An Analysis of Users’ Perceptions on Health Facilities in Mumbai

2014 ◽  
Vol 1 (2) ◽  
Author(s):  
Hiral Sheth
Keyword(s):  
Health Services ◽  
Health Sector ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Public Health Services ◽  
Policy Objective ◽  
Private Health Sector ◽  
The Government ◽  
High Level

The new challenges of globalisation have made it essential to achieve and sustain a high level of efficiency in the provision of healthcare. Even though the Government of Maharashtra clearly views assuring efficiency and providing public health services to the people as an important policy objective, data reveals that the amount of resources spent on public healthcare especially public hospitals is very meagre as compared to the needs of the population. This study attempts to understand the shift from public to the private health sector by the users of health services in the city of Mumbai. This changing trend towards increasing use of private hospitals for healthcare services was analysed to understand the specific reasons behind the privatisation of health services in this metropolitan city. Using primary survey, the analysis revealed that majority of the users preferred private hospital services due to various reasons like cleanliness, better infrastructure, efficient and competent doctors and other staff. The results also indicated significant inefficiencies in the functioning of the public hospitals as noted from the responses of the users.

Market-Based Governance in Public Healthcare Delivery

2020 ◽  
pp. 1-35
Keyword(s):  
Public Health ◽  
Health Services ◽  
New Public Management ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Informal Networks ◽  
Public Health Services ◽  
The Government ◽  
The Uk

This chapter analyses the market-based reforms introduced in the UK. From 1979 onwards, it is clear that market governance has been central in the delivery of public healthcare services in the UK. The move towards using private sector techniques to run public health services has been reinforced over the last few decades, and New Public Management (NPM) reforms have often been more pronounced than in many other European countries. The chapter considers how public health services have been reconfigured within the changing boundaries between the state and its citizens. The government still continues to play a major role in the running of health services and decision making, even in the new configuration of public health services and the extension of informal networks, but health policy is also now formulated through a variety of different actors. This chapter will finish by presenting how healthcare is organised today in the UK following these reforms.

scholarly journals Do community scorecards improve utilisation of health services in community clinics: experience from a rural area of Bangladesh

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
S. M. A. Hanifi ◽  
Aazia Hossain ◽  
Asiful Haidar Chowdhury ◽  
Shahidul Hoque ◽  
Mohammad Abdus Selim ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Area ◽  
Service Providers ◽  
Healthcare Providers ◽  
Community Support ◽  
Healthcare Services ◽  
Public Health Services ◽  
Community Clinics ◽  
Community Awareness ◽  
The Government

Abstract Background The government of Bangladesh initiated community clinics (CC) to extend the reach of public health services and these facilities were planned to be run through community participation. However, utilisation of CC services is still very low. Evidence indicates community score card is an effective tool to increase utilisation of services from health facility through regular interface meeting between service providers and beneficiary. We investigated whether community scorecards (CSC) improve utilisation of health services provided by CCs in rural area of Bangladesh. Methods This study was conducted from December 2017 to November 2018. Three intervention and three control CCs were selected from Chakaria, a rural sub-district of Bangladesh. CSC was introduced with the Community Groups and Community Support Groups in intervention CCs between January to October 2018. Data were collected through observation of CCs during operational hours, key informant interviews, focus group discussions, and from DHIS2. Utilisation of CC services was compared between intervention and control areas, pre and post CSC intervention. Results Post CSC intervention, community awareness about CC services, utilisation of clinic operational hours, and accountability of healthcare providers have increased in the intervention CCs. Utilisation of primary healthcare services including family planning services, antenatal care, postnatal care and basic health services have significantly improved in intervention CCs. Conclusion CSC is an effective tool to increase the service utilization provided by CCs by ensuring community awareness and participation, and service providers’ accountability. Policy makers and concerned authorities may take necessary steps to integrate community scorecard in the health system by incorporating it in CCs.

scholarly journals Private Health Sector in India: Ready and willing, yet underutilized in the Covid-19 pandemic

2020 ◽  
Author(s):  
Samira Davalbhakta ◽  
Supriya Sharma ◽  
Shefali Gupta ◽  
Vishwesh Agarwal ◽  
Gaurav Pandey ◽  
...  
Keyword(s):  
Private Sector ◽  
Healthcare Workers ◽  
Health Sector ◽  
Public Healthcare ◽  
Research Front ◽  
The Public ◽  
Medical Sector ◽  
Private Health Sector ◽  
The Government ◽  
Consultation Services

