Description
Healthcare in India presentation includes NREGA, medical tourism , emerging trends and assessment on health industry.
HEALTH CARE in INDIA
National Rural Health Mission
• Reduction in IMR and MMR
• Universal access to essentials like women and child health, water, sanitation, immunisation
• Prevention and control of communicable and non-communicable diseases
• Integrated primary care • Population stabilisation incl gender balance • Revitalise local health traditions • Health promotion
ample evidence of a dysfunctional, nonperforming public health system. …The situation varies across the country and in some parts of the country it functions very well. I think on an average, it does not function well and there are some parts where it is really functioning incredibly badly Montek Singh Ahluwalia Dy Chairman, Planning Commission
SMALL STEP TOWARDS A BIG REVOLUTION
1983 First super-specialty corporate hospital in India Apollo Hospitals, Chennai Started with 150 Beds; today has 700+ beds
?20 Owned hospitals, 20 Associate hospitals and over 30 clinics ?Over 6800 beds, 14 Cardiac Institutes, 6 Oncology Institutes
Medical Tourism to India
• Currently worth $333 million, additional revenue of $2.2 billion expected by 2012 • c150,000 “medical tourists” in 2003 • Potential to attract 1 million tourists per annum US$ 5 billion • A Heart Surgery in the US costs US$ 30,000 while it costs US$ 6,000. Bone marrow transplant in the US costs US$ 2, 50,000 while it is US$ 26,000 in India, CII points out • India is unique as it offers holistic medicinal services, with yoga, meditation, ayurveda, allopathy, and other systems of medicines
National Workshop on Health Insurance: 24 Sep 2005
Central State Corporate Personal Total
Primary care
Inpatient Non service TOTAL
4.3
0.9 0.9 6.1
5.6
8.4 1.6 15.6
0.8
2.5 na 3.3
48
27 na
58.7
38.8 2.5 100
75
“Doctor, do you think I need an MRI?”
Self-reported assessment of medical practices
Aspects of Practice Fee-splitting practices Over-prescription of drugs Over-prescription of diagnostics Inadequate sterilization of medical equipment Inadequate measures of disposal of waste Inadequate fulfilment of standards Inappropriate use of medical technology Breakdown of trust in doctor-patient relationship Inadequate information given to patients Lack of accessibility during emergencies Prevelance – High 24 25 14 12 31 5 4 14 15 12
Public Empowment
• A doctor can be held liable under the Consumer Protection Act, 1986, for deficiency of service. • Disciplinary action can also be brought against them under the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002
Objectives
• • • • Context: general and health Emerging health care trends Critique of above Suggestions for the way forward
Emerging trends in health care in India
Poverty and Social Opportunity
Yet even a hundred Bangalores and Hyderabads will not, on their own, solve India’s tenacious poverty and deep-seated inequality. The very poor in India get a small – and basically indirect – share of the cake that information technology and related developments generate. The removal of extreme poverty, calls for more participatory growth on a wide basis, which is not easy to achieve across the same barriers of illiteracy, ill health, uncompleted land reforms and other sources of severe societal inequality. The process of economic advance cannot be divorced from the cultivation and enhancement of social opportunities over a broad front.
India Shinning
“India is shining ok for the glossy magazines, but if you just go outside Bangalore you will see that everything about India shining is refuted … [In the villages] alcoholism is rife and femaie infacticide and crime are rising. You have to bribe to get electricity, water. Yes, the middle and upper classes are taking off, but the 700 million who are left behind, all they see is gloom and darkness and despair. They are born to fulfil their destiny and have to live this way and die this way. The only thing that shines for them is the sun, and it is hot and unbearable and too many of them die of heatstroke.”
Health Care in India: summary assessment
• • • • • • Safety Timeliness Effectiveness Efficiency Equitable Patient Centeredness Basic health care is a privilege not a right
Health Care in India: summary assessment
• BUT….. Reasons to be optimistic
Defining Trends
• Indian Economy is GLOBALISING
• Indian Politics is REGIONALISING • Indian Society is LOCALISING
These are mutually reinforcing and positive trends …..
Objectives
• • • • Context: general and health Emerging health care trends Critique of above Suggestions for the way forward
doc_819779138.ppt
Healthcare in India presentation includes NREGA, medical tourism , emerging trends and assessment on health industry.
