India’s health care system is one of the most privatised in the world. Thanks to policy of the government to encourage the growth of the private sector, especially since the 1990s, the share of private sector in various components of health care in India is very high. There's still hope if we care to promote private practitioners without weakening public sector.
Overall in India, we have 35,416 government hospitals which have 13,76,013 beds. But unfortunately merely 2℅ of the doctors serves in rural India, which comprises 68% of our population.
Overall in India, we have 35,416 government hospitals which have 13,76,013 beds. But unfortunately merely 2℅ of the doctors serves in rural India, which comprises 68% of our population.
India is a union of 29 states and 7 union territories. Under the constitution of India, the states are largely independent in matters relating to the delivery of health care to the people. Each state, therefore, has developed its own system of health care delivery, independent of the central Government. The central responsibility consists mainly of policy making, planning, guiding, assisting, evaluating and coordinating the work of the State Health Ministries, so that health services cover every part of the country, and no State lags behind for want of these services
Healthcare is a major part of every country's development platform. By healthcare we are in fact protecting the most important driver of development. Healthcare systems are primarily safe guarding the development core engine and are the best means of sustainable development.
“Sarvé bhavantu sukhinaḥ, sarvé santu nirāmayāḥ, Sarvé bhadrāṇi pashyantu, mā kashchid_duḥkha-bhāg-bhavét”. The meaning of this Sanskrit Sloka is “All should/must be happy, be healthy, see good; may no one have sorrow. Mahatma Gandhi also says, “It is health which is real wealth, and not pieces of gold and silver”. Without robust health nobody can do anything. WHO emphasized on “Health for all” in this 21st Century in Geneva Conference in 1998. Government of India also committed to the goal of ‘Health for All’. WHO defined “health” as "State of complete physical, mental, and social well being, and not merely the absence of disease or infirmity". There are strong linkages between population, health and development. India’s health challenges are not only huge in magnitude due to its large population but they are complex due to its diversity and the chronic poverty and inequality. There are extreme inter-state variations, caused by not only the cultural diversity but because -the states are at different stages of demographic transition, epidemiological transition and socio economic development. Along with the old problems like persistence of communicable diseases and high maternal mortality in some parts, there is an urgent need to address the emerging issues like the threat of non-communicable diseases, HIV (AIDS) and health problems of the growing aged population. Accelerating demographic transition is not only necessary for the population stabilization but it is closely related to health goals. Despite substantial improvements in some health indicators in the past decade, India contributes disproportionately to the global burden of disease, with health indicators that compare unfavorably with other middle-income countries and India's regional neighbours. Large health disparities between states, between rural and urban populations, and across social classes persist. A large proportion of the population is impoverished because of high out-of-pocket health-care expenditures and suffers the adverse consequences of poor quality of health care. The obligation of the Government of India is to ensure the highest possible health status to its population and access to quality health care has been recognized by a number of its key policy documents. This paper attempts to study the over view of health care in India.
Key words: Health Care, National Health Policy, Access, Affordability, Equity, Urban Vs Rural-------------
India is a union of 29 states and 7 union territories. Under the constitution of India, the states are largely independent in matters relating to the delivery of health care to the people. Each state, therefore, has developed its own system of health care delivery, independent of the central Government. The central responsibility consists mainly of policy making, planning, guiding, assisting, evaluating and coordinating the work of the State Health Ministries, so that health services cover every part of the country, and no State lags behind for want of these services
Healthcare is a major part of every country's development platform. By healthcare we are in fact protecting the most important driver of development. Healthcare systems are primarily safe guarding the development core engine and are the best means of sustainable development.
“Sarvé bhavantu sukhinaḥ, sarvé santu nirāmayāḥ, Sarvé bhadrāṇi pashyantu, mā kashchid_duḥkha-bhāg-bhavét”. The meaning of this Sanskrit Sloka is “All should/must be happy, be healthy, see good; may no one have sorrow. Mahatma Gandhi also says, “It is health which is real wealth, and not pieces of gold and silver”. Without robust health nobody can do anything. WHO emphasized on “Health for all” in this 21st Century in Geneva Conference in 1998. Government of India also committed to the goal of ‘Health for All’. WHO defined “health” as "State of complete physical, mental, and social well being, and not merely the absence of disease or infirmity". There are strong linkages between population, health and development. India’s health challenges are not only huge in magnitude due to its large population but they are complex due to its diversity and the chronic poverty and inequality. There are extreme inter-state variations, caused by not only the cultural diversity but because -the states are at different stages of demographic transition, epidemiological transition and socio economic development. Along with the old problems like persistence of communicable diseases and high maternal mortality in some parts, there is an urgent need to address the emerging issues like the threat of non-communicable diseases, HIV (AIDS) and health problems of the growing aged population. Accelerating demographic transition is not only necessary for the population stabilization but it is closely related to health goals. Despite substantial improvements in some health indicators in the past decade, India contributes disproportionately to the global burden of disease, with health indicators that compare unfavorably with other middle-income countries and India's regional neighbours. Large health disparities between states, between rural and urban populations, and across social classes persist. A large proportion of the population is impoverished because of high out-of-pocket health-care expenditures and suffers the adverse consequences of poor quality of health care. The obligation of the Government of India is to ensure the highest possible health status to its population and access to quality health care has been recognized by a number of its key policy documents. This paper attempts to study the over view of health care in India.
