Methods and Measurement of Primary, Secondary and Tertiary Healthcare Expenditures in India During 2013–2014 to 2016–2017

2021 ◽  
pp. 097370302110470
Author(s):  
Charu C. Garg ◽  
Pratheeba John ◽  
Tushar Mokashi
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Private Sector ◽  
Health Care Providers ◽  
National Health ◽  
Tertiary Care ◽  
Health Coverage ◽  
Care Providers ◽  
Care Services ◽  
The Government

Improving investments in primary health care has become a mounting priority in the context of Universal Health Coverage and India’s National Health Policy 2017 goal to provide cost-effective care. The paper uses the India National Health Accounts, health care providers and health care functions classifications, to allocate current health expenditures (CHE) to primary, secondary and tertiary (PST) care and analyse the trends and composition of PST expenditures between 2013–2014 and 2016–2017. Findings reveal that 45.2% of CHE was spent on primary care in 2016–2017. The government spends 52% of its CHE for primary care. Private spending on primary care has declined from 44% to 41% during the study period. Disaggregate analysis shows that 41% of primary care expenditures were on medicines, 29% on curative care and 15% on preventive care services. About 32% of primary care expenditures were spent at government facilities/providers as compared to 10% at private facilities/doctors. Private sector share of secondary care (38%) and tertiary care (75%) reinforces the role of private sector in providing secondary and tertiary care services. In cognisance of national and international goals, an additional investment of 0.7% of gross domestic product or additional US$11 (₹754) per capita would be required in primary care.

scholarly journals Patient Perception of Health Care Services: A Comparative Study

2013 ◽  
Vol 4 (12) ◽  
pp. 526-528
Author(s):  
Rashmi Ananth Pai
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Providers ◽  
Health Care Services ◽  
Testing Procedure ◽  
Care Providers ◽  
Care Services ◽  
Government Sector ◽  
The Government ◽  
The Cost

Assessment of patient satisfaction is a measurement that obtains information or ratings from patients about their perception of the services being provided from an organization, hospital, physician, or healthcare provider and plays an increasingly important role toward accountability among health care providers. The present study aimed at comparing the patient’s perception of services being provided in the government and private sectors. 120 patients (60 from each sector) natively from Karnataka, India with knowledge of English participated in this study. Subjects were asked to rate their experiences before, during and after consultation. A checklist to rate the patient satisfaction was developed. The checklist comprised of 11 questions covering the most important domains pertaining to patient satisfaction about the health care services provided. Obtained responses were statistically compared using independent t test. Significant differences in the satisfaction levels of the subjects in the government and the private set ups were seen at p< 0.05 (t=2.921, 118). In government sector patients were better satisfied with certain aspects like the cost factor, information provided about the problem and guidance regarding intervention whereas the patients in the private sector were better satisfied with the orientation to the department, information furnished about the problem, comfort and privacy during the testing procedure.

Telemedicine in Healthcare Organisations

2005 ◽  
pp. 2784-2787
Author(s):  
Nabeel A.Y. Al-Qirim
Keyword(s):  
Health Care ◽  
Health Information ◽  
Health Care Providers ◽  
Cost Control ◽  
Effective Means ◽  
Tertiary Care ◽  
Cost Effective ◽  
Information Network ◽  
Care Providers ◽  
The Government

Diminishing funds from the government and cost control led many health care providers across the globe to search for alternative and more cost-effective means of providing care (Edelstein, 1999; Neame, 1995). In many cases, this has become necessary for survival (Edelstein, 1999) in order to sustain the increased competition as well amongst health care providers. The business of health care has become so competitive that many small rural hospitals are trying to align themselves with larger tertiary care centres in a community health information network, a telemedicine network, or some other type of partnership in order to survive and to retain their local patients (Huston & Huston, 2000).

scholarly journals The experiences of cancer survivors while transitioning from tertiary to primary care

2016 ◽  
Vol 23 (6) ◽  
pp. 378 ◽  
Author(s):  
B.B. Franco ◽  
L. Dharmakulaseelan ◽  
A. McAndrew ◽  
S. Bae ◽  
M.C. Cheung ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Cancer Survivors ◽  
Health Care Providers ◽  
Care Provider ◽  
Primary Care Provider ◽  
Tertiary Care ◽  
Care Providers ◽  
Content Category ◽  
Transition Readiness

Purpose In current fiscally constrained health care systems, the transition of cancer survivors to primary care from tertiary care settings is becoming more common and necessary. The purpose of our study was to explore the experiences of survivors who are transitioning from tertiary to primary care.Methods One focus group and ten individual telephone interviews were conducted. Data saturation was reached with 13 participants. All sessions were audio-recorded, transcribed verbatim, and analyzed using a qualitative descriptive approach.Results Eight categories relating to the main content category of transition readiness were identified in the analysis. Several factors affected participant transition readiness: how the transition was introduced, perceived continuity of care, support from health care providers, clarity of the timeline throughout the transition, and desire for a “roadmap.” Although all participants spoke about the effect of their relationships with health care providers (tertiary, transition, and primary care), their relationship with the primary care provider had the most influence on their transition readiness.Conclusions Our study provided insights into survivor experiences during the transition to primary care. Transition readiness of survivors is affected by many factors, with their relationship with the primary care provider being particularly influential. Understanding transition readiness from the survivor perspective could prove useful in ensuring patient-centred care as transitions from tertiary to primary care become commonplace.