HEALTH CARE in INDIA
National Rural Health Mission
• Reduction in IMR and MMR
• Universal access to essentials like women and child health, water, sanitation, immunisation
• Prevention and control of communicable and non-communicable diseases
• Integrated primary care • Population stabilisation incl gender balance • Revitalise local health traditions • Health promotion
ample evidence of a dysfunctional, nonperforming public health system. …The situation varies across the country and in some parts of the country it functions very well. I think on an average, it does not function well and there are some parts where it is really functioning incredibly badly Montek Singh Ahluwalia Dy Chairman, Planning Commission
SMALL STEP TOWARDS A BIG REVOLUTION
1983 First super-specialty corporate hospital in India Apollo Hospitals, Chennai Started with 150 Beds; today has 700+ beds
?20 Owned hospitals, 20 Associate hospitals and over 30 clinics ?Over 6800 beds, 14 Cardiac Institutes, 6 Oncology Institutes
Medical Tourism to India
• Currently worth $333 million, additional revenue of $2.2 billion expected by 2012 • c150,000 “medical tourists” in 2003 • Potential to attract 1 million tourists per annum US$ 5 billion • A Heart Surgery in the US costs US$ 30,000 while it costs US$ 6,000. Bone marrow transplant in the US costs US$ 2, 50,000 while it is US$ 26,000 in India, CII points out • India is unique as it offers holistic medicinal services, with yoga, meditation, ayurveda, allopathy, and other systems of medicines
National Workshop on Health Insurance: 24 Sep 2005
Central State Corporate Personal Total
Primary care
Inpatient Non service TOTAL
4.3
0.9 0.9 6.1
5.6
8.4 1.6 15.6
0.8
2.5 na 3.3
48
27 na
58.7
38.8 2.5 100
75
“Doctor, do you think I need an MRI?”
Self-reported assessment of medical practices
Aspects of Practice Fee-splitting practices Over-prescription of drugs Over-prescription of diagnostics Inadequate sterilization of medical equipment Inadequate measures of disposal of waste Inadequate fulfilment of standards Inappropriate use of medical technology Breakdown of trust in doctor-patient relationship Inadequate information given to patients Lack of accessibility during emergencies Prevelance – High 24 25 14 12 31 5 4 14 15 12
Public Empowment
• A doctor can be held liable under the Consumer Protection Act, 1986, for deficiency of service. • Disciplinary action can also be brought against them under the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002
Objectives
• • • • Context: general and health Emerging health care trends Critique of above Suggestions for the way forward
Emerging trends in health care in India
Poverty and Social Opportunity
Yet even a hundred Bangalores and Hyderabads will not, on their own, solve India’s tenacious poverty and deep-seated inequality. The very poor in India get a small – and basically indirect – share of the cake that information technology and related developments generate. The removal of extreme poverty, calls for more participatory growth on a wide basis, which is not easy to achieve across the same barriers of illiteracy, ill health, uncompleted land reforms and other sources of severe societal inequality. The process of economic advance cannot be divorced from the cultivation and enhancement of social opportunities over a broad front.
India Shinning
“India is shining ok for the glossy magazines, but if you just go outside Bangalore you will see that everything about India shining is refuted … [In the villages] alcoholism is rife and femaie infacticide and crime are rising. You have to bribe to get electricity, water. Yes, the middle and upper classes are taking off, but the 700 million who are left behind, all they see is gloom and darkness and despair. They are born to fulfil their destiny and have to live this way and die this way. The only thing that shines for them is the sun, and it is hot and unbearable and too many of them die of heatstroke.”
Health Care in India: summary assessment
• • • • • • Safety Timeliness Effectiveness Efficiency Equitable Patient Centeredness Basic health care is a privilege not a right
Health Care in India: summary assessment
• BUT….. Reasons to be optimistic
Defining Trends
• Indian Economy is GLOBALISING
• Indian Politics is REGIONALISING • Indian Society is LOCALISING
These are mutually reinforcing and positive trends …..
Objectives
• • • • Context: general and health Emerging health care trends Critique of above Suggestions for the way forward
doc_819779138.ppt