Wednesday, February 16, 2011

Bullying Rife in NZ Hospitals

The website reported today on last night’s Wellington medical forum on the subject of burnout in the medical profession.

Experts said that doctors in New Zealand aren’t good at giving each other the support and affirmation needed to avoid burnout. Furthermore, hospitals are rife with bullying
Hospitals rife with bullying
“A bullying culture exists at hospitals, said forum chair John Carter, clinical leader of haematology at the Wellington Blood and Cancer Centre…
Attendees at the forum, part of the Inaugural International Cancer Symposium organised by Otago University, Wellington, heard psychiatrist and academic John Adams emphasise the medical profession’s poor record of giving mutual support and feedback.
This is an important factor in burnout, says Dr Adams, chair of the Medical Council.
By the time doctors come to the council’s attention, when their behaviour is affecting other staff and patient care, stress and burnout have led to physical health problems.
Depressive symptoms, anxiety, sleep disorders and/or substance abuse will have developed, and a stigma is attached to seeking help, Dr Adams says.
The earlier the problem is identified, the more likely its impact on the individual will be ameliorated…”  read the full report here
Which is ironic considering that New Zealand’s laid back lifestyle is used as a major selling point to attract overseas doctors into the country.

New Zealand has been suffering a severe shortage of medical specialists for some time.

Coincidentally The NZ Herald published an article today headed Doctor shortage reaches ‘crisis’ level, saying that a spiraling shortage of doctors “has sparked a warning of future “severe safety issues” in New Zealand hospitals.”

Association of Salaried Medical Specialists director Ian Powell told the paper that the flow of New Zealand doctors overseas and difficulty of replacing them had put many hospitals in crisis.
Patients could suffer from increasing medical mistakes and treatment delays without urgent action, he said.
“The situation is already unsustainable. We’ll have severe safety issues if this continues.
“New Zealand is losing too many of the younger doctors we train so well overseas, losing too many of our current public hospital senior doctors overseas and struggling to recruit in a very tight and internationally competitive market.
“Eventually these chinks are going to get so big that the system breaks down.” … read the full report here
Some things you may like to know about the health service in New Zealand:

  • There is a workforce crisis in New Zealand’s hospitals. Specialist senior doctors are being lost and there is a shortage of cancer specialists. Staff are lost to Australia (where the salaries are 35% higher) and to private practice. The causes are low pay by international standards, overwork and lack of resources to do the job.
But its not just the medical profession that are suffering in New Zealand, patients are doing it hard too:

Adverse Effects on Patient Health
  • A shortage of Oncologists in the central part of the North Island means that some cancer patients are being refused chemotherapy. Instead of being placed back on waiting lists patients are being referred back to their own doctors (as of Jan 2011) Affected patients include those suffering relapses of some cancers, including cervical, oesophagus and melanoma.
“It might not be what we want to hear, but it is honest … It is good to know they will not be hiding patients on waiting lists.”
But the list of cancers that won’t be treated had only been intended for clinicians to see, not the general public.
  • An economist said that New Zealand’s cancer-treatment rates were lower than the average for developed countries.”Already we have unmet need, so I guess the message is, get used to it.”
  • 261 people in Canterbury are waiting more than six months for cancer-detecting colonoscopies, raising alarm among doctors. In July 2009 the figure stood at 75 people. A private procedure costs £1,000.
  • A “postcode lottery” health system is failing people as there is “inequitable” access to treatment depending on where patients live. One woman failed to have a brain tumour diagnosed for over three years. A report into her case has highlighted serious deficiencies within NZ’s public health service.
374 patients who were involved in a serious or sentinel event, of whom 127 died; compared with 308 events, including 92 deaths, the year before.”
Migrants Tales

Are you still considering a move to NZ to work in the medical profession? Read some of our Migrants Tales, for example this one
The Health Care System Is Second Rate
This story was written by a nurse with over 30 years of experience. In it she tells of prejudice and how difficult it was to find a job. She also talks about how thousands and thousands of health care dollars are being wasted because there is no incentive to change and of how people wait so long for some tests and treatments that permanent damage is done to their health. She is minded to stay and work through this but her Kiwi partner is starting to look toward Australia to make some money….read on
You may also find interesting:  “Kiwis Missing Out On Vital Medicines with Fatal Consequences

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