Key words: Health Care, National Health Policy, Access, Affordability, Equity, Urban Vs Rural-------------
Each year, the OHE sponsors a lecture that explores a timely issue in medicine or health economics. At the 22nd Annual Lecture, the issues and challenges of universal health care coverage in low- and middle-income countries were presented by Professor Anne Mills of the London School of Hygiene and Tropical Medicine.
The audio of this lecture now is available at http://news.ohe.org/2014/08/19/annual-lecture-2014-universal-health-coverage/
CARESOFT an Information technology company offering Computer software, IT services and IT consulting to our clients worldwide.
Health Industry being our prime domain CARESOFT provides Intelligent Healthcare Solutions to healthcare Verticals such as Hospitals, Specialty Clinics, Nursing Homes , Diagnostic Centers and Research Care Institutes among others.
We have 8 + years of domain expertise in healthcare processes & software systems and a huge satisfied client base of 300 + Healthcare organizations who have benefited from our solutions.
Sibyl HIMS: Hospital Information & Management SystemAmarnath Gupta
SibylHIMS - The Hospital Information Management System (ERP) offered by us collectively brings the most up-to-date technologies and fine administrative processes to effectively streamline various key processes inside a hospital.
SibylHIMS is the only solution available in global market which caters to both the business need – Hospital Management and Medical/Clinical Practice.
SibylHIMS - the Hospital Information Management System (ERP) offered by us collectively brings the most up-to-date technologies and fine administrative processes to effectively streamline various key processes inside a hospital.
SibylHIMS is supported by a strong team of medical professionals and a large team of management and developers, all with the common goal of making SibylHIMS a superior clinical and hospital management solution.
Japan’s health care system is a source of great pride for the country. Japan attained universal health coverage over 50 years ago and the country's health outcomes are some of the best in the world by many measures, while health care spending is at relatively low levels.
Despite the many positive aspects of the system, it faces challenges. The demographic wave of rising numbers of elderly will put new pressures on the care delivery system and the nation’s budget. Moreover, the country has high utilization of many health care services, care delivery is often fragmented, and measures of quality are not commonly available or necessarily used for continuous improvement. How will Japan address these issues and manage the health care needs and rising costs of its aged and still aging society? What can other countries, such as the United States, learn from the Japanese experience, and can new care delivery innovations taking place around the globe help address Japan's challenges?
This is a simple presentation about Hospital Information System. The following are the contents.
1) What is Hospital Information System?
2) Problems associated with traditional paper based systems.
3) Purpose of Hospital Management System
4) Functions
5) How it works?
6) System Requirements
7) Advantages
This is my first upload, hope you like it.
Running header THE CURRENT FINANCIAL ENVIRONMENT IN HEALTHCARE AN.docxjeffsrosalyn
Running header: THE CURRENT FINANCIAL ENVIRONMENT IN HEALTHCARE AND ITS INFLUENCE ON DECISION MAKING
1
THE CURRENT FINANCIAL ENVIRONMENT IN HEALTHCARE AND ITS INFLUENCE ON DECISION MAKING
2
The Current Financial Environment in Healthcare and its Influence on Decision Making
It is essential that healthcare managers understand the external factors that have a profound influence on the practice of healthcare finance. A key factor to understanding healthcare finance is the knowledge of all the different and unique setting that provide health services. Healthcare services are provided in numerous settings, including hospitals, ambulatory care offices and clinics, long-term care facilities, and integrated delivery systems.
Hospitals afford diagnostic and therapeutic services to those who need more than several hours of care. Hospitals must be licensed by the state and undergo inspections for compliance with state regulations (Gapenski 2013). Most hospitals are accredited by The Joint Commission, which is intended to promote high standards of care. Accreditation provides eligibility for participation in the Medicare and Medicaid programs.
