Revision Rwops policies can lead to both positive and negative consequences.
Health Minister Aaron Mensaledi’s proposal to review the work shown outside the public service (Rwops), in the opinion of a specialist, can also benefit both benefits and difficulties in the health sector.
Mozlandedi, the lack of health workers and delays – especially doctors – Rwops were associated with the claim of abuse.
The Minister also fired changes for the rwops to remove doctors from the health sector, insists that it was sufficiently compensated with the occupation and special dispensation (OSD).
Health workers in public sector can apply for Rwops Work in special clinics or hospitals during off-time hours.
However, this department of this department is required to be written.
Advantages of RWOPS
The Chairman of the Chairman of the former South African Medical Association (SAMA), Dr. Angelique Coetzee, RWOPS program believes that it can significantly affect social health.
One key benefit may be an increase in public hospitals and other health facilities.
“If you have a certain RWOPS policy, the less doctors who spend time in private practice, pay attention to more public health care, and this should increase waiting time in hospitals in public hospitals,” Coetzee said Citizen Wednesday.
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It stressed that a revised system can cause better service to reduce surgical retardation in public hospitals.
“There may be more fair health care. This can help ensure more fair treatment between private and public health care,” Coetzee said.
Some doctors pointed out that private patients prioritize their priorities for the public and caused differences.
Therefore, a hard Rwops policy can help doctors to resolve this issue by ensuring the performance of the public sector before they are engaged in a private experience.
A decrease in a rigid RWOPS policy
On the other hand, Coetzee, the negative consequences of revising Rwops, especially the potential of qualified specialists, warned that many specialists can depend on the program for additional income.
“A restrictive study may lead to a brain drain problem because doctors want physicians better or more complete personal experience abroad.
“If some doctors are very restricted, some doctors may worsen your shortcomings in public hospitals, causing patient hospitals that cause a doctor to every doctor, can affect patient care.”
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Another potential adverse is affected by medical education.
“Training and mentoring can be a potential decrease and if leaving, the training of young doctors, experiments and registrars,” said Coetzee.
In addition, Coetzee warned that RWOPS is significantly restricted, a less physicians in the private sector can increase expenditures and longer waiting for personal health services.
“It’s a very difficult situation,” he said.
Possible adjustments for rwops
To solve the problems related to Rwops Coetzee offered a system with advanced controls to avoid negligence of doctors’ duties.
“They must comply with their work hours in their work hours. You cannot dip twice; you can’t get a salary at the Public Sector Hospital, but during office hours,” he said.
To ensure a solution transparency, you can report a compulsory report on the hours of private practice.
In addition, doctors can be limited to a certain number of private practice hours a week to maintain major focus on general health.
“The government can allow RWOPS for certain specialties that only public services are effective.
“For example, part-time private work is possible only in areas with a sufficient number of public sector doctors.
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“We are currently know that we have doctors specializing in all sectors in the public sector,” he said.
Another approach can also attract salary adjustments to make the public health sector more attractive, thereby reducing the needs of doctors in addition to private sector revenues.
Coetzee proposal offered that the student loan could be presented to financial properties, such as promotional capabilities or housing benefits and doctors to promote full public services.
“Doctors abused by public hospitals, doctors, duties can lead to harsh consequences, including fines, suspension or termination.
“So, if they do not have to be there, he must be liable,” he said.
Difficulties with OSD
Coetzee had several difficulties in 2007 to resolve the differences in 2007 and discussed the implementation of the OSD in 2007 to maintain experts in the public sector.
“It’s a sense of injustice around it,” he said, but also caused intense relations between democracy and management and nurses.
It has weakened issues such as incomplete and inaccurate information systems, insufficient planning and weak communication, politics weakened.
OSD resulted in a significant salary increase in some categories of state-fired doctors, including experts, students, recorders and high professionals.
However, Coetzee said the effectiveness of higher-level experts changed the effectiveness of compensating.
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Despite this increase, he continues to fight with the preservation of the public sector.
“When the OSD successes, the competition between people and private sectors cannot fully resolve the difference.
“If you look at the ongoing problems to keep high-level professionals, you need to look at market competitiveness.
“Thus, the award of your public sector should be important to ensure that it should be competitive for the private sector and international opportunities should be regular reviews.”
Outside of salary adjustments, Coetzee, working conditions, career development opportunities and resources have played an important role in maintaining specialists.
He said that the changes of Rwops and OSD will probably have a great impact on the implementation of national health insurance (NHI).
