Developments in Dominican Hospitals

NALs

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The purpose of this thread is the bring to light certain developments in Dominican hospitals (public and private) that may not be known among DR1ers. Given the nature of this thread, it will be on going.

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Hospital Metropolitano de Santiago (HOMS) in Santiago de los Caballeros is the first general hospital of the DR Canadian Accreditation. This means it comply with the standard of typical Canadian hospitals. As anybody knows, typical Canadian hospitals are very similar to hospitals in the United States. The HOMS is a public-private hospital (was built with private and government contributions.)

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NALs

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CEDMOE (Diabetes, Obesity & Spacialties Medical Center) is a new private medical center specializing in the things of its name in Santo Domingo. The quality of this medical center was enough to grant it membership in the Joint Commission International (JCI).

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NALs

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The Hospital Pedriático Dr Hugo Mendoza in Santo Domingo Norte is a public hospital specializing in pediatric medical care (children). In 2020 it ranked among the top 3 best hospitals in Latin America for América Economía Intelligence. In addition, this hospital received the following recognitions:

- Premio Nacional de la Calidad (2015 silver medal)
- Premio Nacional de la Calidad (2016 gold medal)
- Gran Premio de la la Calidad (2017)
- Premio Iberoamericano de la Calidad (2019 gold medal; Iberoamérica is Latin America + Spain and Portugal)
- NORTIC Gold 2020
- Premio Nacional de Derechos Humanod 2020 (given by the European Union and the United Nations)

In a nutshell, this is the best children's hospital in the DR. It should be noted this isn't located in a rich area (near rich areas), in fact it's between Villa Mella and Sabana Perdida.

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aarhus

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We have the experts on the forum in the education system who are really involved with it directly. But does anyone know how the public health system works. Salud pública. I have always wondered how does a clinic qualify for providing emergency care. In Santo Domingo you see many clinics with big red emergency signs. In Las Terrenas there are three I think. A brand new one recently opened with a big red emergency sign. I mean how does the process work to be authorised for that. I imagine they can't just open a clinic with emergency care. Does anyone know ?
 

NALs

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Ironically, on August 17 Dr Santiago Hazim, executive director of SENASA, was interviewed in "Despierta con CDN" and says that the DR has the best public health system in Latin America and part of North America.

 
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NALs

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He begins to say why the DR has one of the best public health systems in Latin America at 7:25.
 

aarhus

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Jun 10, 2008
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The purpose of this thread is the bring to light certain developments in Dominican hospitals (public and private) that may not be known among DR1ers. Given the nature of this thread, it will be on going.

------


Hospital Metropolitano de Santiago (HOMS) in Santiago de los Caballeros is the first general hospital of the DR Canadian Accreditation. This means it comply with the standard of typical Canadian hospitals. As anybody knows, typical Canadian hospitals are very similar to hospitals in the United States. The HOMS is a public-private hospital (was built with private and government contributions.)

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That's a great idea Nals. An ongoing thread about the DR public health care system but nobody seems to know how it works.
 

aarhus

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So not necessarily the best qualified and with experience. I think maybe they do the same at a hospital I know in SD.

If you are a Doctor and want to work at HOMS... the fee to join that hospital is about 3 million pesos.................
 

aarhus

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Ironically, on August 17 Dr Santiago Hazim, executive director of SENASA, was interviewed in "Despierta con CDN" and says that the DR has the best public health system in Latin America and part of North America.

Also better as parts of North America? Is that some rural parts of Mexico then ?
 

NALs

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This was from a few of years ago (2019) by a Venezuelan guy that had to take his daughters (along with his wife, also Venezuelan) to the Marcelino Velez Regional Hospital. He had to go there because at that time he had no health insurance, couldn't afford a private clinic and his daughters had a medical emergency. That is also the closest regional hospital to his house which is in the kilometros of the Duarte Highway (very rare to see expats there.) This is a public hospital already with the upgrades done by the government and eventually will incorporate all public hospitals in the country. He was impressed with what he saw and experienced there, given what he was told Dominican public hospitals were like. The hospital he went to is in the barrio of Herrera.

While the entire thing is in Spanish, the main points are:

- The instalations in the hospital are like those of any private clinic.
- They did waited approximately 2 hours.
- The waiting area of emergency had no a/c, but once in the emergency area it did.
- Impressed that all tests, treatments and medicine was completely free despite having no health insurance. Well, it wasn't really free, just the Dominican government picked up part of the tab and in the end he had to pay RD$350 (about US$6-7 in today's exchange rate). He also says that if he had insurance it woukd had been entirely free.
- He makes reference to the hearsay as based on his experience with a Dominican public hospital, it contradicted what prior to going there he was told.
- The medicine they were prescribed he got the in PROMESE/CAL, which the basically the government's pharmacy (aka, for the poor) ususlly on the premises of the public hospitals nationwide and there was no shortage. Within 4 days of prescription treatment his daughters were cured.

He also mention he once went to the Moscoso Puello Hospital to treat a heart problem, high blood pressure and a nasal problem he was suffering from.

He mention his wife gave birth of the daughters at the Maternidad La Altagracia (from time to time it makes it to the newspapers due to the high number of pregnant Haitians that give birth there, that's actuslly the largest maternity in the country) and he only has nice things to say, no complaints.

He did mention that one time he went to the Salvador Gautier Hospital and had an issue with the X-ray machines there and the waiting area was very outdated. But that's one of the public hospitals that hasn't been upgraded yet.

He begins to show seversl areas inside the hospital where he was allowed to take video, starting in the emergency area in the bed they were assigned. His impressions started there as he wasn't expecting to see those things in a Dominican public hospital. (2:20)


The following one is of another emergency visit to a Dominican public hospital in 2020 and of an experience with the 911 system as at first sn ambulance was sent and given treatment on the spot. Again, he gives an overall good impression based on his experience. He does mention that he met a Venezuelan doctor that told him that what impressed him of the Dominican public hospitals compared to Venezuela's is that when he asked for one seringe, he would be given an entire box of new unused seringes; when he asked for one other medical supply, he would always be given an entire box of new ones. Never experienced a shortage of anything while he has been a doctor in a Dominican public hospital.
 
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NALs

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The HOMS in Santiago is the leading hospital in roboticized surgery in the country. Sone of the benefits of this type of surgery is the greater precision, less loss of blood, smaller incisions, lower risk of dying and faster recovery (usually with less pain than traditional surgeries.)

- General Surgery
- Oncological Sugery
- Baristric Surgery
- Prostate Cancer
- Ginecology

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NALs

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In La Información of today (Sep 25), there are two articles concerning two hospitals in Santiago.


Unión Médica opens units for non-invasive heart treatments and a heart treatment rehabilitation center.
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President Estrella Ureña Hospital receives from the government a new CTScan machine.
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Also in an article of today but in the Listín Diario, the HOMS now has a machine to do colon surgery. With this type of machine, colon surgery can be more precise, not as big incisions and faster recuperation that colon surgery via traditional methods. This is particularly useful in eliminating the cells infected with colon cancer while they are still limited and hasn't spread. Right now this is the most advanced machine of its type in the world.
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