While organ donation could help many patients in need of transplants, India's transplant system currently faces several challenges that limit access. The cost of transplants and lifelong immunosuppressant drugs is prohibitive for most Indians, as the government provides limited funding support and there are few affordable options. Expanding infrastructure, increasing government funding, and addressing high treatment costs are needed to make organ transplants accessible to more people in India.
NH mission is to deliver high-quality, affordable healthcare services to the broader population by leveraging economies of scale, skilled doctors, and an efficient business model
NH mission is to deliver high-quality, affordable healthcare services to the broader population by leveraging economies of scale, skilled doctors, and an efficient business model
Australia’s health system is best in the world, providing safe and reasonable health care for all Australians. Medicare is available to Australian Citizens, Permanent Residents in Australia
Railhealth Electronic Medical Record encompasses the information and capabilities required to support healthcare service delivery. This presentation gives you the information regarding the features, objectives and the benefits what doctor gets by using our EMR.
The Role of Hospital Management in Renovating Healthcare By Dr.Mahboob ali kh...Healthcare consultant
In a time of rapid change in the healthcare system, it’s no surprise that hospitals across the country are examining new patient care delivery approaches. In many cases, business professionals with management experience are driving innovation. According to me healthcare managers are the “missing link” when it comes to the debate surrounding healthcare reform. The skills and ideas that healthcare managers bring to the table provide a fresh approach with significant patient benefits.
Patient payment policy of BAINE countriesRuby Med Plus
Out-of-pocket (OOP) expenditure on health care has significant implications for poverty in many developing countries. The extent of direct payments for health services are producing severe consequences on both equity and efficiency, making health care services unaffordable for most people, and leading to underfunding of essential inputs. Even relatively modest out-of-pocket health expenditure frequently causes indebtedness and can lead to poverty. This study presents an outlook of the role of out-of-pocket payments for health services, formal and informal, in the Albania, Bangladesh, Eritrea, India and Nepal to generate and utilize evidences in broader understanding of patient payment policies. The main purpose of the study is to: (a) compare the health care systems of the countries based on patient payment policy perspectives (b) to analyze the differences and similarities that exist in regards to the role of out of pocket (formal & informal) in the countries. Based on reviewed literatures in five countries, the finding shows these all countries are low and upper middle income countries except Eritrea, which is a low income country. The health care systems vary from totally centralized (Albania, Eritrea, Bangladesh), Decentralized (India and Nepal). The coverage of Public Sector Social Health Insurance is non -existent in all the given countries except Albania and India. Regarding the private health insurance, the evidences show that there are limited private health insurance coverage in Nepal and Bangladesh and India; however no coverage in Eritrea, and around 53 % in Albania. In average, about 85 % of share of national health economy is contributed by out of pocket payment in each of these countries. In each of the countries, there is an exemption policy to alleviate the inaccessibility of groups in immediate needs of health care. The predominant effects of official fees are underutilization of health care especially among the vulnerable groups, poor quality of health to poor groups, inequity, over-prescription, increasing poverty, and creating fertile ground for informal payments and corruption.
Australia’s health system is best in the world, providing safe and reasonable health care for all Australians. Medicare is available to Australian Citizens, Permanent Residents in Australia
Railhealth Electronic Medical Record encompasses the information and capabilities required to support healthcare service delivery. This presentation gives you the information regarding the features, objectives and the benefits what doctor gets by using our EMR.
The Role of Hospital Management in Renovating Healthcare By Dr.Mahboob ali kh...Healthcare consultant
In a time of rapid change in the healthcare system, it’s no surprise that hospitals across the country are examining new patient care delivery approaches. In many cases, business professionals with management experience are driving innovation. According to me healthcare managers are the “missing link” when it comes to the debate surrounding healthcare reform. The skills and ideas that healthcare managers bring to the table provide a fresh approach with significant patient benefits.
