Health, Wellbeing, Social Protection, Public Safety & Security

DEVELOPMENT AGENDA PRIORITY E:  A modern and efficient healthcare system.

About priority E

  1. A modern and efficient healthcare system ensures that all citizens and residents of Tobago can access high-quality healthcare, delivered with compassion and a genuine concern for their well-being.
  2. A modern and efficient healthcare system utilizes advanced management systems and technology.
  3. The system fosters accessible, high-quality, patient-centred care, operational efficiency, and quality improvement.
  4. It enhances resource efficiency, guarantees adherence to regulations, and facilitates data-driven, diagnosis-focused prognosis-based decision-making.
  5. A healthcare system equipped with these modern features will be capable of meeting the evolving needs of Tobago's permanent and transient populations.
  6. A modern and efficient healthcare system constitutes a key component of a progressive society and economy, because healthy and citizens tend to be more productive.

Primary performance benchmark: Priority E

  1. Benchmark: Increase the Healthy Life Expectancy (HALE) at birth in the Tobago population to 70 years for females and 68 years for males by 2045.

  2. Indicator of progress/success: The HALE every five years up to 2045.

  3. Benchmark country: Trinidad and Tobago

Major concerns: Priority E.

Concerns Problem Statements
Demand for critical care a. Increasing demand for primary and specialized care due to an increase in the prevalence of multiple health conditions among older adults.
Wait times b. Long wait times for access to primary and critical tertiary care services.
Information technology and healthcare delivery c. Insufficient integration of advanced information and computer technologies in healthcare delivery.
Critical tertiary care d. Inadequate access to critical tertiary care due to scale issues, i.e., small care population, comparative operational disadvantage and investment disincentives.
Wellness and well-being e. Insufficient focus on wellness and well-being.
Knowledge and technology transfer f. Insufficient national, regional and international linkages to foster tangible knowledge and technology transfer.

1.0 Selected Focus Areas Priority E?

The Division of Health, Wellness, and Social Protection will prioritize primary and tertiary healthcare by focusing on the following areas:

  1. Integration of Technology:
    1. Hospital Management Systems (HMS): Automate administrative tasks to enhance patient care through electronic health records (EHRs) and improve communication among healthcare providers. This will ensure regulatory compliance and facilitate data-driven decision-making.
    2. Computerized Provider Order Entry (CPOE): Implement CPOE systems to standardize orders, reduce medication errors, and integrate with Electronic Health Records (EHRs) to support informed clinical decisions and enhance patient safety.
  2. Infrastructure Development:
    1. Healthcare Facilities: Invest in upgrading healthcare facilities to ensure they are modern, well-equipped, and capable of delivering high-quality care. This includes upgrading existing hospitals, clinics, and specialized medical centers.
    2. Medical Equipment: Ensure healthcare facilities are equipped with state-of-the-art medical equipment to support advanced diagnostic and treatment services.
  3. Digital Medical Care:
    1. Telemedicine: Utilize telemedicine to deliver remote healthcare services, particularly in underserved remote villages. This includes developing telemedicine platforms and educating the public on their use.
  4. Human Resource Development:
    1. Training and Education: Enhance the skills of healthcare professionals through continuous training and education programs. This includes specialized training in digital health, emergency care, and public health management.
    2. Recruitment and Retention: Attract and retain qualified healthcare professionals by offering competitive salaries, providing career development opportunities, and fostering a positive work environment.
  5. Quality of Care:
    1. Standards and Accreditation: Establish and enforce high standards of care through accreditation and quality assurance programs. This ensures that healthcare services meet national and international benchmarks.
    2. Patient Safety: Promote patient safety by implementing protocols that reduce medical errors, improve infection control, and enhance emergency response capabilities.
  6. Public Health:
    1. Preventive Care: Promote preventive care and public health initiatives to reduce the burden of chronic diseases and improve overall community health. This includes vaccination programs, health education, and lifestyle interventions.
    2. Health Promotion: Promote healthy lifestyles and disease prevention via community outreach initiatives and public awareness campaigns.
  7. Financial Sustainability:
    1. Health Financing: Establish sustainable financing mechanisms to ensure the long-term viability of the healthcare system. This includes exploring public-private partnerships, health insurance schemes, and government funding.
    2. Cost-Effective Care: Implement cost-effective care models to optimize resource utilization and enhance healthcare outcomes without incurring additional costs.
  8. Community Engagement:
    1. Patient-Centered Care: Prioritize the needs and safety of patients in all decisions as a fundamental principle. This encompasses personalized treatment plans, timely interventions, and enhanced patient outcomes through comprehensive patient information systems.
    2. Community Involvement: Engage communities in healthcare planning and delivery to ensure that services are culturally appropriate and responsive to local needs.

MAIN REFERENCE INFORMATION

  1. HEALTH SYSTEMS PROFILE TRINIDAD & TOBAGO
  2. Health Systems’ Resilience: COVID-19 Response in Trinidad and Tobago
  3. Health Sector Reform- Improving Health Care Delivery in Trinidad and Tobago
  4. Health at a Glance: Latin America and the Caribbean 2023
  5. Health financing and access to medicines in the Caribbean
  6. Awareness, Attitude, and Perception of Telemedicine Among Trinidad and Tobago Population
  7. Strengthening the primary health care system in Trinidad and Tobago to achieve universal health coverage, with emphasis on human resources for health
  8. Unlocking Access to Health: Caribbean and Central America Forge Path to Universal Health Coverage
  9. The Adoption and Impact of Telemedicine on Health Equity: A Narrative Review From the Jamaican Context
  10. Connecting the Caribbean to the Pan-American Highway for Digital Health
  11. Understanding Digital Government Part 2: Digital Public Infrastructure

Targets and Indicators of Progress/Success

Target-E-1
Reduce wait times for accessing primary and secondary healthcare services by at least 50% by 2030 and by at least 75% by 2035.
Indicator-E-1
Wait time for accessing primary and secondary healthcare services year-over-year.
Target-E-2
Reduce wait times for accessing tertiary healthcare services by at least 50% by 2030 and by at least 75% by 2035.
Indicator-E-2
Wait times for accessing tertiary healthcare services year-over-year.
Target-E-3
Introduce Nurse Practitioners in primary, secondary and tertiary healthcare by 2030.
Indicator-E-3
Number of Nurse Practitioners in primary and tertiary healthcare, year-over-year.
Target-E-4
Introduce a system of assigning family doctors to Tobago residents by 2030.
Indicator-E-4
Number of individuals assigned a family doctor year-over-year.
Target-E-5
Achieve a doctor-to-population ratio of at least 6 to 1,000 by 2035 and at least 8 to 1,000 by 2045.
Indicator-E-5
Number of doctors per 1,000 population.
Target-E-6
Establish a Tobago Medical University to train medical doctors and allied healthcare professionals by 2035.
Indicator-E-6
Conduct a study to determine the economic feasibility of establishing a Medical University in Tobago by 2027.
Target-E-7
Establish the Department of Gerontology and Healthy Aging, DGHA, including the Seniors Knowledge Network, by September 2026.
Indicator-E-7
Full operationalization of the Department of Gerontology and Health Aging by 2026.
Target-E-8
Invest at least 20% equivalent of GDP in healthcare by 2035 and at least 25% equivalent of GDP by 2045.
Indicator-E-8
Percentage GDP equivalent invested in primary, secondary and tertiary healthcare year-over-year.

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