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Efficiency models from Indian healthcare?


Healthcare practices or systems in developed or high income countries especially United States of America (USA) are blighted by high and growing healthcare costs. To attain efficiency emerging countries like India, have put through thought processes that developed countries might be able to take up. This article depicts a few problems in healthcare delivery that India regularly confronts and how it sometimes deals those quandaries. This article also continues thought process about how the developed countries especially USA might use India’s working model to think differently about efficiency, still some of contexts dont use to developed countries.

 

High Patient Volumes Vs Modernized clinical practice:

 

Long waiting lines in busy outpatient department (OPD) is common, especially at primary healthcare or other government medical centres India, there are many hospitals in which a cardiologist confront as many as patients (close to 100 ) in their first half of their day. Suppose what happens when a cardiologist needs time off – the big numbers of patients still noticeable! What is once very small – however cover – way these committed practitioners save time in a clinical setting where each moment matters?

 

Strategy from Indian practice: Limit blood-pressure (BP) measurement to only systolic. This move is probably tough for many doctors (in emerged countries), however good number of clinical practitioners will base blood-pressure related treatment decisions only on systolic, and the additional moments to measure diastolic BP means 20 to 30 extra minutes. Doctors in India have made a practicable trade off to facilitate them look as many patients as they can, given their really high patient volumes. “Practicable thoughtfulness as can serve to have concentration on the essential parameters as part of the medical investigations that lead easy clinical decision making for the doctors.

 

Unaffordable Services:

 

Patients in India and other under developing countries (low and medium income groups), often delay necessary medical visits as patients can’t afford medical care services and accessibility of the speciality services not easy for them, many patients pay out of pocket for medical services right when they are delivered in lieu having the benefit of prepayment by insurance. Lack of prepayment options some form of medical insurance can result to ruinous health spending for patients in these income groups, especially when a patient has a heart attack or stroke and acute cardiovascular disorders. Still, private or charitable hospitals can contend for patients by providing services as similar to their contenders at lower prices. However for medical centers to potentially gain a vantage, treatment costs must be available for patients.

 

How do Indian patients refer the treatment costs?

 

Streamlined Plan from Indian hospitals: Indian hospitals clearly communicate medical treatment, diagnostic charges; charges may be conveyed by patient counsellors or provided through brochures in the hospital. These initiatives as a stand-alone factor on contender, access to medical care and ruinous health spending is uncertain, however transparency in treatment costs in the emerged countries seems to have inherent benefits.

 

Short fall of Clinical or medical practitioners:

 

In most of the emerging countries there is an acute shortage of qualified medical practitionersin the general practice (Physicians, General Physicians), speciality practice (Anaesthesiology, Cardiology, Dermatology, ENT, Endocrinology, Gastroenterology, General Medicine,Hematology, Immunology, Obstetrics & Gynaecology, Ophthalmology, Oncology, Orthopaedics, Paediatrics, Pathology, Pulmonology, Pharmacology, Pulmonary Medicine, Psychiatry, Neurology, Radiology, Venereology) and for surgical specialities as well. Many efforts are underway from policy makers and from government to improve medical education in these emerging countries however what can be done to relieve this unbalance while these practitioners or qualified clinicians are being groomed? “Much in healthcare practice is exercised as a self-referent habit, however novel methodologies from other parts of the world can question the situation with the goal of improving medical care in these regions.”

 

Treatment Rates Vs Medications:

 

It seen majority of patients in emerging and below emerging countries doesn’t concentrate or take no medicines at all for disorders like cardiovascular, metabolic, immunology disorders and etc. for example in cardiovascular events these high-risk patients get benefit from the concurrent administration of multiple, low-price generic products : statin, BP-lowering drugs. According to reports even though more than half of all statin products available in India are part of a combination pill that includes other cardiovascular therapeutic agents, many fixed-dose combinations are not approved in India, eliciting questions about their quality. Nonetheless, non compliance, shortage and price all are barriers to treatment; still they also were barriers for patients with AIDS (Acquired immunodeficiency syndrome), Can experiences from AIDS care better medication programs more broadly?

 

Possible strategies for effective health care subsist in many emerging or below emerging countries, many times run by need. These healthcare management initiatives or strategies can be recommended to various levels in developed countries, because of that impelling betterment in efficiency without checking back in the quality of care. Much in pharmaceutical line is practiced as self-referent manner; however newer thoughts from emerging countries (especially from India) can challenge the situation with the aim of bettering care and initiatives that are happening in India might give some novel mechanisms for how to deal differently in the emerged countries.

 

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