Specialty Health Care in Rural Areas of West Bengal (India)

2016 ◽  
Vol 6 (2) ◽  
pp. 56-62
Author(s):  
Ashok Kumar Biswas ◽  
Edward Gebuis ◽  
Petrica Irimia

The health care system of WB needs a massive change from every aspect. However, changing a system which is running for years is in itself a challenge. Therefore, change in the health policy needs to begin either from the foundation up or according to the importance of proposed legislation. Rural health care system without specialty care has always been the underdog of WB health system. However, most improvement can be made there. This policy document proposes a basic specialty care in rural areas of WB, intended to improve health care for a maximum possible population.

2017 ◽  
Vol 46 (1) ◽  
pp. 522-525 ◽  
Author(s):  
Saibal Das ◽  
Preeti Barnwal

Uncertified rural practitioners (URPs) without formal medical qualification occupy an indispensable yet dangerous position in the rural health care system in India. The low cost, close proximity, and higher health hazards in rural areas along with the inability of established health-care setups to fulfill existing demands have favored the flourishing trade of URPs. Irrational and dangerous drug prescriptions, unauthorized interventions, improper waste disposal, and several cases of malpractice by URPs are serious threats to the exposed population. However, because of the practical compulsion and real-world necessity of their existence, URPs should be scientifically trained and sensitized to regulate, qualify, and integrate them as a part of the existing health care system in India.


1974 ◽  
Vol 31 (3) ◽  
pp. 272-280
Author(s):  
Joseph L. Knight ◽  
E. K. Hammond ◽  
Louis D. Hauser ◽  
R. Paul Baumgartner

2020 ◽  
Author(s):  
Dibash Sarkar ◽  
Moinak Biswas

AbstractBackgroundCOVID-19 is an emerging infectious disease which has been declared a Pandemic by the World Health Organization (WHO) on March 11 2020. This pandemic has spread over the world in more than 200 countries. India is also adversely affected by this pandemic, and there are no signs of slowing down of the virus in coming time. The absence of a vaccine for COVID-19 is making the situation worse for the already overstretched Indian public health care system. As economic burden makes it increasingly difficult for our country to continue imposing control measures, it is vital for states like West Bengal to make predictions using time series forecasting for the upcoming cases, test kits, health care and estimated the requirement of Quarantine centers, isolation beds, ICU beds and ventilators for COVID-19 patients.ObjectiveThis study is forecasting the confirmed and active cases for COVID-19 until August, using time series ARIMA model & Public Health in West Bengal, India.MethodsWe used ARIMA model, and Auto ARIMA model for forecasting confirmed and active cases till the end of August month using time series data of COVID-19 cases in West Bengal, India from March 1, 2020, to June 4, 2020.ResultsWe are expecting that West Bengal will have around 62279 ± 5000 Cases by the end of August based on our forecasts. Meanwhile Maharashtra, Punjab, Gujarat and Delhi (UT) will be the most affected states, having the highest number of active and confirmed cases at the end of August.Discussion and ConclusionThis forecasts show a very crucial situation for West Bengal in coming days and, the actual numbers can go higher than our estimates of confirmed case as Lockdown 5.0 & Unlock 1.0 will be implemented from 1st June 2020 in India, West Bengal will be observing a partial lift of the lockdown and in that case, there will be a surge in the number of daily confirmed and active cases. The requirement of Health care sector needs to be further improved isolation beds, ICUs and ventilators will also be needed to increase in that scenario. Inter State & Intra State Movement restrictions are lifted. Hence, Migrants returning to their homes due to loss of livelihood and income in the lockdown period may lead to a rise in the number of cases, which could not be accounted for in our projections. We suggest more of Public-Private Partnership (PPP) model in the health sector to accommodate COVID-19 patients adequately and reduce the burden of the already overstretched Indian public health care system, which will directly or indirectly affect the States in the time of crisis.


1934 ◽  
Vol 30 (10) ◽  
pp. 973-977
Author(s):  
F. G. Mukhamadyarov

The transformation of the small-fragmented peasant economy into a large socialist economy on the basis of total collectivization and the introduction of machinery, which caused the rise of the material and cultural level of the workers in the village, has made completely new demands on the rural health care, making us the most urgent task of fundamental restructuring of the entire rural health care system in order to maximize assistance to agriculture and subordinate our activities to the task of dramatically increasing productivity of agricultural labor.


2018 ◽  
Vol 25 (5) ◽  
Author(s):  
M. A. Earp ◽  
A. Sinnarajah ◽  
M. Kerba ◽  
P. A. Tang ◽  
J. Rodriquez-Arguello ◽  
...  

Palliative care (pc) is part of the recommended standard of care for patients with advanced cancer. Nevertheless, delivery of pc is inconsistent. Patients who could benefit from pc services are often referred late—or not at all. In planning for improvements to oncology pc practice in our health care system, we sought to identify barriers to the provision of earlier pc, as perceived by health care providers managing patients with metastatic colorectal cancer (mcrc). We used the Michie Theoretical Domains Framework (tdf) and Behaviour Change Wheel (bcw), together with knowledge of previously identified barriers, to develop a 31-question survey. The survey was distributed by e-mail to mcrc health care providers, including physicians, nurses, and allied staff. Responses were obtained from 57 providers (40% response rate).The most frequently cited barriers were opportunity-related—specifically, lack of time, of clinic space for consultations, and of access to specialist pc staff or services. Qualitative responses revealed that resource limitations varied by cancer centre location. In urban centres, time and space were key barriers. In rural areas, access to specialist pc was the main limiter. Self-perceived capability to manage pc needs was a barrier for 40% of physicians and 30% of nurses. Motivation was the greatest facilitator, with 89% of clinicians perceiving that patients benefit from pc. Based on the Michie tdf and bcw model, interventions that best address the identified barriers are enablement and environmental restructuring. Those findings are informing the development of an intervention plan to improve oncology pc practices in a publicly funded health care system.


2008 ◽  
Vol 53 (01) ◽  
pp. 5-26 ◽  
Author(s):  
ǺKE BLOMQVIST ◽  
JIWEI QIAN

In this paper, we first briefly review the changes that the Chinese health care system has undergone since the early 1980s. We then describe the major current health policy initiatives in urban and rural areas and discuss likely scenarios for their evolution over time. Using comparisons with international experience regarding different institutional arrangements in the health care sector, we also discuss whether the approaches taken in China are likely to strengthen the health care system in terms of efficiency and equity. Our conclusion is that in order to predict how effectively China's future health care system will perform in the future, one must have more information about what role the state (central government) will play, as regulator, partial funder and direct provider in the system. We believe that the best strategy at present is to allow the development of a mixed model with significant roles for both the state and the private sector, in both the supply of health care services and the provision of health insurance.


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