Nov 28, 2011

Bangladesh - 'Time to win confidence of patients'



Dhaka, Nov 26 (bdnews24.com) – With expert doctors and state-of-the-art equipment around, Bangladesh needs to work on infusing 'confidence' among patients, visiting foreign doctors say.

"I have had a very good interaction with the doctors. I have also trained some of them in Singapore. They are very eager to learn, very attentive," Dr Ding Zee Pin, senior consultant of National Heart Centre Singapore, told bdnews24.com in an interview on the sidelines of the ongoing fourth international conference on cardiology in the capital.

Labaid Cardiac Hospital organised the event, bringing a number of foreign and local doctors on one platform in its bid to share knowledge and skills.

A consultant cardiologist of St. Mary's Hospital in London, Dr Pipin Kojodjojo also said the doctors are quite enthusiastic to learn and keen to bring in new technologies.

"I have seen such equipment here, which are not even licensed in the United States. One of such medicines is 'combination defibrillator', used to regulate beats of the patients at risk of sudden cardiac arrest."

Then why patients do not get confidence and seek overseas healthcare?

Well, according to them, it is a combination of factors.

"Basically it's patient's perception that takes time to change," Ding said and that it took 25 to 30 years for Singapore to infuse confidence among patients.

"Once they (Singapore) did not have technologies. Patients felt overseas doctors are better, but now it's different story altogether."

An international expert in the field of Doppler and echocardiography in Asia Pacific region, Ding said hospitals should be informed about their success and complication rates, length of stay in hospitals, and infection rate so that patients can compare.

"They can also give a comparative picture. If people see you are transparent, it would help to build confidence.

Pipin, also a senior lecturer at Imperial College in London, replied, "You can say the same for most countries in the world. You know doctor-patient relationship is always complicated."

"But you (doctors) have to care for patients," he said and that socio-economic condition of different countries makes the situation different.

"It'll take time (to grow confidence in patients). It took many years for Singapore.

"Bangladesh has started a little later. But whole industry needs to grow together," he said suggesting developing nursing, technicians and other hospital facilities to build trust of patients.

"Patients take long time to develop confidence, but lose fast."

Sharing his experience in a conference, Pipin said doctors want to do more. "Together with the government, they want to bring new technologies."

"But the problem is patients here see specialists much later than in London. Since they delay, doctors happen to see them in later stages of ailment."

As the number of heart patients is rising across the globe with lifestyle changes, the experts suggested promoting healthier lifestyle.

"Trend suggests that in future, lots of people will require cardiac care. So, you should promote healthier lifestyle," Ding said. "There should be general awareness about what's healthy and what's not."

"Then the disease pattern might change."

"In Singapore supermarket you would see food items containing health messages – which one is healthy and which one is not. Now people are getting more conscious."

For the future doctors, the message from international experts' is: "Keep learning, and stay curious. If you don't, you will fall behind."

"We learn things all through the life. Things always change. If you don't learn, your patients will no longer get the benefits of new techniques and new medicines," the UK specialist Pipin said.

Nurul Islam Hasib
bdnews24.com



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