scholarly journals Importance of achieving semantic interoperability for national health information systems

2008 ◽  
Vol 17 (1) ◽  
pp. 158-167 ◽  
Author(s):  
Evelyn Johanna Sophia Hovenga
Keyword(s):  
Health Care ◽  
Computer Science ◽  
Health Information ◽  
Health Care Providers ◽  
National Health ◽  
Technology Implementation ◽  
Scientific Evidence ◽  
Business Case ◽  
Care Providers ◽  
The Government

This reflective paper examines relationships between the Government policy-makers in health; health care providers in general; and the adoption of health care information, knowledge, and communication technologies. These technologies include the adoption of a national health language and computer science standards in health. These reflections are based on the author's observations and international involvement in the development of standards and in the development of national Government Health Information Comunication Technology implementation strategies over many years. A number of critical concepts appear to be poorly understood by key decision-makers. Alternatively, the political agendas and the need to look after a variety of vested interests continue to dominate. It is concluded that we must establish and actively promote a sound business case for the adoption of a national health computer science strategy that is based on the best available scientific evidence that supports a sustainable health system.

Multiple Sclerosis Patients' Interest in and Likelihood of Using Online Health-Care Services

2009 ◽  
Vol 11 (2) ◽  
pp. 79-89 ◽  
Author(s):  
Lucy Wardell ◽  
Stanley Hum ◽  
Andréa Maria Laizner ◽  
Yves Lapierre
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Tertiary Care ◽  
Self Report ◽  
Care Providers ◽  
Care Services ◽  
Online Communications ◽  
Multiple Sclerosis Patients

Multiple sclerosis (MS) patients are known to have high rates of Internet use. Thus they are likely to be receptive to and benefit from online communications with health-care providers. Although a few well-known MS clinics have implemented online health-care services for this patient group, little is known about the types of online communications that would be most beneficial to patients and the likelihood that patients would actually use these services. The aim of this study was to explore MS patients' satisfaction with traditional modes of communication with health-care providers, their interest in having access to different types of online health-care services, and their likelihood of using such services. A self-report questionnaire was developed and distributed to 263 MS patients diagnosed with clinically definite MS at our tertiary-care center. Although the vast majority of patients were satisfied with the frequency of their clinic visits, patients who called the clinic more frequently reported lower levels of satisfaction with clinic access than those who called less often. Over 73% of patients reported a high level of interest in having access to online health-care services, and over 80% of patients surveyed reported a high likelihood of using these services. Patients who reported the greatest likelihood of using online health-care services included those who surf the Internet more than 5 hours per week, who have sought health information online in the past year, and who perceive themselves as having high Internet navigational skills. The study findings highlight the importance of developing online health-care services for this cohort of patients.

'I demand to be treated as the person I am': experiences of accessing primary health care for Australian adults who identify as gay, lesbian, bisexual, transgender or queer

Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 258 ◽  
Author(s):  
Chee S. Koh ◽  
Melissa Kang ◽  
Tim Usherwood
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Sexual Identity ◽  
Health Care Providers ◽  
Primary Care Providers ◽  
Free Text ◽  
Care Providers ◽  
Care Services ◽  
Primary Health

Background Individuals who identify as gay, lesbian, bisexual, transgender or queer (GLBTQ) suffer higher rates of illness and morbidity compared with the general population but may experience significant barriers to accessing primary health care. Method: We used an online questionnaire to explore GLBTQ adults’ experiences of accessing primary health care in Australia. We developed the questionnaire in consultation with individuals who belonged to or worked closely with the GLBTQ community. Questions were open-ended and sought information about four topic areas: sexual identity and its meaning, utilisation of primary health care services, disclosure of sexual identity to primary care providers and experiences of accessing primary health care. Data were analysed by coding free-text responses into themes. Results: Ninety-nine valid responses were received. Participants were 18–60+ years old (modal age group: 20–29 years); 70% lived in cities. Of these, 49% identified as gay, 35% as lesbian, 13% as bisexual, 8% as queer and 3% as transgender. Some participants indicated more than one identity. GLBTQ-identifying adults often divided care, seeking different primary care services for different health concerns. Themes in relation to disclosure of sexual identity were: taking a rights-based position, experiences of homophobia and clinical context. Themes about access to primary health care were: diversity and heterogeneity, real or perceived discrimination, visual symbols and respect. Conclusion: Despite diversity, GLBTQ adults experience many barriers to accessing health care due to sexual identity. General practitioners and other primary health care providers have a role in ensuring equitable access to health care.

