Health service and role of Ispat general hospital in western Orissa

Why doctors and hospitals are the prime area of dissatisfaction by press and society?

There is moral and ethical deterioration in every field of life, so how this particular branch will escape? In India specially the health care sector has been neglected by different Government over last fifty years. You may be surprised to know that India�s health care budget was the lowest(until recently) amongst developing countries.With quote , reservation policy and no accountability the health care system has taken a back seat.

The majority of the best medical graduates leave the country , rest join private or corporate sectors,others if selected join AIIMS or universities, rest join public sector under takings, others who have no other choice, have no political or money power join in state Govt. service.The instruments allotted to peripheral hospitals are not utilized or due to poor maintance they become defunct within short time. No other sector deals directly with public life ,so any mishap create a public outrage. As such the tolerance level of people has come down, expectations are too much, doctors are too much money minded , the concept of human service as a medical professional has taken a nasty turn. So all these factors has resulted in attack on medical professionals in India.

Coming to IGH and its services.

Other departments ie. Finance, town administration etc. the file closes once the employee retires or takes VR or resigns or dies, but in medical it�s different , it�s the beginning as most people come for health aid after this age.

The desire to live by aging persons suffering from multiple non communicable diseases puts an extra burden on hospitals and doctors. Sons and daughters who don�t stay with the aging parents have high expections from medical care because they think money can buy every thing.

Seventy percent of Rourkela steel plant employees are staying back in Rourkela except a few south Indians. The main reason being free medical facilities, compact town ship, reasonably good water and electicity supply, good law and order situation. Mostly it�s a town of middle class people . Except steel plant there is nothing at Rourkela but still then it�s a vibrant city.

Like a conveyer belt ,if a sick person is brought to IGH with or without money he or she is admitted through casualty. Some times patients are admitted to ICU before the relatives know about it!

Who says IGH has detoriated? Yes . It� on decline. Company�s policy of VR and transfer of man power has resulted in less man power in IGH where as the number of patients coming to this hospital has not come down. Due to quick diagnosis and discharge the bed occupancy is better than what it was some ten years back.

Why newly recruited doctors don�t stay in IGH?

1. Less money.

2. Working condition

3. They get better jobs

4. Recent trend of newer generation of doctor is to change jobs.

5. Interference by union and patients relatives and seniors.

In last 44 years IGH has made a name not only in India but also abroad.

Most of the senior doctors have retired and the newer generation is slowly but surely taking up the challenge of health care delivery in IGH. Most of them are good but they need support from seniors doctors and administrators.

IGH is unique of its� kind in western part of Orissa, lets see that more number of patients come for treatment not for investigations to this steel plant hospital in future.

For that we have to follow certain guidelines or else it will be called as a mediocre investigating hospital. Some retired doctors use IGH as nursing home and their personnel property.

To improve services we need ==

1. dedication
2. expertise
3. human touch
4. better communication
5. less interference
6. accountability
7. training facilities
8. private practice(vigilance department to act quickly)
9. better referral system
10. reward to medical professionals
11. dignity of doctors
12. first class citizens in steel industry
13. better promotion policy for good doctors.
14. better nursing staff and paramedical staffs.
15. outsourcing of certain departments
16. canteen facilities for medical staff(subsidiary)
17. better security in hospital
18. frequent communication with press and media
19. extra remuneration for academically active people
20. better documentation and printed discharge cards.




This is meant for IGH doctors only.


Writer sanjoy kumar satpathy. Who has begged maximum suggession awards from RSP,Rourkela.

B/188 sector 18 rourkela3
SS