Upload
pradeep-s-methakar
View
215
Download
0
Embed Size (px)
Citation preview
8/6/2019 1 RMadhok (India) 2part
1/21
Reduction in IMR and MMR
Universal access to essentials like womenand child health, water, sanitation, immunisation
Prevention and control of communicable andnon-communicable diseases
Integrated primary care
Population stabilisation incl gender balance
Revitalise local health traditions
Health promotion
National Rural Health MissionNational Rural Health Mission
8/6/2019 1 RMadhok (India) 2part
2/21
ample evidence of a dysfunctional, non- performing 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
8/6/2019 1 RMadhok (India) 2part
3/21
Established in 1981 in Mumbai
Now, a leader in Indian Referral Laboratory Market, processing over 5million samples per year and its 25 th year of existence
The fastest growing pathology chain in India with 10 state of the artclinical laboratories across the countryThe only Indian pathology chain with a direct international presence inDubai- UAE, Mahe -Seychelles, Colombo Sri Lanka, Bahrain
Presence in 12 5 towns and cities with more than 2 50 collections centersacross the country catering to more than 3000 laboratories, hospitals,nursing homes and more than 10,000 consultants all across India.
Ex clusive alliance with two 1500 bedded hospitals for conductingClinical Trails and Research - Sri Ramachandra Medical College andResearch Institute (Deemed University) Chennai and M.S. RamaiahMedical College and Research Institute (A joint venture for SMO)
8/6/2019 1 RMadhok (India) 2part
4/21
1983First super-spec ialtyco rporate h ospital in I ndia ApolloHospitals,Ch ennai S tarted w ith 150 Beds; today has
700+ b eds
SM ALLSTEP TOW ARDS ABIGSM ALLSTEP TOW ARDS ABIG
REVOLUTIONREVOLUTION
20 Ow ned hospitals,20 Assoc iate hospitals and over 30 c linic sOver 6800 b eds, 14 C ardiac Institutes,6
Onc ology Institutes
8/6/2019 1 RMadhok (India) 2part
5/21
Medical Tourism to IndiaMedical Tourism to India
Currently worth $333 million, additional revenueof $2.2 billion expected by 2012c150,000 medical tourists in 2003Potential to attract 1 million tourists per annum -
US$ 5 billionA Heart Surgery in the US costs US$ 30,000while it costs US$ 6,000. Bone marrow transplantin the US costs US$ 2, 50,000 while it is US$
26,000 in India, CII points outIndia is unique as it offers holistic medicinalservices, with yoga, meditation, ayurveda,allopathy, and other systems of medicines
8/6/2019 1 RMadhok (India) 2part
6/21
National Workshop on HealthInsurance: 24 Sep 200 5
Central State Corporate Personal Total
Primary care 4.3 5.6 0.8 48 58.7
Inpatient 0.9 8.4 2.5 27 38.8
Non service 0.9 1.6 na na 2.5
TOTAL 6.1 15.6 3.3 75 100
8/6/2019 1 RMadhok (India) 2part
7/21
Doctor, do you think I need an MRI? Doctor, do you think I need an MRI?
8/6/2019 1 RMadhok (India) 2part
8/21
Self-reported assessment of medicalpractices
A spects of Practice
Fee-splitting practicesOver-prescription of drugsOver-prescription of diagnosticsInadequate sterilization of medical equipmentInadequate measures of disposal of wasteInadequate fulfilment of standards
Inappropriate use of medical technologyBreakdown of trust in doctor-patient relationshipInadequate information given to patientsLack of accessibility during emergencies
Prevelance High
2425
14123154
141512
8/6/2019 1 RMadhok (India) 2part
9/21
The Baby DoomThe Baby Doombyby
Kavery NambisanKavery NambisanThe couple sitting opposite me in theclinic are young and wealthy. She isthree months into her third pregnancy and wants to know the sex of theunborn baby. Their two bright-eyed daughters aged four and two are
playing outside. I explain. It is against the law; the number of girls in our country is dwindling; all-girl familiesare often high achievers. Thehusband's patience begins to wear thin. They leave my clinic with thefrown of those who will not come back
to me. I find out later that the woman"miscarried" in Bangalore.
8/6/2019 1 RMadhok (India) 2part
10/21
8/6/2019 1 RMadhok (India) 2part
11/21
ObjectivesObjectives
Context: general and healthEmerging health care trends
Critique of aboveSuggestions for the way forward
8/6/2019 1 RMadhok (India) 2part
12/21
E merging trends in health care inE merging trends in health care inIndiaIndia
8/6/2019 1 RMadhok (India) 2part
13/21
P overty and Social OpportunityP overty and Social OpportunityYet even a hundred Bangalores and
Hyderabads w ill not, on their own, solve Indias tenac ious poverty and deep-seated inequality.The very poor in India get a small and basic ally indirec t share of the c ake that information tec hnology and related developments generate. The removal of extreme poverty,c alls for more partic ipatory growth on a wide basis, whic h is not easy to ac hieve ac ross the same barriers of illiterac y, ill
health, unc ompleted land reforms and other sour c es of severe soc ietal inequality. The proc ess of ec onomic advanc e c annot be divor c ed from the c ultivation and enhanc ement of soc ial opportunities over a broad front.
8/6/2019 1 RMadhok (India) 2part
14/21
India Shinning
India is shining ok for the glossy magazines,but if you just go outside Bangalore you will seethat everything about India shining is refuted [In the villages] alcoholism is rife and femaieinfacticide and crime are rising. You have tobribe to get electricity, water. Yes, the middleand upper classes are taking off, but the 700million who are left behind, all they see is gloomand darkness and despair. They are born to fulfiltheir destiny and have to live this way and diethis way. The only thing that shines for them is
the sun, and it is hot and unbearable and toomany of them die of heatstroke.
8/6/2019 1 RMadhok (India) 2part
15/21
Health Care in India: summaryHealth Care in India: summaryassessmentassessment
SafetyTimeliness
EffectivenessEfficiencyEquitablePatient Centeredness
B asic health care is a privilege not a right
8/6/2019 1 RMadhok (India) 2part
16/21
Health Care in India: summaryHealth Care in India: summaryassessmentassessment
BU T..
Reasons to be optimistic
8/6/2019 1 RMadhok (India) 2part
17/21
Defining TrendsDefining Trends
Indian Economy is GLOBALISING
Indian Politics is REGIONALISING
Indian Society is LOCALISING
These are mutually reinforcing and positive trends..
8/6/2019 1 RMadhok (India) 2part
18/21
Objec tivesObjec tives
Context: general and healthEmerging health care trends
Critique of aboveSuggestions for the way forward
8/6/2019 1 RMadhok (India) 2part
19/21
Areas for collaborationAreas for collaboration
WIIIFM ( W hat I s I n I t F or M e) Test
Philanthropy
Money
Curiousity
8/6/2019 1 RMadhok (India) 2part
20/21
Need
Need
S upply
Supply
IndiaIndia
S painS pain
8/6/2019 1 RMadhok (India) 2part
21/21
Areas for collaborationAreas for collaboration
Intellectual capital:policymaking/insurance/management/IT
Workforce: Clinical and non-clinical
Goods/manufacturing: Equipment/Medicines
Infrastructure: Population base for R & D/PHsystem