DEVELOPMENT AGENDA PRIORITY E: A modern and efficient healthcare system.
About the
PriorityPerformance
benchmarksMajor
ConcernsSelected
Focus
AreasTargets &
IndicatorsPolicies, Plans
& ProgrammesProjects
PriorityPerformance
benchmarksMajor
ConcernsSelected
Focus
AreasTargets &
IndicatorsPolicies, Plans
& ProgrammesProjects
About priority E
- 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.
- A modern and efficient healthcare system utilizes advanced management systems and technology.
- The system fosters accessible, high-quality, patient-centred care, operational efficiency, and quality improvement.
- It enhances resource efficiency, guarantees adherence to regulations, and facilitates data-driven, diagnosis-focused prognosis-based decision-making.
- A healthcare system equipped with these modern features will be capable of meeting the evolving needs of Tobago's permanent and transient populations.
- 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
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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.
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Indicator of progress/success: The HALE every five years up to 2045.
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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:
- Integration of Technology:
- 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.
- 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.
- Infrastructure Development:
- 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.
- Medical Equipment: Ensure healthcare facilities are equipped with state-of-the-art medical equipment to support advanced diagnostic and treatment services.
- Digital Medical Care:
- 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.
- Human Resource Development:
- 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.
- Recruitment and Retention: Attract and retain qualified healthcare professionals by offering competitive salaries, providing career development opportunities, and fostering a positive work environment.
- Quality of Care:
- 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.
- Patient Safety: Promote patient safety by implementing protocols that reduce medical errors, improve infection control, and enhance emergency response capabilities.
- Public Health:
- 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.
- Health Promotion: Promote healthy lifestyles and disease prevention via community outreach initiatives and public awareness campaigns.
- Financial Sustainability:
- 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.
- Cost-Effective Care: Implement cost-effective care models to optimize resource utilization and enhance healthcare outcomes without incurring additional costs.
- Community Engagement:
- 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.
- Community Involvement: Engage communities in healthcare planning and delivery to ensure that services are culturally appropriate and responsive to local needs.
MAIN REFERENCE INFORMATION
- HEALTH SYSTEMS PROFILE TRINIDAD & TOBAGO
- Health Systems’ Resilience: COVID-19 Response in Trinidad and Tobago
- Health Sector Reform- Improving Health Care Delivery in Trinidad and Tobago
- Health at a Glance: Latin America and the Caribbean 2023
- Health financing and access to medicines in the Caribbean
- Awareness, Attitude, and Perception of Telemedicine Among Trinidad and Tobago Population
- Strengthening the primary health care system in Trinidad and Tobago to achieve universal health coverage, with emphasis on human resources for health
- Unlocking Access to Health: Caribbean and Central America Forge Path to Universal Health Coverage
- The Adoption and Impact of Telemedicine on Health Equity: A Narrative Review From the Jamaican Context
- Connecting the Caribbean to the Pan-American Highway for Digital Health
- 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.