scholarly journals A Review On Public Health through Rural Health Mission: Pharmacist Roles and Responsibility

2021 ◽  
Vol 23 (11) ◽  
pp. 132-139
Author(s):  
Renukaradhya Chitti ◽  
◽  
Jeet Bahadur Moktan ◽  
Kumaraswamy M ◽  
Shiv Kumar Yadav ◽  
...  
Keyword(s):  
Health Care ◽  
Rural Health ◽  
Care Delivery ◽  
Well Being ◽  
National Rural Health Mission ◽  
Simultaneous Action ◽  
Health Determinants ◽  
Health Coverage ◽  
Quality Health Care ◽  
The Government

For many years, the Government of India has worked hard to offer health services to people all around the country, and it remains dedicated to doing so. It has formed numerous programmes to achieve the goal of “Health for All.” As a result, in 2005, The Hon’ble Prime Minister formed the The National Rural Health Mission will provide the countries’ network with well-being administrations. The National Rural Health Mission, which went into effect in April 2005, is considered the backbone of the rural sector. They have been instilled with the belief that, as a result of their efforts, something special has appeared to assist the country dwellers in re-establishing their well-being. The National Rural Health Mission (NRHM) aims to provide rural populations, especially disadvantaged groups, with comprehensive, low-cost, and high-quality health care. Material & Method: We reviewed all of the articles published on PubMed, Scopus, BMJ, Google scholar, Nature, Web of science that were focusing on, National rural health mission services, to achieving universal health coverage (UHC). Conclusion: This study compiles a list of all social need interventions that have been described in the literature to date. National health systems around the world are reforming to meet health goals, with a focus on cost containment, universal coverage, equity in access and quality, and resource efficiency and effectiveness. The primary purpose of the mission is to establish a fully operational, community-owned, decentralised health-care delivery system with cross-sectoral integration at all levels, enabling for simultaneous action on a wide variety of health determinants such as poverty and social equity.

scholarly journals Progress of health care in rural India: a critical review of National Rural Health Mission

2017 ◽  
Vol 5 (1) ◽  
pp. 4 ◽  
Author(s):  
S. Gopalakrishnan ◽  
A. Immanuel
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health System ◽  
Rural Health ◽  
Public Health System ◽  
National Rural Health Mission ◽  
Rural India ◽  
Health Coverage ◽  
The Public ◽  
Public Health Infrastructure

National rural health mission (NRHM) was initiated in the year 2005 in eleventh five year plan, with the objective of providing quality health care services to the rural population. The mission brought out salient strategies by involving various sectors and forging partnerships with various organizations to unify health and family welfare services into a single window. Though the mission strived for a sustainable health care system, it did not envisage certain challenges in implementation. The public health system in India could take off from the foundations laid by the NRHM to overcome these challenges, in order to achieve various goals of health and development and put India on the road map of healthful development. The objective of this review article is to critically evaluate the implementation of national rural health mission and highlight its success and to make recommendations on the future health care planning and implementation in achieving universal health coverage for the rural India. NRHM has been a mammoth effort by the Union Government to build the public health infrastructure of the nation. The mission deserves its credit for empowering the rural India in health care, especially in States with poor health related indicators. NRHM has been a pioneer in reiterating the need for community participation, coupled with intersectoral convergence, to bring about a paradigm shift in the indicators, which has been reasonably achieved in most of the States. Taking forward the foundations laid by the NRHM, it is essential for the forthcoming policies and plans to focus on capacity building, not only on the infrastructure and technical aspects, but also on streamlining the health workforce, which is crucial to sustaining the public health infrastructure. The public health system in India should take off from the foundations laid by the NRHM. There is an imminent need to focus on forging a sustainable public private partnership, which will deliver quality services, and not compromise on the principles and identity of the public health system of the country, in its pursuit to achieve universal health coverage and sustainable development goals.

scholarly journals Nurse practitioner led model of after-hours emergency care in an Australian rural urgent care Centre: health service stakeholder perceptions

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elena Wilson ◽  
Lisa C. Hanson ◽  
Kathleen E. Tori ◽  
Byron M. Perrin
Keyword(s):  
Health Care ◽  
Health Service ◽  
Rural Health ◽  
Nurse Practitioner ◽  
Care Delivery ◽  
Urgent Care ◽  
Quality Health Care ◽  
Quality Health ◽  
After Hours ◽  
Urgent Care Centre

Abstract Background The challenges of providing and accessing quality health care in rural regions have long been identified. Innovative solutions are not only required but are also vital if effective, timely and equitable access to sustainable health care in rural communities is to be realised. Despite trial implementation of some alternative models of health care delivery, not all have been evaluated and their impacts are not well understood. The aim of this study was to explore the views of staff and stakeholders of a rural health service in relation to the implementation of an after-hours nurse practitioner model of health care delivery in its Urgent Care Centre. Methods This qualitative study included semi-structured individual and group interviews with professional stakeholders of a rural health service in Victoria, Australia and included hospital managers and hospital staff who worked directly or indirectly with the after-hours NPs in addition to local GPs, GP practice nurses, and paramedics. Thematic analysis was used to generate key themes from the data. Results Four themes emerged from the data analysis: transition to change; acceptance of the after-hours nurse practitioner role; workforce sustainability; and rural context. Conclusions This study suggests that the nurse practitioner-led model is valued by rural health practitioners and could reduce the burden of excessive after-hour on-call duties for rural GPs while improving access to quality health care for community members. As pressure on rural urgent care centres further intensifies with the presence of the COVID-19 pandemic, serious consideration of the nurse practitioner-led model is recommended as a desirable and effective alternative.