Hospitals are classified as either general acute care facilities or specialty facilities. General acute care facilities provide general medical and surgical services and selected acute specialty services (Gapenski 2013). These facilities account for most hospitals and have comparatively short spans of stay. Specialty hospitals limit the admission of patients to specific ages, sexes, illnesses, or conditions (Gapenski 2013). Specialty hospitals frequently sustain lower expenses than general hospitals because they do not need the overhead connected with providing various diverse forms of care and services.
Hospitals are classified by proprietorship as governmental, private not-for-profit, or investor owned. Government hospitals constitute 25% of all hospitals and are divided into federal and public entities. Federal hospitals serve special purposes such as DOD and VA hospitals. Public hospitals are funded wholly or in part by a city, county, tax district, or state. Federal and Public hospitals provide substantial services to indigent patients (Gapenski 2013). Private not-for-profit hospitals are nongovernment entities organized for the sole purpose of providing inpatient healthcare services (Gapenski 2013). Roughly 80% of all private hospitals are not-for-profit entities and 60% of all hospitals are private hospitals. For serving a charitable purpose, these hospitals obtain several benefits, including exemption from federal and state income taxes, exemption from property and sales taxes, eligibility to receive tax-deductible charitable contributions, favorable postal rates, favorable tax-exempt financing, and tax-favored annuities for employees. The residual 15% of all hospitals are investment-owned hospitals, whose titleholders profit directly from the revenues created by .
Case study on establishing low cost hospitals in 4 states with low health ind...Shubhenduchakravorty
This Case Study was created for a specific purpose of exploring a model to establish and clarify operational details of Low Cost Healthcare Hospitals in the States of Bihar, Jharkhand, Chhattisgarh and Madhya Pradesh. The name of the Hospital and the base presumptions are fictitious. However, all data used in the Case Study and the Models are genuine and referred from various sources.
The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents is an initiative designed to improve care for people living in nursing facilities who are enrolled in Medicare and Medicaid.
Through this initiative, CMS will partner with independent organizations to improve care for long-stay nursing facility residents. These organizations will collaborate with nursing facilities and States to provide coordinated, person-centered care with the goal of reducing avoidable hospital stays.
In this webinar, staff from the Medicare-Medicaid Coordination Office (MMCO) and the CMS Innovation Center will provide an overview of the initiative, and offer information about how to apply.
More at: http://innovations.cms.gov/resources/Duals_rahnfr_apply.html
- - -
CMS Innovation
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
PPP in Healthcare- An Indian Perspective, World Bank MOOC, By Saurav Kumar Dassauravkumar das
Having undertaken this course in the “Policy and Practice Track” I intend the presentation to be of value to policy makers and ground level stakeholders in the healthcare sector. The main purpose of the presentation was to provide the major challenges and opportunities for Healthcare PPPs in the Indian context. I envisage it to be of help for government agencies as well as private healthcare players. It would also be helpful to researchers and NGOs who are working in the healthcare sector. The presentation dives deep into the different PPP models and highlights some of the success stories under each model. It also touches upon certain key risks and drivers of success under challenging circumstances.
Chapter 3 - Managing Healthcare in SingaporeGoh Bang Rui
Follow me on slideshare.
http://www.slideshare.net/gohbangrui
These slides are used to illustrate the healthcare system in Singapore. Ranging from Medisave to Restructuring of Hospitals in Singapore, these slides aim to teach the concept of Singapore healthcare in the new Social Studies Secondary Three syllabus. At the end of the slides, they provide a brief snapshot of the healthcare system of Singapore using the various measures such as Medisave, Medishield and Medifund.
Any comments are welcome. Thank you.
Private Contracting for Universal Health Coverage Short version.pdfAlaa Hamed
This presentation was provided in February 2024 during a health economics course organized by the Egypt Health Authority. The presentation is divided into three parts. The first part focuses on alignment of the private sector engagement with the goals of universal health coverage. The second focuses on presenting what strategic purchasing means and its difference from passive purchasing and how contracting is one of the strategic purchasing functions. The third focuses on contracting the private sector for universal health coverage providing a definition for contracting and presenting the key types of contracting: Entry contracts, Services contracts and Concessions.
If Indian Healthcare Insurance is covered to even half the population, India’...Healthcare consultant
Imagine India, If the Healthcare Insurance is covered to even half the population, India’s ranking in the World will increase!
Government Regulation to curb sky-rocketing expenses of Private Hospitals will be a Big Relief to the Rising Indian Middle Class!
