scholarly journals Private Sector in Indian Healthcare Delivery: Consumer Perspective and Government Policies to promote private Sector

2010 ◽  
Vol 1 (2) ◽  
pp. 79-87 ◽  
Author(s):  
Utkarsh Shah
Keyword(s):  
Private Sector ◽  
Medical Care ◽  
Delivery System ◽  
Healthcare Delivery ◽  
Private Investment ◽  
Specific Reference ◽  
Healthcare Delivery System ◽  
Quality Of Medical Care ◽  
The Government

This research paper attempts to collate literature from various sources, in an attempt to answer three pertinent questions related to healthcare in India. Firstly, what is it meant by ‘private sector’ in healthcare delivery system of India, secondly how has the private sector evolved over the decades and what has been the role of the government in propelling the growth. Finally, the paper tries to highlight some of the factors that have promoted the growth of private sector in India with specific reference to quality of medical care. The paper explicitly indicates that the deficiencies in the public health delivery system of India, was the key to growth of private infrastructure in healthcare. The shift of hospital industry for ‘welfare orientation’ to ‘business orientation’ was marked by the advent of corporate hospitals, supported by various policy level initiatives made by the government. Today, there are over 20 international healthcare brands in India with several corporate hospitals. However, a large section of the ‘private healthcare delivery segment’ is scattered and quality of medical care continues to remain a matter of concern. This paper tracks the various government initiatives to promote private investment in healthcare and attempts to explore the reasons for preference of the private sector. Surprisingly, in contrast to contemporary belief, quality of medical care doesn’t seem to be the leading cause for preference of the private sector. Except for a few select corporate and trust hospitals, quality of medical care in private sector seems to be poor and at times compromised.

scholarly journals Audit in psychiatry

1989 ◽  
Vol 13 (6) ◽  
pp. 278-281 ◽  
Author(s):  
Gillian Garden ◽  
Femi Oyebode ◽  
Stuart Cumella
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Critical Analysis ◽  
White Paper ◽  
Diagnosis And Treatment ◽  
Medical Audit ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
The Government

Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patient (DOH, 1989). The White Paper Working for Patients states that the Government proposes that every consultant should participate in a form of medical audit agreed between management and the profession locally. It also states that management should be able to initiate an independent professional audit.

Hepatitis C elimination in Pakistan is a distant dream unless government controls the health sector

2020 ◽  
pp. 1-8
Author(s):  
Arshad Altaf ◽  
Safdar Kamal Pasha
Keyword(s):  
Hepatitis C ◽  
Delivery System ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Health Sector ◽  
World Health Organisation ◽  
World Health ◽  
Short Report ◽  
Healthcare Delivery System ◽  
The Government

Abstract The World Health Organisation (WHO) has set an ambitious target to eliminate hepatitis C virus (HCV) by 2030. Pakistan is one of the focused countries because of the high prevalence of HCV. The prices of direct-acting antiviral drugs(DAA)have significantly reduced to between 11-25 dollars for a month’s treatment. To achieve the 2030 elimination target, Pakistan has to provide treatment to one million HCV-infected patients every year, beginning from 2018. This short report highlights a key barrier to achieve this target,i.e. the unsafe practices by regulated and unregulated healthcare delivery system comprising trained and untrained healthcare providers who can continue to churn out new patients with their unsafe healthcare practices and increase the possibility of re-infection in those who have been treated. Only the government has the power and authority to regulate and control the healthcare delivery system. Continuous...  

scholarly journals Risk Factors of Maternal Mortality in Calabar

2020 ◽  
Vol 1 (2) ◽  
pp. 83-92
Author(s):  
Uduakobong P. Akpabio ◽  
Pius U. Angioha ◽  
Chiamaka V. Egwuonwu ◽  
Esther B. Awusa ◽  
Magareth N. Ndiyo
Keyword(s):  
Maternal Mortality ◽  
Medical Care ◽  
Cultural Practices ◽  
Care Delivery ◽  
Quality Data ◽  
Design Data ◽  
Health Centres ◽  
Quality Of Medical Care ◽  
The Government