Patient payment policy of BAINE countriesRuby Med Plus
Out-of-pocket (OOP) expenditure on health care has significant implications for poverty in many developing countries. The extent of direct payments for health services are producing severe consequences on both equity and efficiency, making health care services unaffordable for most people, and leading to underfunding of essential inputs. Even relatively modest out-of-pocket health expenditure frequently causes indebtedness and can lead to poverty. This study presents an outlook of the role of out-of-pocket payments for health services, formal and informal, in the Albania, Bangladesh, Eritrea, India and Nepal to generate and utilize evidences in broader understanding of patient payment policies. The main purpose of the study is to: (a) compare the health care systems of the countries based on patient payment policy perspectives (b) to analyze the differences and similarities that exist in regards to the role of out of pocket (formal & informal) in the countries. Based on reviewed literatures in five countries, the finding shows these all countries are low and upper middle income countries except Eritrea, which is a low income country. The health care systems vary from totally centralized (Albania, Eritrea, Bangladesh), Decentralized (India and Nepal). The coverage of Public Sector Social Health Insurance is non -existent in all the given countries except Albania and India. Regarding the private health insurance, the evidences show that there are limited private health insurance coverage in Nepal and Bangladesh and India; however no coverage in Eritrea, and around 53 % in Albania. In average, about 85 % of share of national health economy is contributed by out of pocket payment in each of these countries. In each of the countries, there is an exemption policy to alleviate the inaccessibility of groups in immediate needs of health care. The predominant effects of official fees are underutilization of health care especially among the vulnerable groups, poor quality of health to poor groups, inequity, over-prescription, increasing poverty, and creating fertile ground for informal payments and corruption.
Dr. Pervez had been invited to deliver a talk at S P Jain Institute, Goregaon...Urgent Care
While addressing a large gathering that consisted of Management students from the institute, delegates from RBI, NSE and other financial institutions, Dr. Pervez spoke on “Changing Financial Landscape – Healthcare Perspective”. The students and the delegates were in rapt attention as Dr. Pervez effortlessly threw light on how the healthcare industry has taken a 360* turn in the last decade, how the industry has grown and how it is now throwing up opportunities for career.
Narayana Hrudayalaya Heart Hospital - Cardiac Care For the PoorManeesh Garg
Based on case study "Narayana Hrudayalaya Heart Hospital: Cardiac Care for the poor" by Harvard Cases.
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1Running Head CRITICAL THINKING NEW HOSPITAL PROPOSALCR.docxfelicidaddinwoodie
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Running Head: CRITICAL THINKING: NEW HOSPITAL PROPOSAL
CRITICAL THINKING: NEW HOSPITAL PROPOSAL 2
Introduction
The system of healthcare in most of the countries is national based healthcare system whereby the government offers health care services to the public using governmental agencies. In Saudi Arabia for example, there are some growing private healthcare facilities. The government of many nations remains the full controller of the healthcare sectors both private and public. The private hospitals are both non-profit and profit for example in Saudi Arabia, most of these private hospital attracts several expats. Both the standards of both private and government hospitals are of more similarity. Some of the private healthcare facilities are of the world class but with poor health service delivery (Penm,2015).
Comparing and Contrasting the Legal Structure and Governance of the Profit and Non-profit international entities
Differences
The selected international entities include the Joint Commission International (non-profit), International Hospital Federation (non-profit) and the Kaiser Permanente (non-profit and profit). The legal structure of the Joint Commission International (JCI) follows the certification and accreditation of the hospital. The hospital must be evaluated first to see if the hospital complies with the standards and meets the activities needed by this entity. There are accreditation programs that any hospital must go through. This is then followed by the certification which can either be based on associated health care organization (Joint Commission, 2016). On the other hand, the International Hospital Federation requires a formal and documented request addressed to the Chief Executive Officer for one to be a member. The legal structure of Kaiser Permanente is consisting of two or three independent legal entities in each region of California (Finz, 2012). The applying employee must have been hired as a new Kaiser Permanente for an award-eligible post.
The governance of the International Hospital Federation is consisting of three organs i.e. the general assembly, governing council, and the executive committee. There are also the designated positions which consist of the president, chairman designate, immediate past president, treasurer, and the chief executive officer (International Hospital Federation, 2015). On the other hand, Kaiser Permanente is consisting of entities with each entity having its management and governance structure. There are regional entities and twelve Permanente Medical groups which were created by the Permanente Federation. The role of the Permanente is to standardized patient care as well as the performance (Finz, 2012). The governing of JCI is under the leadership of the President and the chief executive officer (Matt, 2011).
Advantages of the Entities
Join Commission International provides a wide variety of health care programs l ...
Estimates indicate that healthcare costs drive an additional 4% of Indian families, over 50 million people, into poverty each year.The challenge before us is not one of resources. As a country we are already spending more than enough money on healthcare; we produce almost all of the drugs that we need locally, at a fraction of global costs; we have the finest physicians and nurses; and our technological capabilities are internationally recognized. What we need is a health system that uses these resources effectively.
1. Keep Giving, Carry On Living
On Organ Donation Day today, a TOI reality
check underlines the need for govt to equip
states with infra and funds for the
country's transplant programme to be
accessible to all
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2.