AbstractBackgroundThe private medical sector is a resource that must be estimated for efficient inclusion into public healthcare during pandemics.MethodsA survey was conducted among private healthcare workers to ascertain their views on the potential resources that can be accessed from the private sector and methods to do the same.ResultsThere were 213 respondents, 80% of them being doctors. Nearly half (47.4%) felt that the contribution from the private medical sector has been suboptimal. Areas suggested for improved contributions by the private sector related to patient care (71.8%) and provision of equipment (62.4%), with fewer expectations (39.9%) on the research front. Another area of deemed support was maintaining continuity of care for non-COVID patients using virtual consultation services (77.4%), tele-consultation being the preferred option (60%). 58.2% felt that the Government had not involved the private sector adequately; and 45.1% felt they should be part of policy-making.ConclusionA streamlined pathway to facilitate the private sector to join hands with the public sector for a national cause is the need of the hour. Through our study, we have identified gaps in the current contribution by the private sector and identified areas in which they could contribute, by their own admission.

The Core Governmental Perspectives of E-Health

2011 ◽  
pp. 2718-2727 ◽  
Author(s):  
Antti Syvajarvi ◽  
Jari Stenvall
Keyword(s):  
Health Services ◽  
Information Management ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Organizational Practices ◽  
Public Health Services ◽  
Healthcare Organizations ◽  
Ict Implementation ◽  
Future Challenges ◽  
Knowledge Intensive

Public healthcare is facing huge future challenges in order to deal with rising costs, growing demands of customers, information flow, demographic changes, and aging population. The healthcare service sector can be seen as an information intensive area during an era of innovation and information technology (cf. Bellamy & Taylor, 1998). According to McLaughlin, Rosen, Skinner, and Webster (1999), it is common to assume that technological interventions are almost inevitable and it is humans’ duty, at least to some extent, to follow the suggested development. In the organizational level of public healthcare, high expectations about the technology and its new possibilities are introduced. Additionally, the customers can seek support and advice for their healthcare needs from thousands online connections at any time of a day (e.g., Silber, 2003). The European Commission (2004) states how “eHealth offers European citizens important opportunities for improved access to better health systems” (p. 22). This trend has implications to human beings and governments. The electronic health services produced by the information and communication technology (ICT) belong to the era of e-government. The e-government can be seen as an electronic exchange of information and services between different actors (cf. Mälkiä, Anttiroiko, & Savolainen, 2004; Oliver & Sanders, 2004). The development of information society throughout the last decades has brought up possibilities to adapt, modify, and reorganize healthcare practices and services (e.g., Gallivan, 2001; Turner, Fraser, Muir Grau, & Toth, 2002). The ICT has been used as a tool to reorganize best organizational practices, information management, and government. The ICT has also given a possibility to produce tailored healthcare services and to gain improvements in cost-effectiveness, access, safety, and quality of public healthcare services (Bates et al., 2001; Whitten et al., 2002). In the future, the healthcare organizations in public sectors will confront many challenges by means of the ICT implementation. This situation is considered here both as the function of healthcare organizations and as the supply of knowledge intensive public health services. The current viewpoint presumes a paradigm that is structured on the basis of specific conceptualization. The purpose of this article is to conceptualize the complex topic of e-health from the governmental viewpoint and to clarify the best organizational practices. Special notation is also given for human resources, information management and the ICT implementation. Finally, some future trends are shortly discussed.

The Core Governmental Perspectives of E-Health

2011 ◽  
pp. 244-250 ◽  
Author(s):  
A. Syvajarvi
Keyword(s):  
Health Services ◽  
Information Management ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Organizational Practices ◽  
Public Health Services ◽  
Healthcare Organizations ◽  
Ict Implementation ◽  
Future Challenges ◽  
Knowledge Intensive

