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Patient Safety in Private Hospitals of Uganda



Patient Safety in Private Hospitals of Uganda

Introduction

Uganda National Association of Private Hospitals (UNAPH) is the umbrella body of independent private hospitals and private health clinics in Uganda. Private hospitals and private health clinics are regulated by Ministry of Health through the respective medical councils.  UNAPH’s role among others includes the promotion, protection, representation and development of professional conduct of members and fostering ethical practice within the independent private health industry in Uganda.

Patient safety is the prevention of avoidable errors and adverse effects to patients associated with healthcare. It emphasizes the reporting, analysis, and prevention of medical errors that often leads to adverse healthcare events.

Patients are harmed while receiving care which result in prolonged hospitalization, loss of income, disability and litigation. Many patients acquire infections, suffer risks while in hospitals, are wrongly diagnosed, given wrong treatment and medication dose, and are affected by other types of healthcare related incidents. Policy makers must make efforts to improve patient safety to ensure private health patients are safe from accidental injuries during medical care, avoid, prevent and correct healthcare related incidents and problems leading to patient harm.

The role played by private hospitals in Uganda’s healthcare system has increased drastically but there is less information of how services are performed in the private sector and an inability to compare to data in the public health sector. There is increased reliance on private hospitals to provide surgical care and treatment with increasing number of admissions to private hospitals for surgical procedures each year.
Little is known about the quality and safety of care provided to these patients, due to a shortage of independently verifiable performance data. The lack of reliable data means that regulators are unable to assess the risk of harm posed to patients in these hospitals, and patients are unable to make informed choices about where to receive their care.

Through a review of care quality reports into private hospitals, data from clinical reports, health consumer complaints and concerns, the following was found:

Admissions from Private Hospitals to the Public Referral Hospitals
·         Some Private hospitals now receive a percentage of their income from treating public patients. They also rely on public hospitals to treat many of those who develop complications whilst being treated in private hospitals. A sizeable number of patients a year are admitted to the Government hospitals from private hospitals, although we have not been able to establish the reasons behind these admissions, nor the cost to the Government hospitals.

Unexpected Deaths and Serious Injuries in Private Hospitals
·         A number of cases of unexpected deaths and injuries are reported from private hospitals. Because of the limited reporting requirements for private hospitals it is hard to state whether these deaths and injuries should be a cause for concern.  We do know that compared to Government hospitals, private hospitals mainly treat patients who are ‘low risk’ patients - those who are less likely to develop complications following surgery.

Size and Facilities of Private Hospitals
·         Most private hospitals are significantly smaller than Government hospitals and do not have intensive care beds to treat patients if complications arise.  Less than half of the hospitals providing surgery have a fully equipped operating department.  UNAPH reports on private hospitals often identify problems with facilities or equipment which pose risks to patient safety.

Staffing Arrangements in Private Hospitals
·         The consultant surgeons and anaesthetists who work at private hospitals tend to operate in isolation from other medically qualified colleagues.  Unlike the situation in Government hospitals there are no trainee surgeons present to observe their work and assist them, and they cannot rely on the potential support of any senior colleagues on the site.  Post-operative care is normally the immediate responsibility of relatively junior Resident Medical Officers.  Further investigation of the resuscitation of patients following in hospital cardio-respiratory arrest found that a sizeable of private hospitals have no dedicated resuscitation team.

Record-Keeping
·         There is also evidence from UNAPH observation reports that some patient records are not always kept in the hospital where they are being treated but instead off-site with the consultant. This has been identified as poor practice and risk to patients if something goes wrong. This has also been exacerbated by poor or weak data capturing in the independent private hospitals sector.

Clinical Governance
·         Because private hospitals do not employ the surgeons and anesthetists who operate at them a different type of clinical governance exists from that which operates in the Government hospitals.  Medical Councils and Health advisory Committee - whose members are drawn from, and usually elected by, the consultants who operate at the hospital - are responsible for ensuring that only surgeons who meet the required standards are granted ‘practicing privileges’ to operate at the hospital.  The constitution and responsibilities of Medical Councils are not clearly set out in law, but they can remove the practicing privileges of consultants if issues of concern come to light.

·         Performing this role can be difficult given that there can be a number of different consultants who have practicing privileges in a small 10 to 30 bed private hospital, and conflicts of interest can arise.  The recent case of fertility doctor who performed dangerous surgery on a patient in a private hospital raises serious questions about the efficacy of these clinical governance arrangements.

