About bill sizes, doctor exodus...
DR GERARD Chee agreed that private hospital charges are higher than those in public hospitals ('Bill comparisons may not reflect true cost differences'; Tuesday).
However, he suggests that the cost comparisons may not be wholly accurate because the report did not reflect all private and public hospital bills. He further concludes that the private-public hospital cost differentials are due more to public-sector doctors being grossly underpaid.
The Ministry of Health has been publishing bill size data for the top 70 medical conditions in public hospitals on our website (www.moh.gov.sg) since 2003.
With effect from last year, all private hospitals have also submitted their bill size data for the same medical conditions for publication on our website.
The published bill sizes include inpatient and day surgery cases, and reflect hospital charges as well as doctors' professional fees.
Inpatient and day surgery cases were chosen because patients would usually incur larger expenses for hospitalisation as compared to outpatient treatments.
Inpatient and day surgery cases were chosen because patients would usually incur larger expenses for hospitalisation as compared to outpatient treatments.
The public can refer to the published data on the ministry's website to form their own conclusions on the inpatient and day surgery cost comparisons between public and private hospitals.
While the attrition rate of public-sector doctors has remained stable for the past three years, we are mindful that pay must be fair and competitive in order to recognise the good work of our doctors in the public health-care system.
As announced by the Health Minister in March, a new and more competitive pay framework is being introduced to better recognise the contributions of our doctors in clinical care, education, research, leadership and administration in the public health-care sector.
Doctors who leave the public sector do so for various reasons, of which pay could be one.
It would, however, be disrespectful and unfair to the many dedicated and professional doctors in the public sector to suggest that they, too, will leave eventually in search of better pay and cause their patients to suffer a 'decline' in the quality of care.
Many public-sector doctors are motivated by a sense of mission and the satisfaction of being in public service, contributing to the care of patients, the furtherance of medical knowledge and the nurturing of future generations of doctors. As members of a respected profession, doctors aspire to do their best, regardless of where they choose to practise.
Bey Mui Leng (Ms)
Director, Corporate Communications
ST Forum, 29 Jun 2012