scholarly journals Use of ICT in Health Care for Rural India: The scenario with Software & Embedded system: the eMedicine way

Author(s):  
Onkar S Kemkar ◽  
Dr. P.B. Dahikar

Health Care sector in India has witnessed significant growth during the last few years, both in quality and capacity. In spite of such developments, heath care facilities in the country remain inadequate to meet the needs of the citizens, particularly in rural areas, where approximately 70% of the people live. To address this problem, the government has launched major national initiatives such as National Rural Health Mission, establishment of six new AIIMS like institutions, up gradation of existing public hospitals and labs, etc. As the health sector is poised for major growth in next decade, the sheer size of healthcare sector in the country will necessitate extensive use of information and communication technology (ICT) infrastructure, services and databases for policy planning and implementation. Such a framework would require services based on inter-operable and sharable technology, connecting various institutions and service providers. This paper states our vision & proposed solution for rural populace of India.

Author(s):  
Sumanta Bhattacharya

With 75% of the health are expenditure comes from the people of India , the rest is by the government , the government spends only 1.6% of the GDP on health care sector , there is major problems in our health care sector starting from shortage of beds , to lack of doctors and nurses , the difference in the quality of treatment in the urban and rural areas as well as in private and public hospitals . The doctors even limit themselves to the private hospital because of maximum facilities , the cost of treatment is so high that half of the people die out of loan , The government during this catastrophic has provided and increased its budget for the treatment and for public health care facilities but that is not enough during at one time . around 1.8 million people have died in the pandemic situation , in India only 2 % of the people have been vaccinated . India has entered the second wave of corona virus , when it comes to rural India , there is hardly any facility available , especially for the pregnant women and its child during this COVID-19 pandemic . There is lack of medical facilities in India both rural and urban , infrastructural and human resources to cure the people . India is being dependent on other countries for import of oxygen cylinders , India is the global hotspot of COVID at present . Keywords: health care, expenditure, covid-19, budget, GDP, vaccinated, catastrophic


2007 ◽  
Vol 37 (3) ◽  
pp. 555-572 ◽  
Author(s):  
Dang Boi Huong ◽  
Nguyen Khanh Phuong ◽  
Sarah Bales ◽  
Chen Jiaying ◽  
Henry Lucas ◽  
...  

China and Vietnam have adopted market reforms in the health sector in the context of market economic reforms. Vietnam has developed a large private health sector, while in China commercialization has occurred mainly in the formal public sector, where user fees are now the main source of facility finance. As a result, the integrity of China's planned health service has been disrupted, especially in poor rural areas. In Vietnam the government has been an important financer of public health facilities and the pre-reform health service is largely intact, although user fees finance an increasing share of facility expenditure. Over-servicing of patients to generate revenue occurs in both countries, but more seriously in China. In both countries government health expenditure has declined as a share of total health expenditure and total government expenditure, while out-of-pocket health spending has become the main form of health finance. This has particularly affected the rural poor, deterring them from accessing health care. Assistance for the poor to meet public-sector user fees is more beneficial and widespread in Vietnam than China. China is now criticizing the degree of commercialization of its health system and considers its health reforms “basically unsuccessful.” Market reforms that stimulate growth in the economy are not appropriate to reform of social sectors such as health.


2017 ◽  
Vol 14 (3) ◽  
pp. 2628
Author(s):  
Durdu Mehmet Biçkes ◽  
Bülent Çizmeci ◽  
Hakan Göver ◽  
Iclal Pomak

Behaviors and attitudes of the people who are in the same setting, such as service beneficiaries, co-workers and the others, have a determining effect on the mood of the people who provide the service. This effect can become either positive or negative depending on the course of action. Positive mood manifests itself as the feeling of happiness, security, appreciation, pride and etc. However, negative mood manifests itself as feeling of sorrow, disappointment, loneliness, stress, anxiety, depression and etc. Such kind of interactions is much more observed in health sector than any other workplaces due to intensive relations between service providers (health workers) and service beneficiaries (patients). So, this sector is the leading one which workplace violence is intensively observed. This study was carried out in order to investigate the effects of workplace violence on the stress, anxiety and depression levels of health care professionals. With this purpose, a survey was performed on the employees who work in a training and research hospital. According to the findings, significant differences were determined between the stress, anxiety and depression levels of health-care workers and the frequency of exposure to violence. In the light of the study findings, some recommendations were proposed to researchers and decision-makers.// // // // // // // // // // // // // // Annotate Highlight // Annotate Highlight


