Healthcare Ishan Amit Iim Indore
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View Healthcare Ishan Amit Iim Indore as PDF for free.
More details
- Words: 731
- Pages: 11
Ishan Amit IIM Indore
1947 – 1970s
I
Largely Govt./Para Govt. Seen as Social/ charitable activity Private activity limited to Individuals Patients travel long distance for simple diseases
1980s-1991
Mushrooming of nursing homes (2-20 beds) First signs of Corporate activity- Apollo, Escorts, etc. Adoption of technology & emergence of subspecialties Patients travel long distance for secondary care
1991-2008
Middle class emergence and need for high medical & service standards Private insurance companies began operations No. of corporates grew multi-fold but still no. of hospitals > 200 beds = 2% Patients travel long distance for only sub-specialties
2
Life Expectancy at birth (years)
59
63
1991
2005
72
73
2005
2005
78
78
2005
2005
85
66
50 32
1951
1981
INDIA
Brazil
China
2005
Russia
US
UK
2005
Japan
Infant Mortality Rate (per 1,000 live births) 146 110 80 56 28
1951
1981
INDIA Source: FICCI & E&Y report 2008
1991
2005
2005
Brazil
23
2005
China
11
6.5
5.2
2.8
2005
2005
2005
2005
Russia
US
UK
Japan 3
•Health care structure in the country is over-burdened by increasing population •Economic deprivation in a large segment of population results in poor access to health care •Poor educational status leads to non-utilization of scanty health services and increase in avoidable risk factors •India ranks low amongst world nations judged by HDI •Lack of education, gender inequality and explosive growth of population contribute to increasing burden of disease •India faces high burden of disease because of lack of environmental sanitation and safe drinking water, under-nutrition, poor living conditions, and limited access to preventive and curative health services •Expenditure on health by the Government continues to be low. It is not viewed as an investment but rather as a dead loss! •Lack of accountability for the current initiatives
Accessibility
Reliability
Affordability
Increase accessibility
Focus on Preventive Health
Govt. to graduate to become Buyers of Healthcare
Safeguard quality of Healthcare Suppliers
•A performance incentive plan that targets specific treatment parameters •Develop multi-specialty group practices that have their incentives aligned with those of hospitals and payers
Incentives
•Encourage business schools to develop executive training programmes in healthcare, which will effectively reduce the talent gap for leadership in this area •Revise the curriculum in medical, nursing, pharmacy and other schools that train healthcare professionals, so that they too are trained in the new paradigm •Develop and implement national standards for examination by which doctors, nurses and pharmacists are able to practice and get employment
Markets
Accessibility
Talent
Rapidly develop and implement national accreditation of hospitals Increase accountability in the current hospitals
PPP
Develop partnerships between the public and private sectors that design newer ways to deliver healthcare. An example of this would include outpatient radiology and diagnostic testing centres
• Create an infrastructure to support basic levels of hygiene
Govt.
• Establish effective and comprehensive immunization programs • Encourage healthy lifestyles – fiscal/non-fiscal: Teach them young!
Insurance companies
• Carrot & stick approach: Encourage policyholders to follow healthy lifestyles and go in for preventive health checks and early diagnosis
Corporate Buyers
• Reward and Recognition for Lean/weight within limit employees • Provide low calorie content food in company cafeteria • Take up social campaigns
NGOs
- Anti-smoking - Benefits of daily exercise - Promotion of natural and healthy food - Promoting healthy life style from early life is a ‘no cost’ intervention which needs to be incorporated in school curricula. There is need for increasing public awareness of the benefits of healthy life style
Provider – Secondary & Tertiary care
Provider – Primary & Preventive care
Buyers of Healthcare
• Innovative insurance schemes for the poor – e.g. in India, GoI has started Rashtriya Swasthya Bima Yogana (RSBY)
Approach
Clinical Practices
Availability of information
High Quality is ensured !
