The availability of doctors in small towns and villages is a challenge in many parts of the world. Both in developed as well as developing countries face these problems where qualified doctors are unable to stay for long in serving for the health care needs of the communities in small towns and villages.
In developing countries and also in countries where economies are least developed, there is large trend of migration of the skilled persons. Doctors are also known to leave to other cities and countries as soon as they get their degrees.
The big cities and developed countries are able to provide better opportunities and better salaries and perks to doctors. So the trend keeps increasing all the time in all the places. The communities in villages and towns remain denied of the health care services. In some parts of the world, there is also very little funding available at local town councils and village development committees so that they can afford the doctors.
In some cases, very little budgets are allocated for health care services that none of the well-qualified doctors are interested to really take up the services in these places. The communities in towns and villages sometimes make sacrifices and compromise with the services of primary health care doctors. In villages of poor and developing countries, the situation is far worst.
The local village health care clinics are dominated by quacks who have learned some skill as doctor's assistants in big cities and now they have come to these villages and have started providing medical advice to patients. Since on the one hand these people from villages are poorly educated and on the other hand, they hardly have choices with doctors. So when they feel ill, they visit the quacks since they are closely located and they are ready to take any medicines prescribed for them.
Lack of proper medicines in villages is another issue for these poor people living in the poor and developing countries. Additionally, the government health centers set up around these villages are also ill-equipped, understaffed and less motivated personnel managing them. These are the hard choices through which the people in these countries have to live.
Situation in big cities and developed countries is different. Here, health care service has become more than a profession. It has become a business where doctors compete against each other to provide the best services and they look upon their patients as consumers.
The prevailing trend of doctor reviews and doctor ratings is part of this competitive industry. Here, the patients make the choices between doctors based upon the doctor reviews and doctor ratings. The doctor reviews and doctor ratings are available over the internet and they can choose the service which they think is the best one.
Although some doctors find it very controversial, yet the trend has become so popular that the doctors are increasingly competing to provide the best services so that they can have the best doctor reviews and doctor ratings. This is so different from the way doctors work in small towns and villages, especially in poor and developing countries.
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