, 2012

NATIONAL FORUM ON PUBLIC-PRIVATE PARTNERSHIP IN HEALTH

BACKGROUND OF VISALSOK POLY CLINIC

Visalsok Poly Clinic Was established since February-1994 41beds ( 10 beds for Extra Reservation ) Kind of services :

Inpatient • General Medicine • General Surgery • Gynecology and Obstetric • Emergency • ENT

PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 1 of 12

Outpatient • General Medicine Consultation • General Surgery Consultation• Gynecology Consultation• ENT Consultation• Laboratory• Imagery Ward

- X-ray- Ultrasound - CT-Scanner

PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 2 of 12

BACKGROUND OF VISALSOK POLY CLINIC (Cont.)

PUBLIC AND PRIVATE ENGAGEMENT

Provide additional income for public providers Most of physicians are also working in Public

Health Facilities 26 Doctors 21 Nurses 6 Midwives

To ensure quality of care Provide Nursing Training: Once every three months Medicine Control conducted every 6 months Medical Equipment Maintenance Every 6 months Access to internet provided to all physicians for e-

learning

PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 3 of 12

PUBLIC AND PRIVATE ENGAGEMENT (Cont.)

To ensure quality of care All physicians working in our polyclinic have

registered with MCC (Medical Council of Cambodia)

All nurses and midwives have graduated from Cambodia’s regional training centers

All physicians, nurses and midwives are allowed to participate in National and International Conference to always upgrade their skills

PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 4 of 12

Compliance with all national protocols/guidelines for treatment

Inspection Committee of MOH usually come to inspect our hospital at least 2 time a year

License is renewed once every 4 years Our ambulance system is only for transferring

patients to public hospitals or to patients’ home or from homes to the clinic

PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 5 of 12

PUBLIC AND PRIVATE ENGAGEMENT (Cont.)

Work to support referral of some severe cases to public hospitals

Report and Transfer to the public hospitals for patients with some emerging infectious disease alerted by the MOH

For serious patients, we rescued and transferred to public hospitals

PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 6 of 12

PUBLIC AND PRIVATE ENGAGEMENT (Cont.)

MUTUAL BENEFITS BETWEEN PRIVATE CLINICS AND PUBLIC

SECTORPrivate Clinics play important part of the entire health system:

Provide treatment to patients irrespective of rich or poor—saving lives is our priority

Reduce the burden of public hospitals For some severe cases, we save them and refer

(patients living close by, having trust, or those who are undecided where to go)

Provide additional income for public providers Employment opportunities

PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 7 of 12

CHALLENGES

Ensuring modern medical equipment to meet higher standard of polyclinic is very challenging: Low capital Our current banking loan policy does not

cover private hospitals—difficult to get loan for expansion but if possible the interest rate is too high to afford

High tax for medical equipment

PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 8 of 12

Understanding which medicines are officially registered and which are not is difficult. Our compliance is to use registered drugs.

Some high-cost medicines which are needed to save lives are not available in Cambodian Market

PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 9 of 12

CHALLENGES (Cont.)

RECOMMENDATIONS TO ADDRESS THE CHALLENGES AND NEXT STEP

Request to the National Chamber of commerce to provide environment conducive for Private Sector in Health to expand its standard and quality, e.g loan with very low interest rate or joint venture

Medical Council should strengthen their roles to defend all the physicians over their correct treatment

PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 10 of 12

RECOMMENDATIONS

Lower tax for medical equipment How can we be informed of official registration

of medicines by MoH? For high-cost medicines, they are needed to

save lives but not available in the market, what should we do?

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PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONSDr. Chea Sam An, General Manager, Visalsok Poly Clinic 12 of 12

THANK YOU!