Maternal mortality remains unacceptably high despite both local and international programs carried at reducing the incidence. Nigeria suffers from 800 maternal death per 100,000 births. This study examines the extent to which cultural practices and quality of medical care determines maternal mortality in Calabar, Cross River State. Using the survey research design, data were collected from 400 women aged between 15 and 49 from Calabar using a self-developed structured questionnaire. The participants were selected using cluster and purposive sampling technique. Data collected from the field was analyzed using descriptive statistics and regression analyses at 0.05 confidence level. Result from the analysis revealed that uncivilized cultural practices lead to high maternal mortality. 75.64 per cent of the participant reported cases of complications during birth in the hands of traditional birth attendants. cultural practices account for 49 per cent of the variation in maternal mortality. Also, result revealed that poor care delivery or quality of medical care leads to high maternal mortality. 54.14 per cent of the participants reported that the cost of medical care for a pregnant woman in the hospital is too expensive. 69.43 per cent reported there have been deaths as a result of lack of care in hospitals. Based on these findings There is need for the government and its health ministry to increase the number of primary health centres in the nation as well as strengthen this health centres to collect high-quality data to respond to the needs and priority of women and girls amongst others.

The private sector of health service of Ukraine is an active reserve of improving the accessibility and quality of medical care: the experience of Kirovohrad region

2014 ◽  
Vol 18 (4 (72)) ◽  
Author(s):  
G. M. Ursol ◽  
O. O. Skrypnyk ◽  
O. M. Vasylenko
Keyword(s):  
Health Service ◽  
Private Sector ◽  
Health System ◽  
Medical Care ◽  
Quality Of Medical Care

The article describes the main problems in the functioning of the health system of Ukraine, peculiarities of formation and benefits of the private sector of the health system of Ukraine and analyzes the experience of the activities of private medical organizations of Kirovohrad region.

Responsibility for a quality of medical care provided via telemedicine

2018 ◽  
Vol 2018 (1-2) ◽  
pp. 9-15
Author(s):  
Morozov S.P. ◽  
◽  
Vladzymyrskyy A.V. ◽  
Varyushin M.S. ◽  
Aronov A.V. ◽  
...  
Keyword(s):  
Medical Care ◽  
Quality Of Medical Care

METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS

2020 ◽  
Vol 3 (7) ◽  
pp. 62-69
Author(s):  
S. S. BUDARIN ◽  
Keyword(s):  
Medical Care ◽  
Resource Use ◽  
Methodological Approach ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Approaches ◽  
Performance Audit ◽  
Available Resources

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

Evaluation of medical care for Diabetic and Hypertensive patients in primary care in Mexico: Observational retrospective study (Preprint)

2020 ◽  
Author(s):  
Agustin Lara-Esqueda ◽  
Sergio A Zaizar-Fregoso ◽  
Violeta M Madrigal-Perez ◽  
Mario Ramirez-Flores ◽  
Daniel A Montes-Galindo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Medical Care ◽  
Serum Lipids ◽  
Quality Care ◽  
Premature Death ◽  
Current Standard ◽  
Anonymized Data ◽  
Quality Of Medical Care

BACKGROUND Diabetes Mellitus is a worldwide health problem and the leading cause of premature death with increasing prevalence over time. Usually, along with it, Hypertension presents and acts as another risk factor that increases mortality risk. Both diseases impact the country's health while also producing an economic burden for society, causing billions of dollars to be invested in their management. OBJECTIVE The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico, according to the official Mexican standard for each pathology. METHODS 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical records database, exported as anonymized data for research purposes. Each patient record was compared against the standard to test the quality of medical care. RESULTS Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease of diabetes or hypertension. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination in the whole population. Specialty referral reached 1% in angiology or cardiology in the whole population. CONCLUSIONS Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. While patients with DM and HBP do not have a current standard to evaluate their own needs.

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