Universal Health Coverage

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Health Care ◽  
Universal Health Coverage ◽  
Poor Quality ◽  
Theory And Practice ◽  
Health Coverage ◽  
Quality Health Care ◽  
The Sustainable Development ◽  
Quality Health ◽  
The Right ◽  
Universal Health

This chapter explores the seminal topic of Universal Health Coverage (UHC), an objective within the Sustainable Development goals. It reviews the theory and definitions that shape the current conversation on UHC. The movement from selective primary health care to UHC demonstrates a global commitment to the progressive realization of the right to health. However, access to UHC is limited by barriers to care, inadequate provision of care, and poor-quality services. To deliver UHC, it is critical to align inputs in the health system with the burden of disease. Quality of care must also be improved. Steady, sufficient financing is needed to achieve the laudable goal of UHC.This chapter highlights some important steps taken by countries to expand access to quality health care. Finally, the chapter investigates the theory and practice behind a morbidity-based approach to strengthening health systems and achieving UHC.

Direct Primary Care: A Successful Financial Model for the Clinical Practice of Lifestyle Medicine

2021 ◽  
pp. 155982762110066
Author(s):  
Amy R. Mechley
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Care Delivery ◽  
Health Care Systems ◽  
Well Being ◽  
The United States ◽  
Fee For Service ◽  
Financial Model ◽  
Lifestyle Medicine ◽  
Direct Primary

Primary care has been shown to significantly decrease the overall cost of a population’s health care while improving the quality of each person’s well-being. Lifestyle medicine (LM) is ideally positioned to be delivered via primary care and has been shown to improve short- and long-term health outcomes of patients and populations. Direct primary care (DPC) represents a viable alternative to the fee-for-service reimbursement model. It has been shown to be economically and financially sustainable. Furthermore, it has the potential to fulfill the Quadruple Aim of health care in the United States. LM practiced in a DPC model has the potential to transform health care delivery. This article will discuss the need for health care systems change, provide an overview of the DPC model, demonstrate a basic understanding of the benefits, and review the steps needed to de-risk the investment of time, money, and resources for our future DPC providers.

CANADA'S FAILURE

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 569-569
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
New England ◽  
Care Delivery ◽  
Health Care Facilities ◽  
User Fees ◽  
Capital Expenditures ◽  
The Past ◽  
Care Facilities ◽  
Dog Owners ◽  
The Government

The direct costs of Canada's national health insurance are not as troublesome as the distortive effect they have on health care delivery. Health care facilities have been forced to cut back severely on their capital expenditures, thus depleting the availability of advanced medical equipment. As a result, many patients must seek advanced treatment elsewhere. According to a recent study reported in the New England Journal of Medicine, nearly one-third of Canada's doctors have sent patients outside the country for treatment during the past five years. About 10% of all British Columbia residents requiring cancer therapy have been sent to the U.S. In Toronto, because the government doesn't provide enough money for personnel, 3,000 beds have been removed from service, while thousands of patients are on waiting lists for admission. Even where advanced equipment is available, bureaucratic absurdities prevent proper use. According to the April issue of "Fraser Forum," dogs at York Central Hospital in metropolitan Toronto were able to get CAT scans immediately while humans were put on a waiting list. The reason? Canadian patients are not allowed to pay for CAT scans, and the procedure costs too much to operate more than a few hours a day for nonpaying customers. Dog owners, on the other hand, were permitted to pay to use it. The user fees paid by the dog owners allowed the machine to operate longer, thus more human patients could be scanned. When this information was released, instead of considering user fees for humans, the Canadian government banned the tests for dogs!

Marketing Cancer Care to Rural Residents

1995 ◽  
Vol 14 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Frank J. Franzak ◽  
Thomas J. Smith ◽  
Christopher E. Desch
Keyword(s):  
Health Care ◽  
Public Policy ◽  
General Population ◽  
Rural Health ◽  
Health Care Delivery ◽  
Rural Health Care ◽  
Cancer Care ◽  
Care Delivery ◽  
Complex Situation ◽  
Improving Health Care

The authors address two issues related to cancer care: (1) the rural population is more vulnerable to cancer than the general population and (2) proper care is often not available locally, and public policy efforts have hurt, more than helped, this situation. The authors examine the environment of rural health care to establish a better understanding of this complex situation and present a model for improving health care delivery based on an existing outreach alliance program and guided by interorganizational service delivery concepts. They also provide areas for further research that can guide public policy toward improving rural cancer delivery.

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