2017 ◽  
Vol 5 (01) ◽  
Author(s):  
Rakesh Kumar Singh ◽  
Ranjan Singh

Digital India is an initiative of the Government of India, under which government departments have to connect with the people of the country. The purpose of this scheme is to ensure that the government services can be accessible electronically to the public without use of paper. The purpose of this scheme is to connect the rural areas through High Speed Internet. A two-way platform will be built in this scheme where both (service providers and consumers) will be benefited. This will be an inter-ministerial initiative where all the ministries and departments will bring their services to the public such as health, education and judicial service, etc. The Public Private Partnership (PPP) model will be adopted as a choice. This scheme is one of the top priority projects of the Central Government. While there are many significant drawbacks like legal framework, lack of privacy, lack of data security rules, civilian autonomy abuses, and lack of parliamentary surveillance for Indian e-surveillance and Indian cyber insecurity. All these shortcomings will be removed before implementing Digital India.


2014 ◽  
Vol 13 (2) ◽  
pp. 201
Author(s):  
Melody Brauns ◽  
Malcolm Wallis

The South African healthcare sector stands at the threshold of major restructuring in an attempt to address inadequacies as a result of fragmentation of health services in apartheid South Africa. The level of health services, particularly in rural areas, has decreased and has led to reduced quality and productivity of health services. For individuals residing in rural communities, access to health services can be arduous. Delivery of essential services has to meet the needs of marginalised people who live in remote areas. The health sector is reputed to be good at formulating policies, discussing ideas, making recommendations, and spending resources, but poor on implementing policies. The government insists that the policy framework is transparent and well-defined and that what is needed is effective implementation. Regrettably, the transition of policy into practice is more complex than the perceived judgement of government. Critical concerns regarding issues about how policy can be effectively implemented and who should be responsible for implementation is one of major concern.


Liquidity ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 110-118
Author(s):  
Iwan Subandi ◽  
Fathurrahman Djamil

Health is the basic right for everybody, therefore every citizen is entitled to get the health care. In enforcing the regulation for Jaringan Kesehatan Nasional (National Health Supports), it is heavily influenced by the foreign interests. Economically, this program does not reduce the people’s burdens, on the contrary, it will increase them. This means the health supports in which should place the government as the guarantor of the public health, but the people themselves that should pay for the health care. In the realization of the health support the are elements against the Syariah principles. Indonesian Muslim Religious Leaders (MUI) only say that the BPJS Kesehatan (Sosial Support Institution for Health) does not conform with the syariah. The society is asked to register and continue the participation in the program of Social Supports Institution for Health. The best solution is to enforce the mechanism which is in accordance with the syariah principles. The establishment of BPJS based on syariah has to be carried out in cooperation from the elements of Social Supports Institution (BPJS), Indonesian Muslim Religious (MUI), Financial Institution Authorities, National Social Supports Council, Ministry of Health, and Ministry of Finance. Accordingly, the Social Supports Institution for Helath (BPJS Kesehatan) based on syariah principles could be obtained and could became the solution of the polemics in the society.


2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi

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.


2021 ◽  
Author(s):  
Huanhuan Jia ◽  
Hairui Jiang ◽  
Jianxing Yu ◽  
Jingru Zhang ◽  
Zhou Zheng ◽  
...  

