{"id":52062,"date":"2019-09-11T14:20:43","date_gmt":"2019-09-11T08:50:43","guid":{"rendered":"https:\/\/blogadmin.forumias.com\/?page_id=52062"},"modified":"2019-09-11T14:20:51","modified_gmt":"2019-09-11T08:50:51","slug":"answered-we-need-to-shift-focus-from-a-hospital-oriented-techno-centric-health-care-model-to-make-healthcare-services-better-discuss","status":"publish","type":"page","link":"https:\/\/forumias.com\/blog\/answered-we-need-to-shift-focus-from-a-hospital-oriented-techno-centric-health-care-model-to-make-healthcare-services-better-discuss\/","title":{"rendered":"[Answered] \u201cWe need to shift focus from a hospital-oriented, techno-centric health care model to make healthcare services better.\u201d Discuss."},"content":{"rendered":"\n
Demand of the question<\/strong>
Introduction.<\/strong> Contextual Introduction.
Body. <\/strong>Inefficient hospital oriented model. What should be done?
Conclusion. <\/strong>Way forward. <\/td><\/tr><\/tbody><\/table>\n\n\n\n

In India, a hospital-oriented, techno-centric model of health care took early roots. Building urban hospitals through public investment enjoyed primacy over strengthening community-based, primary health care. There is broad consensus that health-care focus must shift from hospitals to communities in the coming years with focus on primary health care centres. This approach involves the active maintenance of health, so that the consequent need for urgent hospital admission are lessened. In this way wellbeing is improved and the need for in-patient capacity in hospitals is kept to a minimum.<\/p>\n\n\n\n

Issue of\ninefficient hospital-oriented healthcare system:<\/strong><\/p>\n\n\n\n

  1. A private sector with rampant,\nunregulated dual-practice system (doctors practising in both public and private\nsectors simultaneously) is flourishing. This allowed doctors to constitute a\npowerful group held together by coherent interests rising the cost of health\nservices.<\/li>
  2. The core purpose of a hospital is\nto deliver specialist care, and it remains a logical home for specialists, so\nlong as they deliver care differently. Specialist care is costly and\nunaffordable.<\/li>
  3. Hospitals are involved in corrupt\npractices like over-stays of patients, unnecessary diagnosis, driven by\nfinancial incentives.<\/li>
  4. Healthcare insurance schemes like\nAyushman Bharat that harp on providing insurance to the poor largely for\nprivate hospitalisation, when the most expenses are incurred on basic medical\ncare. Thus focus on basic medical care is needed,<\/li>
  5. The public hospitals today face\nmany challenges like deficient infrastructure, deficient manpower, unmanageable\npatient load, bad quality of services, high out of pocket expenditure making\nhealth services inefficient and poor.<\/li>
  6. Hospitals are far off from many\nplaces especially in rural areas, where lack of roads, unavailability of\nhospitals, electricity etc. lead to deaths.<\/li><\/ol>\n\n\n\n

    What should be\ndone?<\/strong><\/p>\n\n\n\n

    1. It is important to set up local\ncollaborative arrangements with general practitioners to make expert care\navailable to those patients need specialty support.<\/li>
    2. Healthcare should be accessible to\npatients and situated in their community. Thus focus on primary health care\ncentre is needed.<\/li>
    3. Mid-level providing primary health\ncare should be trained to provide medical healthcare to needy. Training through\nshort-term courses, like those of a 2-3 year duration, can greatly help in\nproviding primary health care to the rural population. <\/li>
    4. Practitioners of indigenous systems\nof medicine, like Ayurveda, should be trained in modern medicine practices.<\/li>
    5. The task of making the primary and\nsecondary level health institutions functional ought to be the utmost priority,\nsuch that people can access effective healthcare for common and easily treatable\nconditions nearest to their homes.<\/li>
    6. Urgent steps need be taken to\nprovide working and living conditions in the peripheral areas that will\nencourage doctors and other health personnel to be willing for rural service. Family\nhostels should be built in the nearby urban centres to house the families of\ndoctors and other medical personnel, while they are posted in remote areas. <\/li>
    7. All the vacancies for medical and\nparamedical posts should be filled promptly and the administrative procedures\nshould facilitate speedier permanent appointments. There is little evidence to\nshow that provision of ad hoc\/contract appointments has led to a sustained\navailability of health personnel in rural areas.<\/li>
    8.  The capacity of peripheral health services\nshould be expanded to absorb the large number of health workers as full time\nworkers in the health services system. Private practice for any category of\nworkers should not be allowed.<\/li>
    9. There should be regular programs\norganized wherein the senior doctors from the secondary or tertiary level\nhealth facilities and medical colleges should mandatorily go to the rural areas\nto help the peripheral health workers improve their knowledge and skills.<\/li>
    10. The local communities, peoples\norganizations, and representative bodies should be involved in the planning,\norganization, operation and control of primary healthcare, making fullest use\nof local, national and other available resources in the true spirit of the\n\u201cprimary health care\u201d. <\/li><\/ol>\n\n\n\n

      Many countries, including the U.K. and Japan, have found a way around by incentivising general practitioners (GPs), designing a system that strongly favours primary health care. India should focus on primary healthcare service to make health affordable and accessible.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Demand of the question Introduction. Contextual Introduction. Body. Inefficient hospital oriented model. What should be done? Conclusion. Way forward. In India, a hospital-oriented, techno-centric model of health care took early roots. Building urban hospitals through public investment enjoyed primacy over strengthening community-based, primary health care. There is broad consensus that health-care focus must shift from… Continue reading [Answered] \u201cWe need to shift focus from a hospital-oriented, techno-centric health care model to make healthcare services better.\u201d Discuss.<\/span><\/a><\/p>\n","protected":false},"author":61,"featured_media":49132,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-52062","page","type-page","status-publish","has-post-thumbnail","hentry","entry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/pages\/52062","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/61"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=52062"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/pages\/52062\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media\/49132"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=52062"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}