Public healthcare is facing huge future challenges in order to deal with rising costs, growing demands of customers, information flow, demographic changes, and aging population. The healthcare service sector can be seen as an information intensive area during an era of innovation and information technology (cf. Bellamy & Taylor, 1998). According to McLaughlin, Rosen, Skinner, and Webster (1999), it is common to assume that technological interventions are almost inevitable and it is humans’ duty, at least to some extent, to follow the suggested development. In the organizational level of public healthcare, high expectations about the technology and its new possibilities are introduced. Additionally, the customers can seek support and advice for their healthcare needs from thousands online connections at any time of a day (e.g., Silber, 2003). The European Commission (2004) states how “eHealth offers European citizens important opportunities for improved access to better health systems” (p. 22). This trend has implications to human beings and governments. The electronic health services produced by the information and communication technology (ICT) belong to the era of e-government. The e-government can be seen as an electronic exchange of information and services between different actors (cf. Mälkiä, Anttiroiko, & Savolainen, 2004; Oliver & Sanders, 2004). The development of information society throughout the last decades has brought up possibilities to adapt, modify, and reorganize healthcare practices and services (e.g., Gallivan, 2001; Turner, Fraser, Muir Grau, & Toth, 2002). The ICT has been used as a tool to reorganize best organizational practices, information management, and government. The ICT has also given a possibility to produce tailored healthcare services and to gain improvements in cost-effectiveness, access, safety, and quality of public healthcare services (Bates et al., 2001; Whitten et al., 2002). In the future, the healthcare organizations in public sectors will confront many challenges by means of the ICT implementation. This situation is considered here both as the function of healthcare organizations and as the supply of knowledge intensive public health services. The current viewpoint presumes a paradigm that is structured on the basis of specific conceptualization. The purpose of this article is to conceptualize the complex topic of e-health from the governmental viewpoint and to clarify the best organizational practices. Special notation is also given for human resources, information management and the ICT implementation. Finally, some future trends are shortly discussed.

How Does the Largely Unregulated Private Health Sector Impact the Indian Mass?

2019 ◽  
Vol 21 (3) ◽  
pp. 383-393
Author(s):  
Ranjit Kumar Dehury ◽  
Janmejaya Samal ◽  
Shawnn Coutinho ◽  
Parthsarathi Dehury
Keyword(s):  
Health Expenditure ◽  
Health Sector ◽  
Poverty Line ◽  
Healthcare Services ◽  
Private Hospitals ◽  
Ethical Concerns ◽  
The Poor ◽  
Private Health Sector ◽  
The Rich ◽  
The Government

Private hospitals in India are least monitored by the government, which leads to violation of the roles and responsibility they have to offer for the community. Indeed, it is a more serious issue in a country like India where people are forced below poverty line (BPL) after every hospitalization. Of the four different models of health expenditure, India and, in fact, many developing countries follow the out-of-pocket (OOP) expenditure model rampantly. This is very evident from the recent working article (2015) published by NITI Aayog-Health Division, which reveals that OOP expenditures are high in India accounting for 69.5 per cent of total health expenditure. These are catastrophic economic damages for the poor and push an estimated 37 million into poverty each year. Furthermore, 66.4 per cent of the total expenditure is on medicines. A major part of these expenditures are invariably the money spent by a huge section of the community, both rich–poor and rural–urban, on healthcare services availed from the privately run corporate hospitals in India. The sector needs to be sensitive for an inclusive healthcare. However, the situation appears to be the opposite in India and the private health sector creates a divide in the society by virtue of which the rich get medical care and the poor stay sick or die. This article discusses various ethical concerns and remedial measures relating to the functionality of private hospitals which poses serious pressure on the community and marginalized sections of the society.

Corrupt Practices in the Public Health Sector: A Focus on Metropolitan Local Government Areas of Kano State, Nigeria

2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi
Keyword(s):  
Public Health ◽  
Local Government ◽  
Health Sector ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Healthcare Provision ◽  
The Public ◽  
Public Health Sector ◽  
The Government

Corruption is pervasive in Nigeria at all levels. Thus, despite recent gains in healthcare provision, the health sector faces numerous corruption related challenges. This study aims at examining areas of corruption in the health sector with specific focus on its types and nature. A sample size of 480 respondents aged 18 years and above was drawn from the eight Metropolitan Local Government Areas of Kano State, using the multistage sampling technique. The results revealed evidence of corrupt practices including those related to unnecessary-absenteeism, diversion of patients from the public health facilities to the private sector, diverting money meant for the purchase of equipment, fuel and diesel, bribery, stealing of medications, fraud, misappropriation of medications and unjustifiable reimbursement claims. In order to resolve the problem of corrupt practices in the healthcare sector, the study recommended the need for enforcement of appropriate code of ethics guiding the conduct of the health professionals, adoption of anti-corruption strategies, and strengthening the government monitoring system to check corruption in public health sector in order to ensure equitable access to healthcare services among the under-privileged people in the society.