Availability of Performance Data
·         Data available on the performance of private hospitals for patients is ‘poor’ and ‘insufficient to promote competition between private healthcare facilities.’  UNAPH currently has access to relatively little information that relates to independent private healthcare.  The information which is available is significantly less comprehensive than that which is available for public hospitals,      and is fragmented.
·         Commitment to Quality of care is a legal and ethical requirement for all hospitals both public and private. Whilst government hospitals are required to have their Quality of care Accounts independently audited, the same does not apply to private hospitals.  The report also finds that concerns have been expressed about private hospital participation in national clinical audits.

  Patient Safety Law
·         There is low awareness of patient safety law in the independent private healthcare industry.  This area of health law that affects patient safety (e.g.., tort law, professional regulation, institutional regulation etc.) is not profoundly integrated in the healthcare industry and general legal framework. Patients also lack information and guidelines on how to handle complaints before seeking legal redress which is coupled with weak private health consumer protection.

Recommendations:

In order to address the above risks and the lack of information the report makes eight recommendations.

1. Private providers should be subject to exactly the same requirements to report patient safety incidents (including mortality data) as government hospitals.  All of the information should be published in the same way as it is for government hospitals and this should be a requirement of registration with the medical councils.

2. Private hospitals should be required to report on their performance in the same way as government hospitals.  The Health Resource Centre, jointly with the Uganda National Association of Private Hospitals (UNAPH), should be tasked with making this data available to patients and commissioners through their respective websites and departments. The requirements set out for all providers of government supported services to publish their Quality Accounts to Ministry of Health (MOH) should be properly enforced by the government and all Quality Accounts should be externally audited.

3. The Health Consumer Ombudsman should be extended to cover the whole private healthcare sector.  The UNAPH private health consumer complaints and protection department should be strengthened to cover private hospitals in respect of anything related to the treatment of private health patients and government subsidized patients.

4. Given the failings detected by numerous inquiries and reviews, the clinical governance of independent private hospitals need to be subject to a wider review to determine whether the current arrangements are effective in protecting patients.  The review should cover the duties and powers of Medical Councils as well as the duties and power of the hospital director in relation to patient safety.  In addition, in order to reduce the potential for conflicts of interest between clinicians, owners, and patients, Medical Councils should have externally appointed clinical and lay members with no connection to the hospitals concerned.  The responsibilities and constitution of Medical Councils should be made statutory.

5. Full participation of private hospitals in all national clinical audit and data collection programs should be a requirement for registration with the Medical Councils.

6. It is important that patients are made aware of the different risk factors between being treated in a small private hospital and a much larger government hospital.  For patient consent to be informed consent, the consent forms given to patients at private hospitals should detail not only the risks inherent in the procedure being offered but also any that stem from the distinctive nature of the facilities, equipment and staffing of the hospital.

7. The regulations governing the provision of care in hospitals need to include some which are private hospital-specific and unambiguous.  In particular there should be an on-site registrar-level surgeon or doctor qualified in each specialty for which patients are treated, and nurses with qualifications in the same specialties, and arrangements for an anaesthetist to be on call.  It should also be a requirement that all patient records are kept on the ward.

8. Given that there are many admissions to government hospitals from private hospitals every year a concerted review should be carried out by the Ministry of Health of the nature and cost of these admissions.

9. Regulation and monitoring of Clinical issues and administration should be decentralized to regional referral hospitals and health centers within their respective catchment areas as the current decentralized district framework is more of administrative and academic than being practical yet the health consumer is at risk.

10. There is need for more increased practical collaboration, networking, inclusiveness, transparency and partnership among all the medical councils, private health departments, development partners, professional associations, health trade associations and health NGO’s. Good healthcare interventions have been made to benefit the private sector but unfortunately they are sometimes made using market mechanisms and in isolation of respective stakeholder associations resulting from the increasing capitalistic nature of handling programs in the private sector. Health is a public good and ought not to be managed and administered like a commercial product whereby it requires a higher level of administration than an individual consultant or Consultancy Company can arrange.

Most of these recommendations have been made previously in other review reports, but have not been acted upon.  Given what is now considered good practice, the lack of any clear picture of the risks to patients in private hospitals outlined in this report suggests that action on those recommendations is needed.

Uganda National Association of Private Hospitals (UNAPH)
P. O. Box 29324 Kampala, Uganda. Tel: +256 772 632211,
Email: unaph22@yahoo.com, Lumumba Avenue, Uweal Building, Medimark Suite
                                     www.ugandaprivatehospitals.blogspot.com

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