Today the healthcare system stands at the crossroads. Nevertheless, the last decade has seen a bloom in the healthcare industry especially in areas like telemedicine, medical tourism. The delivery system, both private and public remains elusive to the sections of society requiring healthcare This presentation reflects on the current state of the Indian healthcare system.

1. Public Healthcare vs Private Healthcare in
India
A Systematic Review
By: Dr Unnati Kalwani
MBA HA(2 years) Ist Sem
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2. Table of Contents
 Introduction
 Overview and trends in healthcare sector in India
 Purpose of Review
 Review of literature
 Comparison of Private vs Public Healthcare
 Patient’s point of view
 Health care sector current scenario
 Conclusion
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3. Introduction
 Since Independence, healthcare in India has been
challenged by the issues of accesiblity and affordabilty.
 Today the healthcare system stands at the crossroads.
Nevertheless, the last decade has seen a bloom in the
healthcare industry especially in areas like telemedicine,
medical tourism.
 The delivery system, both private and public remains
elusive to the sections of society requiring healthcare
 This presentation reflects on the current state of the
Indian healthcare system.
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4. 4

5. 5

6. Purpose of Review
• After independence India laid down a stress on Primary Health
Care(PHCs) but was unable to meet the healthcare demands of
the population.
• The government hence started facilitating private sector in health
care.
• Quality is considered as one of the most important factors in
differentiation and excellence of services and it is a basis of
competititve advantage so that its understanding, measuring and
developing it are important challenges for all health services
organization.
• So our purpose is o study the difference in patient satisfaction of
quality service between public and private hospitals
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7. Review of Literature
 Rameshan(2004),aimed to study the quality of service of
primary health centres.
 He reveals that the services rendered by PHCs are deficient
in many respects in the perception of customers and
community members of the villages and that the doctors and
the staff are unable to redress adequately the grievances
raised by villagers.
 Caha(2007), indicates that patient’s perception towards the
private hospitals was more due to believe that they provide
qualitative health service.
 But large number of patients complains about services
given by private hospitals as there are long waiting hours
and about the consultation time given to them and increased
cost of services.
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8.  Anand and Sinha(2008), investigated the need of cognitive
intermediation , which is likely to define core competence of
health care organizations in India.
 Adjusted segment characterized by higher literacy level,
higher standard of living, high level of health workers visit
and medium/high media exposure.
 Neglected and marginalized segment is characterized by the
highest level of illiteracy, higher proportion of non hindu,
not visited by health workers visits, low women autonomy,
low media exposure.
 Singh(2010), concluded that the important reasons to visit
government hospital are fewer charges, geographical
proximity, recommended by their friends or relatives.
 Patients are found to be highly dissatisfied with the doctors,
overall hygiene, and condition of basic amenities.
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9.  Shah et al(2010), indicates that the deficiencies in the
public health delivery system of India, was the key to
growth of private infrastructure in health care.
 The shift of hospital industry for welfare orientation to
‘business orientation’ was marked by the advent of
corporate hospitals, supported by various policy level
initiatives made by the government.
 He concluded that in contrast to contemporary belief,
quality of medical care doesn’t seem to be the leading cause
for preference of the private sector.
 Except for a few select corporate and trust hospitals, quality
of medical care in private sector seems to be and at times
compromised.
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10. 10

11. ADVANTAGES
Private Healthcare
 Thanks to their smaller size,
they are more equipped to
offer personalized care.
 Instead of being responsible
for dozens of patients, nurses
usually only have a few to care
for at a time.
 They tend to stay on the
cutting edge of technology
more easily than public
hospitals, and they often have
upscale amenities that make
them feel more like nice hotels
than hospitals.
 Wait times tend to be short,
and doctor-to-patient ratios are
usually excellent.
Public Healthcare
 Public hospitals can't turn anyone
away, so you're sure to receive
treatment when you visit one.
 Because they are publicly funded
and not for profit, they are usually
a lot more affordable than private
hospitals.
 Due to their size, they also usually
have a lot more beds than private
hospitals
 They are accessible to a larger
population geographically and
also affordability wise.
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12. DISADVANTAGES
Private Healthcare
 They often only accept limited
forms of insurance.
 They have the right to refuse to
treat anyone who they don't think
can pay.
 They also tend to be more
expensive in general.
 Finally, they usually have very
limited numbers of bed.
Public Healthcare
 Their sheer size is a big one.
 Although they have way more
employees than private hospitals,
patient-to-doctor ratios doesn’t
tend to be very good.
 You are almost certain to wait
when visiting the ER. Depending
on the time of day and the nature
of your emergency, you could
wait for hours before being seen.
 There isn't e much in the way of
personalized care because nurses
are often overloaded with patients.
After all, public hospitals can't
refuse anyone.
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13. From the Patient’s Point of View
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15. CONCLUSION
• India has a vast health care system, but there remain many
differences in quality between rural and urban areas as well
as between public and private health care.
• Healthcare between states and rural and urban areas is
vastly different.
• Rural areas often suffer from physician shortages, and
disparities between states mean that residents of the
poorest states, like Bihar, often have less access to adequate
healthcare than residents of relatively more affluent states.
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16. • Lack of adequate coverage by the health care system in India
means that many Indians turn to private healthcare
providers, although this is an option generally inaccessible to
the poor.
• Deliberation of the current state of indian healthcare is an
integral step to begin with. This will help in identifying gaps
and a structured approach under the policies being penned
down.
• Government has taken several initiatives such as RSBY to
help improve medical insurance coverage and providing
medicines at a cheaper cost but it still has a long road to go.
16Conclusion contd…

17. THANKYOU
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