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10 Comments

  1. 1
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    Duggy the DC3

    I am really saddened by this post in Croakey. Mr Brik you have not done yourself nor Health Service Planning Professionals a service by this rant.

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  2. 2
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    Enrico Brik

    Dear Duggy

    I am sorry, it was not my intention to sadden you or indeed anyone else. However, I feel I should point out that those who read the article closely, particularly the closing paragraphs, might well adduce that it was not my intention do myself or health service planning professionals either a service or disservice.

    As to the article being a rant, I’ll leave it others to judge, other than to note that the noun ‘rant’ is defined as an ‘extravagant or violent declamation’, and the verb ‘rant’ means ‘to rave, or talk wildly, as in delirium’. I have nothing more to add as you made no substantive comment.

    Yours in service planning,
    Enrico Brik

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  3. 3
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    ron batagol

    I couldn’t agree more-frankly Mr.Brik’s comments beggar belief and frankly I’m not sure if he is serious or just having us on. Does he REALLY think that doctors ( or other health professionals- hey I’m a pharmacist/drug information consultant- am I in his elite bunch too?), as distinct from professional generic health management people are so narrow-minded and gain no insight and knowledge as to the from many years on health advisory committees as to the needs and checks and balances of the braoder health system? Oh, I get it! Only health administrators are intelligent enough to gain that knowledge!! And years of clinical experience, including balancing risk versus benefits in patients cout for bought? oh, please, you can’t be serious as the saying goes!!

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  4. 4
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    Enrico Brik

    Oh Ron,

    Let me put your mind at rest. I’m serious. My comments, as the article’s title suggests, are about doctors and not other health professionals. Indeed, that was rather the point. In my experience, and the experience of many others with whom I deal in the health business, the qualities of allied health clinicians, nurses and others are very well adapted to health policy, planning and management. The article was also not written from the perspecitive of a health administrator, as you imply, because I am not one.

    Cheers anyway,

    Enrico

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  5. 5
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    ron batagol

    BTW- tthe last bit should say “And years of clinical experience, including balancing risk versus benefits in patients count for nought?

    But Mr.Brik is so terribly clever, I’m sure he’s already worked that out!!lol!!

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  6. 6
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    ravenm

    One of the key roles of the AMA is to function as a trade union, so of course it is not surprising that AMA presidents continue to advocate in this way.
    One key issue that is routinely overlooked is that there are many more nurses than doctors in the health system, and they also have vast experience and knowledge and wisdom that should be respected and harnessed in the management of hospitals and the broader health system. Nurses also tend to be more systemic in their thinking (a crucial skill in management) – of necessity, because they are not at the top of the pecking order. [No, I am not a nurse, or a doctor.]

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  7. 7
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    AlexN

    I am a medical student in my last month of medical school. In the last five years, I have had countless discussions with doctors, other health professionals and general hospital staff on how simple changes could lead to dramatic changes to patient health, cost to the taxpayer, and workplace relations. I am constantly amazed at the effect that poorly-constructed policy has on patient outcomes. I’d be interested to know how much of this policy has passed through Mr. Brik’s hands.

    The Health System and how it could be improved are constantly in the minds of people who work within it.

    I find Mr. Brik’s oversimplification of clinicians pejorative and insulting.

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  8. 8
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    ihaywood

    I think the plumber/town planner analogy is a good one. In our current health system “town planners” do their job at the macro level just fine, but also want to micro-manage the actual delivery of care too. They determine what taps to install, what spanners plumbers may have, how long each job will take, etc. Complaining that the spanners are metric and the taps Imperial sizes is denounced as a reactionary closed-shop mentality.

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  9. 9
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    Duggy the DC3

    Interested in Mr Brik’s “take” on the Gillard Governments “Lead Clinician Group” that contains at least two Ex AMA presidents.

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  10. 10
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    Bd J

    Great provocative article, of course no-one is perfect that’s clear. Actually having bean counters/Administrators run hospitals is a failure. We need to return to the days when a senior doctor and nurse ran hospitals with finsnce/administrators to assist. Actually I see that doctors – and nurses have very little power in hospitals these days. Good clinical care happens only because unusually caring individuals. Eg my Close relative broke their hip in the ACT in 2011 and waited 3 days in a hospital bed to get it fixed, private health care no help either. Apparently this isn’t unusual in the ACT. Lucky she didn’t get pneumonia and die. I could think of many many ways to expedite her care and save the hospital system money and free up the bed she occupied for 9 days instead of 3-4. There are lots real problems in the public hospital system and too much power influence by doctors isn’t one of them. Having said that humility and ethics are always to be admired and supported.

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