Covid-19 and its financial effects on the dental fraternity and health-care workers: A literature review

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 628-631
Author(s):  
Devangi Agrawal ◽  
Namisha Khara ◽  
Bhushan Mundada ◽  
Nitin Bhola ◽  
Rajiv Borle
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Care Providers ◽  
Dental Procedures ◽  
Care Workers ◽  
Dental Practices ◽  
Precautionary Measures ◽  
The Government ◽  
Set Up

In the wake of the current outbreak of novel Covid-19, which is now declared as a 'pandemic' by the WHO, people around the globe have been dealing with a lot of difficulties. This virus had come into light in December 2019 and since then has only grown exponentially. Amongst the most affected are the ones who have been working extremely hard to eradicate it, which includes the hospitals, dental fraternity and the health-care workers. These people are financially burdened due to limited practise. In the case of dentistry, to avoid the spread of the virus, only emergency treatments are being approved, and the rest of the standard procedures have been put on hold. In some cases, as the number of covid cases is rising, many countries are even trying to eliminate the emergency dental procedures to divert the finances towards the treatment of covid suffering patients. What we need to realise is that this is probably not the last time that we are facing such a situation. Instead of going down, we should set up guidelines with appropriate precautionary measures together with the use of standardised PPEs. The government should also establish specific policies to support dental practices and other health-care providers. Together, we can fight this pandemic and come out stronger.

Nutrition in Primary Health Care: Using a Delphi Process To Design New Interdisciplinary Services

2006 ◽  
Vol 67 (S1) ◽  
pp. S14-S29 ◽  
Author(s):  
Paula Brauer ◽  
Linda Dietrich ◽  
Bridget Davidson ◽  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Providers ◽  
Administrative Support ◽  
Care Service ◽  
Delphi Process ◽  
Care Providers ◽  
Modified Delphi ◽  
Nutrition Services ◽  
Key Features

Purpose: A modified Delphi process was used to identify key features of interdisciplinary nutrition services, including provider roles and responsibilities for Ontario Family Health Networks (FHNs), a family physician-based type of primary care. Methods: Twenty-three representatives from interested professional organizations, including three FHN demonstration sites, completed a modified Delphi process. Participants reviewed evidence from a systematic literature review, a patient survey, a costing analysis, and key informant interview results before undertaking the Delphi process. Statements describing various options for services were developed at an in-person meeting, which was followed by two rounds of e-mail questionnaires. Teleconference discussions were held between rounds. Results: An interdisciplinary model with differing and complementary roles for health care providers emerged from the process. Additional key features addressing screening for nutrition problems, health promotion and disease prevention, team collaboration, planning and evaluation, administrative support, access to care, and medical directives/delegated acts were identified. Under the proposed model, the registered dietitian is the team member responsible for managing all aspects of nutrition services, from needs assessment to program delivery, as well as for supporting all providers’ nutrition services. Conclusions: The proposed interdisciplinary nutrition services model merits evaluation of cost, effectiveness, applicability, and sustainability in team-based primary care service settings.

scholarly journals Patient Choice of Health Care Providers in China: Primary Care Facilities versus Hospitals

2020 ◽  
Vol 6 (1) ◽  
pp. e1846844
Author(s):  
Anwen Zhang ◽  
Zlatko Nikoloski ◽  
Sarah Averi Albala ◽  
Winnie Yip ◽  
Jin Xu ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Providers ◽  
Patient Choice ◽  
Care Providers ◽  
Care Facilities

scholarly journals Improving Communications With Patients and Families in Geriatric Care. The How, When, and What

2021 ◽  
Vol 8 ◽  
pp. 237437352110340
Author(s):  
Shirley Chien-Chieh Huang ◽  
Alden Morgan ◽  
Vanessa Peck ◽  
Lara Khoury
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Care Providers ◽  
Telephone Interviews ◽  
Written Information ◽  
Geriatric Unit ◽  
Patient Health

There has been little published literature examining the unique communication challenges older adults pose for health care providers. Using an explanatory mixed-methods design, this study explored patients’ and their family/caregivers’ experiences communicating with health care providers on a Canadian tertiary care, inpatient Geriatric unit between March and September 2018. In part 1, the modified patient–health care provider communication scale was used and responses scored using a 5-point scale. In part 2, one-on-one telephone interviews were conducted and responses transcribed, coded, and thematically analyzed. Thirteen patients and 7 family/caregivers completed part 1. Both groups scored items pertaining to adequacy of information sharing and involvement in decision-making in the lowest 25th percentile. Two patients and 4 family/caregivers participated in telephone interviews in part 2. Interview transcript analysis resulted in key themes that fit into the “How, When, and What” framework outlining the aspects of communication most important to the participants. Patients and family/caregivers identified strategic use of written information and predischarge family meetings as potentially valuable tools to improve communication and shared decision-making.

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