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1. Discuss the healthcare delivery system in India.

June 05, 2012 By: Meliza Category: 1st SEM

In India health care delivery and medical education are largely governmental functions. India cannot afford a national health service. However, it has a national health policy based on the primary health care approach, with emphasis on rural health in order to achieve the World Health Organization’s goal of “Health for All” by 2000 AD. Health care delivery is represented by the public sector as well as the private sector. 

Nearly 80% of the health facilities, both public and private, are concentrated in the urban areas. Hence despite its best efforts, the government has not been able to make medical education need-based. The postgraduate surgical trainees are not exposed to rural work owing to inadequate facilities and resources in rural areas. Surgical residents get their training in teaching hospitals located in urban areas. Most of the public sector teaching hospitals as well equipped to impact training to the residents according to the guidelines of the Medical Council of India (MCI), the apex governing body. However, the rapid advancement in medical technology over the last decade, the government is finding it increasingly difficult to keep these teaching hospitals up-to-date. Of late, some of the sophisticated private sector hospitals are therefore sharing the onus of surgical education, especially at the subspeciality level. Thus despite the good intentions of government planning a two class system of health care delivery has come into being and a two class system of medical education is foreseeable.

What is the current position then? Lots of changes have occurred already and healthcare has become a part of consumerism largely and is minus commitment. Though this transformation is highly detestable, this is a part of the evolution perhaps. All these new notions have made the healthcare delivery system extremely complicated and even India, the land of Charaka, is no exception. Are you familiar with the name of Charaka? Charaka was one of the principal contributors to the ancient art and science of Ayurveda, a system of medicine and lifestyle thought to be developed about 5000 years ago in Ancient India. The same discipline has mesmerized and benefited millions of people across the world so far.

If you are having any remorse, I am too sorry for that. Nevertheless, there is no other way and let’s proceed and concentrate on the delivery system of modern worldwide healthcare industry. However, it must be remembered from the onset that a patient has been transformed into a healthcare consumer. Nowdays, in many countries, especially in the United States of America, a number of private insurance companies have emerged with lots of insurance plans. These insurance plans are regarded as part and parcel of healthcare delivery system and are found to have open access networks that enable members to go in and out of network to obtain essential care.

However there are other problems as well. What are they? It’s true that the new scenario has brought to the fore a huge number of specialists, facilities and services but there have also been the appearance of splintered or disjointed packages and these are looked after and supported at various centers instead of a centrally administered unit.

Nonetheless the situation in Illinois, the leading midwestern state in north-central United States, is quite different. In the state it is possible for any healthcare consumer to have a total package and to except a unique blend of technology and personal touches as well. What are their main objectives therefore? They, it has been learnt, are on the lookout for healthcare systems that are recognized on a national scale for specialty programs like heart care, obstetrics, trauma, oncology, rehabilitation, geriatrics, Chicago occupational health, treatment of alcohol and chemical dependency and psychiatric services. It has also been witnessed that they do want access to the best 10 hospitals in the state of Illinois which are known for proficiency or expertise.

This is becoming possible owing to the presence of many centers including Riverside Medical Center, the well-known not-for-profit medical facility. It provides access to its hospitals that are ranked in the top 10 hospitals in Illinois and proffers the best expertise regarding Chicago occupational health services and healthcare.

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