Risk based monitoring & audits
Enhance productivity of processes
Existing infrastructure for health care needs to be strengthened. Health should be perceived as an investment and receive greater budgetary allocation Education, safe water and sanitation need priority Vaccination coverage needs to be improved Better implementation of national health programs Judicious use of the scant resources by promoting most cost-effective strategies for disease prevention Inclusion of all level of stakeholders in planning and policy making using tremendous human resource available in the country
1947 – 1970s
I
Largely Govt./Para Govt. Seen as Social/ charitable activity Private activity limited to Individuals Patients travel long distance for simple diseases
1980s-1991
Mushrooming of nursing homes (2-20 beds) First signs of Corporate activity- Apollo, Escorts, etc. Adoption of technology & emergence of subspecialties Patients travel long distance for secondary care
1991-2008
Middle class emergence and need for high medical & service standards Private insurance companies began operations No. of corporates grew multi-fold but still no. of hospitals > 200 beds = 2% Patients travel long distance for only sub-specialties
2
Life Expectancy at birth (years)
59
63
1991
2005
72
73
2005
2005
78
78
2005
2005
85
66
50 32
1951
1981
INDIA
Brazil
China
2005
Russia
US
UK
2005
Japan
Infant Mortality Rate (per 1,000 live births) 146 110 80 56 28
1951
1981
INDIA Source: FICCI & E&Y report 2008
1991
2005
2005
Brazil
23
2005
China
11
6.5
5.2
2.8
2005
2005
2005
2005
Russia
US
UK
Japan 3
•Health care structure in the country is over-burdened by increasing population •Economic deprivation in a large segment of population results in poor access to health care •Poor educational status leads to non-utilization of scanty health services and increase in avoidable risk factors •India ranks low amongst world nations judged by HDI •Lack of education, gender inequality and explosive growth of population contribute to increasing burden of disease •India faces high burden of disease because of lack of environmental sanitation and safe drinking water, under-nutrition, poor living conditions, and limited access to preventive and curative health services •Expenditure on health by the Government continues to be low. It is not viewed as an investment but rather as a dead loss! •Lack of accountability for the current initiatives
Accessibility
Reliability
Affordability
Increase accessibility
Focus on Preventive Health
Govt. to graduate to become Buyers of Healthcare
Safeguard quality of Healthcare Suppliers
•A performance incentive plan that targets specific treatment parameters •Develop multi-specialty group practices that have their incentives aligned with those of hospitals and payers
Incentives
•Encourage business schools to develop executive training programmes in healthcare, which will effectively reduce the talent gap for leadership in this area •Revise the curriculum in medical, nursing, pharmacy and other schools that train healthcare professionals, so that they too are trained in the new paradigm •Develop and implement national standards for examination by which doctors, nurses and pharmacists are able to practice and get employment
Markets
Accessibility
Talent
Rapidly develop and implement national accreditation of hospitals Increase accountability in the current hospitals
PPP
Develop partnerships between the public and private sectors that design newer ways to deliver healthcare. An example of this would include outpatient radiology and diagnostic testing centres
• Create an infrastructure to support basic levels of hygiene
Govt.
• Establish effective and comprehensive immunization programs • Encourage healthy lifestyles – fiscal/non-fiscal: Teach them young!
Insurance companies
• Carrot & stick approach: Encourage policyholders to follow healthy lifestyles and go in for preventive health checks and early diagnosis
Corporate Buyers
• Reward and Recognition for Lean/weight within limit employees • Provide low calorie content food in company cafeteria • Take up social campaigns
NGOs
- Anti-smoking - Benefits of daily exercise - Promotion of natural and healthy food - Promoting healthy life style from early life is a ‘no cost’ intervention which needs to be incorporated in school curricula. There is need for increasing public awareness of the benefits of healthy life style
Provider – Secondary & Tertiary care
Provider – Primary & Preventive care
Buyers of Healthcare
• Innovative insurance schemes for the poor – e.g. in India, GoI has started Rashtriya Swasthya Bima Yogana (RSBY)
Approach
Clinical Practices
Availability of information
High Quality is ensured !
Risk based monitoring & audits
Enhance productivity of processes
Existing infrastructure for health care needs to be strengthened. Health should be perceived as an investment and receive greater budgetary allocation Education, safe water and sanitation need priority Vaccination coverage needs to be improved Better implementation of national health programs Judicious use of the scant resources by promoting most cost-effective strategies for disease prevention Inclusion of all level of stakeholders in planning and policy making using tremendous human resource available in the country
Related Documents
Healthcare Ishan Amit Iim Indore
June 2020 1
Healthcare Karthik R Iim Indore
June 2020 6
Gd-pi Iim Indore
December 2019 11
Sports Vivekmenon Iim Indore
June 2020 5
Irrigation C Anand Iim Indore
June 2020 5