scholarly journals Defining the role and scope of practice of allied health assistants within Queensland public health services

2013 ◽  
Vol 37 (5) ◽  
pp. 602 ◽  
Author(s):  
Michelle Stute ◽  
Andrea Hurwood ◽  
Julie Hulcombe ◽  
Pim Kuipers
Keyword(s):  
Health Services ◽  
Allied Health ◽  
Support Staff ◽  
Scope Of Practice ◽  
Public Health Services ◽  
Qualitative Feedback ◽  
Health Assistant ◽  
Definition Of ◽  
Professional Support Staff ◽  
High Level

Background The uptake and utilisation of allied health assistants as professional support staff has been variable across disciplines and jurisdictions. Although they are potentially very important in the current health workforce context, there is little agreement on their roles or the most suitable methods to define these roles. Method Based on a review of literature, existing role descriptions and focus groups, a Delphi survey process was undertaken. This process comprising three rounds of discussion and clarification via email, with between 107 and 188 participants, was undertaken to define and establish consensus on allied health assistant roles at three levels. Results Three cycles of editing, qualitative feedback and rating of agreement with statements resulted in substantial clarification of roles and a meaningful degree of consensus regarding the role and scope of such positions. High levels of agreement were not reached for more high-level or contested clinical tasks. Conclusions The Delphi process resulted in key tasks and roles being defined and contentious aspects clearly identified. The process facilitated engagement with workforce members most closely affected by these questions. It was a useful means of drawing together the opinions of the workforce and informing implementation trials to follow. What is known about the topic? Allied health assistants are important members of health teams. Current developments in health services necessitate considerable growth in these positions. The role and scope of practice of allied health assistants is poorly defined and varies between disciplines, settings and facilities, which threatens the establishment of these positions. What does this paper add? This study describes a methodology used to define the role and scope of practice of allied health support staff, which resulted in high levels of consensus and documentation of concerns regarding these positions. Tasks and roles have been defined at different allied health assistant position levels. What are the implications for practitioners? The definition of roles and establishment of scope of practice of emerging positions can be substantially advanced by well researched and widely consultative methods. For more advanced allied health assistant positions to be effectively implemented, tasks relating to treatment, leadership, documentation, assessment and team participation must be clearly elucidated and agreed.

scholarly journals Membangun Komunikasi dalam Sinergi Pelayanan Kesehatan di Kabupaten Bandung

2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Active Role ◽  
Communication Process ◽  
Public Health Services ◽  
District Health ◽  
The Government ◽  
The One ◽  
The Village

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).

scholarly journals ICT Framework to Support a Patient-Centric approach in Public Healthcare

2020 ◽  
Vol 16 ◽  
pp. 45-76
Author(s):  
Richard Pankomera ◽  
Darelle Van Greunen
Keyword(s):  
Public Health ◽  
Information And Communication Technologies ◽  
Health Sector ◽  
Cost Effective ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Structured Interviews ◽  
Poor Countries ◽  
Patient Centric

Although Information and Communication Technologies (ICTs) in the healthcare sector are extensively deployed globally, they are not used effectively in developing countries. Many resource poor countries face numerous challenges in implementing the ICT interventions. For instance, many health applications that have been deployed are not user-centric. As a result, such ICT interventions do not benefit many health consumers. The lack of an ICT framework to support patient-centric healthcare services in Malawi renders the e-health and mhealth interventions less sustainable and less cost effective. The aim of the study was therefore to develop an ICT Framework that could support patient-centric healthcare services in the public health sector in Malawi. The comprehensive literature review and semi-structured interviews highlighted many challenges underlying ICT development in Malawi. An ICT framework for patient-centric healthcare services is therefore proposed to ensure that eHealth and mobile health interventions are more sustainable and cost effective. The framework was validated by five experts selected from different areas of expertise including mhealth application developers, ICT policy makers and public health practitioners. Results show that the framework is relevant, useful and applicable within the setting of Malawi. The framework can also be implemented in various countries with similar settings.

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