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40 pages AuthorsKurian, Oommen C.Publication date29 May 2015PublisherOxfam IndiaSeriesOxfam Working PapersTypeWorking paper This paper explores available evidence, contextualises and maps the debate in India around financing healthcare for all. While the focus is on healthcare in response to current policy debates, Oxfam India recognises the crucial importance of adopting a holistic approach to health, addressing factors such as nutrition and sanitation, and broader social determinants of health.
Master's Thesis from the year 2019 in the subject Health - Public Health, grade: 7, , course: PUBLIC HEALTH, language: English, abstract: In India, healthcare costs are increasing and India’s health financing system is exacerbating economic burden on household because of health expenditure and influence treatment-seeking behaviors. As a result, health inequity and unequal access, come up as the main concern for the Indian Health care system. This study aims to report the bottlenecks in health financing functions resulting in financial barrios in health care access. Literature review and desk study were done by reviewing, analyzing the data from national health account and National Family Health Survey conducted during 2012-13 to 2015-16 and analysis of studies done on health system and Health financing functions in India were included. The OASIS framework used to guide the study.
With a low Tax to GDP ratio of only 17%, despite allocating 10% of its revenues to healthcare, India will be unable to finance all of her healthcare needs from public expenditures. Therefore, the only way to ensure that all of her citizens get good healthcare, is for the Indian government to emerge as a single payer and design a high quality, primary care centric health care system which is free for all citizens at the point of service, whether provided by the public or the private sector. Such a health system would incorporate features such as gatekeeping at the primary care level so that all citizens are able to visit hospitals only if they have been referred to them by their primary care providers and would require participating healthcare networks to bear risk directly instead of transferring them to insurance companies. The government would use its general revenue resources to pay the premium for those that are poor and the non-poor would be required to mandatorily enrol themselves into this health system by paying the necessary premium upfront to the government.
In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
This book analyzes the historical development and current state of India's healthcare industry using some interesting case studies.
This book presents the first comprehensive review of all major government-supported health insurance schemes in India and their potential for contributing to the achievement of universal coverage in India are discussed.
Health crises plague most economies irrespective of their average per capita income levels, and this is largely due to chronic and repeated illnesses. Contextualizing this paradigm in India, India Public Finance and Policy Report: Health Matters is an attempt to discuss some of the most crucial issues faced by Indian health sectors and to examine alternatives for policymakers to provide affordable, reliable, and effective healthcare facilities to the people. This report compares three government-run social health insurance schemes—the Swasthya Sathi Scheme, the Aarogyasri Community Insurance Scheme, and a community-based health insurance scheme—to examine their effectiveness in reducing households’ vulnerability to health shocks. Additionally, it brings to light the manipulation of health package deals by private hospitals to increase the amount patients spend on them. The report also estimates the inefficiencies across states and districts of India with regard to healthcare personnel and infrastructure. Moreover, the editors have put together a series of interviews with different stakeholders associated with the healthcare system, such as doctors, nurses, patients, and medical representatives, who discuss the problems that perturb this sector. Written in a lucid and non-technical language, this is a deeply researched theoretical and empirical commentary about healthcare and public polices in India.
Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.