Panchayati Raj and Rural Health Care Delivery System in Karnataka

2020 ◽  
Vol 66 (1) ◽  
pp. 97-109
Author(s):  
D. C. Nanjunda
Keyword(s):  
Rural Health ◽  
Healthcare System ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Public Healthcare ◽  
The Public ◽  
Quality Health ◽  
Grassroots Level ◽  
Panchayati Raj

It is commonly opined that decentralisation through Panchayati Raj Institutions (PRIs) can help in creating greater accountability in the Indian healthcare system. Health decentralisation is specially meant for peoples’ participation, increased transparency and a higher degree of accountability to provide comprehensive and quality health services at the grassroots level. The National Rural Health Mission (NRHM) visualises the provision of decentralised healthcare at the grassroots level. However, this scheme has some lacunas in reaching the needy, especially in the rural parts of India because of an ineffective and non-participatory role of PRIs in decision making. This has been ascribed to a malfunction in creating healthcare awareness and making the procedures complicated and chaotic for the local Panchayats. The article is based on the Indian Council of Medical Research-funded study in the state of Karnataka. It seeks to find out how PRIs are managing the public healthcare system and its success and failure through a qualitative study. The study has shown that some amount of caution is needed in devolving requisite powers to the PRIs within the NRHM. The coordination between Public Health Institute officials and those of PRIs is completely absent and most of the PRI members do not even know about various health schemes.

scholarly journals Does Ownership Matter for Medical System Performance? Evidence From a Natural Experiment in Suqian, China

2020 ◽  
Vol 57 ◽  
pp. 004695802094433
Author(s):  
Gordon G. Liu ◽  
Julie Shi ◽  
Xiaoqian Wang ◽  
Hanmo Yang ◽  
Hengpeng Zhu
Keyword(s):  
System Performance ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Medical System ◽  
Policy Debate ◽  
Emergency Rooms ◽  
Public System ◽  
The Public ◽  
The City

There has long been a major policy debate on the role of hospital ownership (private vs public) in medical system performance. China’s health care delivery system is mainly a public system. In 2000, a full privatization reform was implemented in the city of Suqian, offering a unique opportunity to assess possible effects of private delivery based on a major external shock to the existing system. Compared with all other cities in Jiangsu province since 2003, Suqian did not experience any greater increase either in total outpatient or inpatient expenditures. In the meantime, Suqian performed equally well as other cities in terms of changes in number of inpatient admissions and average inpatient days, and even better for mortality rate in emergency rooms. This study concludes that under appropriate public financing, private delivery can serve the public demand at least equally well as public providers in terms of cost inflations and utilizations.

scholarly journals Perceptions of chiropractors in the eThekwini Municipality on the integration of chiropractic into the public healthcare sector of South Africa

2018 ◽  
Author(s):  
◽  
Natalie Davies
Keyword(s):  
South Africa ◽  
South African ◽  
Healthcare System ◽  
Chiropractic Profession ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Medical Doctors ◽  
The Public ◽  
Public Healthcare Sector

Background Currently, chiropractic is not incorporated into the South African public healthcare sector despite its emphasis on the values of wellness and health. This is due to a poor relationship with mainstream medical practitioners, the construct of chiropractic education and its long standing isolation within the healthcare system within South Africa. The public healthcare sector in South Africa is strained. Low back pain is one of the main reasons patients seek medical attention from primary medical doctors. A growing body of evidence is now emerging which supports the role of chiropractic in post-­surgical rehabilitation and the treatment of extraspinal non-­pathological musculoskeletal conditions. Based on the findings of these studies, an argument could be made for the transition of chiropractic from a mainly private practice base to one that would enable it to reach to the wider population in the public healthcare sector. Aim The aim of the research study was to explore and describe the perceptions that chiropractors have about the integration of the chiropractic profession into the South African public healthcare sector. Method A descriptive exploratory qualitative approach was used to guide the study. In-­ depth interviews were conducted with ten chiropractors within the eThekwini municipality. The main research question for this study was “What are the perceptions of chiropractors in the eThekwini Municipality on the integration of chiropractic into the public healthcare sector of South Africa?” The data was analysed through thematic analysis. Results The main themes that emerged were the role of chiropractic in the healthcare system, the integration of chiropractic into the healthcare sector and the challenges facing chiropractors in the healthcare system. The themes and sub-­ themes were as follows;; • Theme 1 Role of chiropractic in the healthcare system Sub-­theme 1.1 Primary contact for neuromuscular medicine. • Theme 2 Integration of chiropractors into the public healthcare sector Sub-­theme 2.1 Relief of overworked healthcare workers. Sub-­theme 2.2 Decrease costs in surgical and medication use. Sub-­theme 2.3 Increased learning opportunities. Sub-­theme 2.4 Use of chiropractic in post-­surgical care. Sub-­theme 2.5 Need for pre-­surgical assessment. Sub-­theme 2.6 Integration facilitated by the Chiropractic Association of South Africa (CASA). • Theme 3 Challenges facing chiropractors in the public healthcare sector Sub-­theme 3.1 Opposition from medical doctors. Sub-­theme 3.2 Opposition from within the chiropractic profession. Sub-­theme 3.3 Inability to function as the primary practitioners. Sub-­theme 3.4 Unfamiliar structure of the public health care sector. Conclusion A lack of clarity on the identity and role of chiropractic in the public healthcare sector emerged from the findings of this study. Individual chiropractors, the professional body (CASA) and the Allied Health Professions Council of South Africa (AHPCSA) need to engage in active roles in the integration of chiropractic into the public healthcare sector of South Africa.

