Conflict of interest against public health

In an interview with Fars News Agency, a sociology professor, Meysam Mahdiar, in response to this question, we are witnessing a decrease in specialized capacity due to the crisis of population aging in the near future, as well as the peak of various diseases, including coronary heart disease. What action should the regulatory bodies and the Ministry of Health take in this regard to address this issue? He said: “One of the reasons for the shortage of doctors is the lack of admission, which means that the capacity of medical admissions is low, and one of the reasons for the low capacity of doctors is the conflict of interests in the Ministry of Health to determine medical capacity.” This conflict of interest must be managed, and the determination of medical capacity by the ministry, which is often a physician and a specialist doctor, and many of whom have private businesses in the field of medicine and health, must be managed and this conflict of interest must be resolved. In such a way that individuals themselves are not involved in this policy.

He continued: “In my opinion, given the atmosphere that has prevailed, this issue should be removed from the control of the Ministry of Health.” This means that physicians should not be involved in determining medical capacity. There needs to be a plan, and regardless of how many doctors we need, which is fortunately happening, and the Ministry of Health is determining the capacity, the mechanism for this needs to be clarified. For example, for this number of the country’s population, this number of doctors must be admitted. This should take the form of a law and a plan, that is, if there is a taste in between, it should be the taste of the law, not the doctor or the institution itself.

Mahdiar pointed out that unfortunately, there is lawlessness and irregularity in the Ministry of Health regarding doctors: “Considering the prevailing atmosphere and taste that is observed in the ministry, it can be clearly stated that there is lawlessness in it.”

In response to the question, given the growing need for medical services in the country, will the Ministry of Health allow to increase the capacity of specialized physicians to provide services to the aging population of the country, as well as the capacity of patients in neighboring countries and health tourism? “Infrastructure must be created to increase medical capacity,” he said. The professors who teach should be upgraded and the texts updated in accordance with the medical achievements. Also, the necessary facilities must be provided for a good medical education to take place. Increasing medical capacity is not just about increasing the number of medical admissions, but also about setting the necessary conditions to improve the quality of medical education.

He pointed out that the country is currently facing an aging population and a large number of people born in the fifties and sixties need medical services, given that the country has the largest population in these decades, what about providing medical services? Should a new change occur? He replied: “Unfortunately, we currently have little medical capacity in the community.” The number of licenses of our general practitioner and specialist doctor office is low, which is not in doubt. As you can see, our population is aging and the aging population is increasing the need for medical services. If these two conditions are combined and create a special situation that we need to prepare the right number of doctors in the community, we should.

In the end, Mahdiar acknowledged: The increase in physicians must occur in several ways. Insurance services, ie insurance policy, should be in a direction that if medical services are to be provided to the elderly, the insurance can compensate for the services. Second, a good number of doctors have been trained for decades to come, and it takes at least more than 12 years to train a specialist, which means that if we start training a specialist right now, that doctor can enter the job market in about 12 years. . Because he has studied for 7 years in general and it may take about 12 to 13 years to complete the residency and design courses. From now on, there must be a forward-looking view, so measures must be taken in education, recruitment and medical recruitment capacity, and also in the discussion of insurance policy, we must have mechanisms that, first of all, make our elderly less ill. And if they get sick and go to the doctor, it is possible to reimburse the doctor’s services through insurance so that we do not run the risk of providing services.

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