3. Contd..
• However, even if there was a donor available for every patient who
needed an organ, gaps in the system starting from infrastructure
required to harvest the organ and transporting it, to the prohibitive
cost of the surgery would make transplant an inaccessible option
for bulk of these patients.
• Unlike many developed countries where the government or
insurance companies fund transplant surgeries, in India, most
patients have no help in financing the cost of the transplant. There
are very few transplant centres in the government sector which
could do it free or even at highly subsidised costs. Even if the
transplant itself is done free of cost the immunosuppresants that
the patient has to take for the rest of her life cost anything between
Rs 8,000 and 12,000 per month -not an expense that a large section
of the population would find affordable.
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4. Contd..
• According to Dr Anil Prasad Bhatt, senior consultant
nephrologist and transplant surgeon in Holy Family Hospital
in Delhi, compatible blood group kidney transplant can cost
anything between Rs 3.5 lakh and Rs 5.5 lakh which
includes the cost of preoperation patient evaluation.
“Today it is possible to do even incompatible blood group
kidney transplant.But it could cost as much as Rs 8-Rs 15
lakh.
• In the months following the transplant,
immunosuppressants alone could cost Rs 15,000 to 20,000
per month.At the end of one year the cost goes down to Rs
8,000 to 10,000 per month, which is roughly what the
patient has to spend for the rest of his or her life on
immunosuppressants,“ explained Dr Bhatt.
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5. Contd..
• In a government hospital for poor patients, such as AIIMS, the entire transplant
and accompanying costs like pre-transplant evaluation of a patient, dialysis and so
on are done free of cost. For Below Poverty Line (BPL) patients there is a National
Illness Assistance Fund which provides for the cost of one year of
immunosuppression. But after that the patient still has to be able to afford roughly
Rs 8,000 per month for immunosuppressants. AIIMS does roughly 150-200 kidney
transplants in a year and the waiting list is very long. A few other government
hospitals have a transplant programme but they have not picked up speed due to
various reasons such as shortage of trained surgeons, required infrastructure and
so on.
• When it comes to liver transplant, the cost is even more prohibitive. In the private
sector, the cost of the transplant package could vary from Rs 18 lakh to 26 lakh
depending on the centre. These packages cover only the transplant surgery , 13-18
days of hospitalisation and charges for a few postoperative consultations with the
doctor. It does not cover pre-operative tests which could cost Rs 1.5 lakh to Rs 2
lakh or the post-operative tests which could cost another Rs 1 lakh to 1.25 lakh.
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6. Contd..
• “Even after the transplant there are enormous costs in the first few
months such as tests to be done and immunosuppressants which
alone could cost about Rs 20,000 per month. After a year the cost
per month could drop to about Rs 10,000 a month,“ said the
brother of a liver transplant patient.
• In Delhi, there is just one hospital in the public sec tor doing quite a
few liver transplants, the Institute of Liver and Biliary Sciences
funded by the Delhi government. However, even here liver
transplant package could cost Rs 14 lakh without including preand
post-operative costs. AIIMS has only a cadaveric liver transplant
programme and does barely two or three in a year.
• Similarly, heart transplant costs at least Rs 16 lakh in the private
sector and, as with other organ transplants, patients have to take
immunosuppressants for the rest of their lives. With the public
sector offering no real alternative, most patients are forced to
access the private sector for transplants.
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7. Contd..
• “I got a kidney transplant two years back in a private hospital which
cost me Rs 5.76 lakh. As a transplant recipient, you have several
expenses such as the regular blood tests that have to be done every
two months other than the supplements and immunosuppressants
to be taken every day . Poor people cannot afford either the surgery
or the recurring cost every month and so they probably have to
decide against getting the transplant,“ asked Kirti Pareek who spoke
of meeting families who had sold their land to get their family
member treated.
• If no system is put in place by the government to help fund the cost
of transplants, India's organ transplant programme would become
one accessible only for a small section of those rich enough to
afford the surgery and treatment costs.
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8. This platform has been started by Parveen
Kumar Chadha with the vision that nobody
should suffer the way he has suffered
because of lack and improper healthcare
facilities in India. We need lots of funds
manpower etc. to make this vision a reality
please contact us. Join us as a member for a
noble cause.
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9. Our views have increased
the mark of the 1,81,500
Thank you viewers
Looking forward for franchise,
collaboration, partners.
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10. Contact us:- 011-25464531, 9818569476
E-mail:- nursingcrusade@gmail.com
We are also available on
Justdial New Delhi.
Nursing Crusade Earlier Known as
Nursing Hi Nursing
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