Anticipating on a post covid-19 world and the pivotal role of science and technology

Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Saeed Khan ◽  
Tusha Sharma ◽  
Basu Dev Banerjee ◽  
Scotty Branch ◽  
Shea Harrelson
Keyword(s):  
Public Health ◽  
Pivotal Role ◽  
Public Healthcare ◽  
Healthcare Organizations ◽  
Health Crisis ◽  
Outbreak Management ◽  
The Public ◽  
Public Health Crisis ◽  
Future Outbreak

: Currently, Coronavirus disease 2019 (COVID-19) has transformed into a severe public health crisis and wreaking havoc worldwide. The ongoing pandemic has exposed the public healthcare system's weaknesses and highlighted the urgent need for investments in scientific programs and policies. A comprehensive program utilizing the science and technologydriven strategies combined with well-resourced healthcare organizations appears to be essential for current and future outbreak management.

scholarly journals Healthcare in the news media: The privileging of private over public

2017 ◽  
Vol 54 (4) ◽  
pp. 574-590 ◽  
Author(s):  
Sophie Lewis ◽  
Fran Collyer ◽  
Karen Willis ◽  
Kirsten Harley ◽  
Kanchan Marcus ◽  
...  
Keyword(s):  
Private Sector ◽  
Healthcare System ◽  
News Media ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Public And Private ◽  
The Public ◽  
Print News ◽  
Private Healthcare ◽  
Time Period

This article reports on a discourse analysis of the representation of healthcare in the print news media, and the way this representation shapes perspectives of healthcare. We analysed news items from six major Australian newspapers over a three-year time period. We show how various framing devices promote ideas about a crisis in the current public healthcare system, the existence of a precarious balance between the public and private health sectors, and the benefits of private healthcare. We employ Bourdieu’s concepts of field and capital to demonstrate the processes through which these devices are employed to conceal the power relations operating in the healthcare sector, to obscure the identity of those who gain the most from the expansion of private sector medicine, and to indirectly increase health inequalities.

The Expanding Role of Clinical Sociology in Australia

2009 ◽  
Vol 3 (2) ◽  
pp. 56-62
Author(s):  
Les Spencer
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Social Transformation ◽  
Care Delivery ◽  
The United States ◽  
Health Care Delivery System ◽  
Evidence Based ◽  
Australian Health

This paper introduces clinical sociology as a humanistic, multidisciplinary specialty seeking to improve the quality of people's lives. It traces the emergence of clinical sociology in the United States in 1931, and in Australia in the late 1950s in the context of the pioneering clinical sociology research into social transformation at Australian society's margins by Neville Yeomans. A contemporary illustration is given demonstrating how a biopyschosocial model of health is now being implemented as world best-evidence-based practice within the Australian health care delivery system. Further arguments, citing national and international evidence based on sociotherapeutic models of intervention, support a proposal for the Australian Sociology Association to engage in dialogues with health care agencies with the view of establishing clinical sociologists as an integral part of the Australian health-care delivery system.

scholarly journals Breaking the breach in Latin America. A pilot study of mechanical thrombectomy in the public healthcare system in Chile

2020 ◽  
pp. 159101992096537
Author(s):  
Luis A Lemme Plaghos
Keyword(s):  
Latin America ◽  
Pilot Study ◽  
Healthcare System ◽  
Mechanical Thrombectomy ◽  
Public Healthcare ◽  
Public Healthcare System ◽  
The Public

Brief commentary about implications of the Pilot Study of Mechanical Thrombectomy in the Public Healthcare System of Chile.

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