Systemic improvements in healthcare are necessary
Published:Thursday | June 19, 2025 | 12:07 AM
THE EDITOR, Madam:
My recent experience at The University of the West Indies (UWI) Hospital with my 89-year-old mother was a mix of frustration, admiration, and concern, perhaps a microcosm of Jamaica’s healthcare system.
While there were commendable aspects, glaring inefficiencies existed, particularly for the elderly, who deserve prompt and compassionate care.
Our ordeal began with an eight-hour wait in the emergency department. Such delays are unacceptable for an elderly patient in distress. A healthcare system should prioritise seniors with limited mobility or chronic conditions. While I understand the strain on public hospitals, triage protocols must be more efficient to prevent unnecessary suffering.
Once admitted, however, my mother’s care on Ward One (Female Surgical) was outstanding. The nurses were exceptionally dedicated, demonstrating both professionalism and warmth. Their attentiveness reassured us during a stressful time. The doctors, too, were thorough and compassionate, reinforcing my belief that Jamaica’s medical professionals are among the best. The overall human service was excellent, a testament to the staff’s commitment despite systemic challenges.
MORE TRANSPARENT SYSTEM
Yet, there were communication gaps. If the hospital had a communication protocol with family members, it is evidently not being followed. Families frequently struggled to obtain updates on their loved ones’ conditions. There is no information concerning the names of the doctors responsible for her care or daily updates.
A staff member unofficially informed us to arrive at 8 a.m., to speak with a doctor. Clearer channels between doctors and relatives are essential to alleviate anxiety and ensure informed decision-making. A more transparent system identifying the medical team responsible for each patient would foster trust and accountability.
Another concern arose upon discharge: Who coordinates follow-up appointments? A nurse directed us to a specific office to make clinic appointments, but the office was closed during working hours. A structured post-discharge process, with a designated liaison, would prevent confusion and ensure continuity of care.
Jamaica’s healthcare workers are its greatest asset, yet systemic improvements are necessary. Reducing wait times for the elderly, enhancing communication, and streamlining post-hospitalisation care are vital steps. Investing in these areas will improve patient outcomes and honour the hard work of medical professionals who strive daily to save lives.
The UWI Hospital experience reminded me of Jamaica’s wealth of human resources, which we are pouring into the old wine-skin of management systems. We must urgently address the gaps, as every patient, particularly the elderly, deserves dignity and efficiency in their care.
REV FR. DONALD CHAMBERS,
JP