Healthcare Scenario: Health for All to Sustainable Development Goals

Authors

  • Rakesh Kakkar All India Institute of Medical Sciences, Mangalagiri, Vijayawada, Andhra Pradesh - 520008
  • Pradeep Aggarwal All India Institute of Medical Sciences, Rishikesh https://orcid.org/0000-0003-1415-0483

DOI:

https://doi.org/10.47203/IJCH.2019.v31i02.001

Keywords:

.

Abstract

Poor quality care in public sector hospitals coupled with the costs of care in the private sector have trapped India's poor in a vicious cycle of poverty, ill health and debt for many decades. There is a huge cross section of the population that continues to struggle to gain access to affordable good quality healthcare. Although the rich can access healthcare by paying large sums of money, the poor are under major threat of financial duress. In Primary health care level public share is more with affordable cost but with compromised quality while in tertiary level private share is more with quality but at high cost and is focused in urban areas. Government has started spending at tertiary care level (newer AIIMS) to broaden the care spectrum but without much improvement at primary health care level.
Accountable health care remains challenge for middle and low income countries. Accountability refers to “the principle that individuals, organizations and the community are responsible for their actions and may be required to explain them to others” (1). Low levels of public health financing, supply side gaps, an acute shortage of human resources and the rising cost of healthcare continue to severely affect access, affordability and quality of health services across the country. These issues make difficult for the public sector to remain accountable. The government has been attempting to address two main challenges: to ensure that all citizens can access healthcare equitably and to ensure that healthcare is made available at an affordable cost and without compromising on quality. So three important pillars for effective HCDS are cost, Access & Quality.

Downloads

Download data is not yet available.

References

Benjamin, G., M. Fallon, P. E. Jarris, and P. Libbey. 2006 (September). Final Recommendations for a Voluntary National Accreditation Program for State and Local Public Health Departments . Alexandria, VA: PHAB

Rajeev Ahuja. Think big to reach goal of a $5 Trillion economy, boost healthcare for all, 23.08.19 Times of India

Mohan P, Kumar R. Strengthening primary care in rural India: Lessons from Indian and global evidence and experience.J Family Med Prim Care 2019;8:2169-72.

Physicians for a National Health Program. Health Care Systems - Four Basic Models http://www.pnhp.org/ single_payer_resources/health_care_systems_four_basic_models.php )

Varkey, P. and V.P. Athyal. 2005. Service Delivery Innovations at Mayo Clinic. Minnesota Medical. Vol. 88:39-42

Lansisalmi, H., M. Kivimaki, P. Aalto, and R. Ruoranen. 2006. Innovation in Healthcare: A Systematic Review of Recent Research. Nursing Science Quarterly, vol. 19: 66-72

Vincent K. Omachonu, Norman G. Einspruch . Innovation in Healthcare Delivery Systems: A Conceptual Framework. The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2. 2

Downloads

Published

2019-06-30

How to Cite

1.
Kakkar R, Aggarwal P. Healthcare Scenario: Health for All to Sustainable Development Goals. Indian J Community Health [Internet]. 2019 Jun. 30 [cited 2024 Oct. 14];31(2):155-6. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/1194

Issue

Section

Editorial

Dimensions Badge

Most read articles by the same author(s)

1 2 3 4 5 > >>