India has double digit medical inflation. On the other hand, health cover is not adequate, and even employers’ health cover is insufficient in many cases, and individuals end up paying from their own pockets many a times. And, even though the premiums for health insurance have remained relatively stagnant, it has been mainly thanks to competition among the insurers. According to the report: Over the last four years, premiums of most insurers have increased only once – in 2014 – over the previous year, reflecting a CAGR of 2.79% (for sum insured of Rs 2,00,000 and Rs 3,00,000) and 3.29% (for sum insured Rs 5,00,000 and Rs 10,00,00).
95% of middle-class Indians do not have enough health insurance.
QUESTION 11. What government program was designed to cover medic.docxmakdul
QUESTION 1
1. What government program was designed to cover medical expenses for the indigent who cannot afford to pay for health services?
Medicare
Medicaid
Social Security
Affordable Care
5 points
QUESTION 2
1. Consumer demand was the catalyst for the creation of community based programs
True
False
5 points
QUESTION 3
1. Who owns and operates the overwhelming majority of assisted living facilities?
for profit organizations
not for profit organizations
managed care organizations
the government
5 points
QUESTION 4
1. The long-term care system works best when it maintains its focus on medical treatment, rather than being distracted by quality of life and other non-medical or non-clinical services.
True
False
5 points
QUESTION 5
1. Why does subacute care appeal to reimbursers such as Medicare, MCOs, and private insurance companies, as an option to hospitalization?
The clear regulations make them easier to work with
The lack of regulations allows the reimburser to set rates
The reimburser has mre control over the services that are provided
They provide required services for consumers at a lower cost
5 points
QUESTION 6
1. One difference between subacute care and postacute care is that subacute care provides outpatient services, while postacute care provides inpatient services.
True
False
5 points
QUESTION 7
1. An admission to a nursing facility for a consumer who cannot remain at home because of disabilities or care needs would best be categorized as a:
choice-based admission
Family-initiated admission
need-driven admission
MD initiated admission
5 points
QUESTION 8
1. Whether a subacute care unit is freestanding or physically housed within a larger facility, it will most likely be affiliated with, or even owned and operated by, a hospital or nursing facility.
True
False
5 points
QUESTION 9
1. A residential setting for seniors that might provide supportive services is called
Assisted living
Independent living
Nursing Home
Continuing Care Retirement Community
5 points
QUESTION 10
1. Rather than simply maintain their current quality of life, most seniors moving into senior housing want their quality of life to improve.
True
False
5 points
QUESTION 11
1. A senior housing complex that is built by a municipality to serve the needs of its citizens is an example of a facility that is:
publicly owned
owned by for profit investors
privately owned
owned by an MCO
5 points
QUESTION 12
1. Medicare reimbursement is available for certified home health and hospice care providers, but not for adult day care.
True
False
5 points
QUESTION 13
1. The basic philosophy of home health care is to:
provide services for both the patient and the caregiver
approach health care in a holistic manner
take the healthcare services to the consumer
give comfort and support to the patients and his or her family
5 points
QUESTION 14
1. Since assisted living faciliti ...
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
2. Govt should ensure that health benefits are
Accessible
Affordable &
Acceptable to all
3. HURDLES
FACED BY
THE HEALTH
CARE
SECTOR
Monopolised by corporate
sector
Public health care system
is not well equipped
Most government policies
geared towards private
sector
Most of the MBBS doctors
join private hospitals
5. would be needed in
urban India in coming
5 to 10 years to
achieve the goal of
one doctor per
thousand population
5 lakh
doctors
6. employed in urban
public health centres
currently while 95%
are in the private
sector
60,000
doctors
7. SOLUTIONS :
• Certain private facilities can be contracted & given a
public character
• Private doctors & corporations can be an extension of
public system
• Oversight by community and civil society
8. Obligatory
for all
health
providers
to:
Uphold
patients’
human
rights
Have a just
redressal
system
9. Non-profit
health care
facilities
including
religious trusts
Private general
practitioners
Small private
hospitals edged
out by big
corporates
Private as an ally
10. Approaches to non-profit sector
There is a need to
bring in a degree
of socialization
They should not be
allowed to avail
subsidies without
providing free or
concessional
services
The Trust deed
should list the
main objectives
11. Approaches to general practitioners
Regulate their
location, quality
and pricing
Contract them
into publicly
managed
system on lines
of NHS in UK
Ensure no
corruption in
such insourcing.
12. Approaches to small private hospitals
Already feel
threatened by the
big large corporate
hospitals
Involve them in
public sector with
clear contracts
specifying their
services
Ensure proper
regulatory and
monitoring system
13. Internal
functioning of all
private facilities
need to be
democratised
Staff should
have adequate
say in the
functioning
Trade unions or
associations of
employees can
be an ally in
demanding
regulation
Streamline
private