Abstract Background: The serious shortage of primary health care (PHC) providers is a common issue in the health reforms worldwide, including in China. The government of China have proposed that encouraging and guiding qualified medical personnel to work in primary medical and health care institutions (PMHCIs) is an effective way to improve the overall quality and efficiency of PHC, but it has not produced good results. The problem of insufficient human resources of PHC has not been substantially ameliorated.Methods: Based on implicit theory and lexical approach, pre-investigation was conducted to collect the items that influence the medical personnel to seek employment at PMHCIs from the perspective of guided objects. Through a three-phase investigation of 1,160 doctors in 29 public hospitals in 9 cities, the items were categorized, and a structural equation model was established and verified to explore the interrelationship of influencing factors.Results: A total of 5 factors were rotated, including Sense of Gain (SG), Internal Organization Development (IOD), Remuneration and Development (RD), Condition of the City Where the PMHCI Is Located (CCPL), Job Responsibilities (JR) and Family Support (FS). The results of the model showed that IOD, RD, JR and FS had a significantly positive effect on the SG, whereas CCPL had no significant direct effect. In addition, the FS, RD and JR significantly mediated the relationship between the internal and external environment of the institution and the willing of medical personnel to seek employment at PMHCIs. The values of fit index indicated an acceptable-fitting model.Conclusion: Family, remuneration, individual development, and job responsibility are closely related with the willingness of medical personnel to seek employment at PMHCIs, and the internal and external environment of PMHCIs is also an important factor. Based on this, targeted measures can be proposed to promote the development of PHC providers.


Cloud Computing is a new way of delivering computing resources and services. It is a model for on-demand network access to a shared pool of configurable computing resources like, networks, servers, storage, applications, and services that can be provided with minimal management effort or service provider interaction. The cloud model is composed of five essential characteristics, four service models, and four deployment models. Healthcare is faster growing way to adopt cloud computing. It is very important for every individual and essential for every country in the Globe. Electronic healthcare systems in the world are moving towards a more accessible, collaborative and more proactive way in reaching out to the public. The delivering of public health solutions can lead to increased efficiencies in health related data. Many nations across the globe have launched aggressive stimulus programs aimed at solving public healthcare problems in efficient way. This review article mainly focus on different ICT based infrastructure facilities available in various hospitals in India, abroad with cost effective manner using cloud computing technologies, services and this will be a best solutions for healthcare systems in rural areas. In this paper analyzed and presented about various cloud service providers, investment in healthcare, IT adoption in Indian Healthcare sector, Major benefits of Cloud-based Patient Management System [PMS], about SADA systems, Top ten cloud storage companies in healthcare and Pros and Cons of EHR systems, comparison of Indian healthcare systems with US system, and various Cloud Simulators.


Author(s):  
Raphael Nhongo ◽  
Baba P. Tshotsho

Background: In the wake of the coronavirus disease 2019 (COVID-19) pandemic, schools were forced to close indefinitely with no clue as to when they would reopen. Upon school closures, remote teaching was adopted, with online teaching becoming the most preferred mode of instruction, yet the Information Communication Technology (ICT) infrastructure was not adequate enough across the country.Aim: This article scrutinises the remote teaching approaches that were put in place in Zimbabwe in response to the closure of schools during the COVID-19 lockdown. The article investigates how the adopted approaches were suitable for conditions in rural settings.Setting: The study looks at the challenges faced in the implementation of remote teaching during COVID-19 school closures in rural areas of Matabeleland provinces in Zimbabwe.Methods: The study adopted a qualitative phenomenological approach to analyse the teaching approaches that were put in place by the government and other stakeholders. Twenty teachers from 20 rural schools drawn equitably from two provinces, Matabeleland South and Matabeleland North, were interviewed on the shortcomings of these remote teaching approaches.Results: The results revealed that the remote teaching approaches that were put in place excluded learners in rural settings. This is because of the challenges in infrastructure, economic condition and restrictions on remote teaching approaches imposed by the government.Conclusion: As Zimbabwe is facing economic hardships and infrastructure development challenges, it was supposed to adopt emergency remote teaching instead of long-term approaches. A variety of approaches that suit specific physical environments should have been adopted instead of sticking to only one throughout the country.


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