Health Policy

Download Better Health Systems for India's Poor: Findings, Analysis, by David H. Peters, Abdo S. Yazbeck, Rashmi R. Sharma, G. N. V. PDF

By David H. Peters, Abdo S. Yazbeck, Rashmi R. Sharma, G. N. V. Ramana, Lant H. Pritchett, Adam Wagstaff

This record specializes in overall healthiness region reform and descriptions a few huge measures for reform during this zone. It evaluates coverage innovations and provides the speculation and proof to aid those coverage offerings. This document additionally bargains particular proposals to enhance overall healthiness coverage and advance implementation throughout India. it's a made from large session and learn undertaken by way of greater than a dozen associations.

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The broker might also be more efficient. 3. Facilitate health-advocacy organizations independent of both public providers and private associations to work as consumer advocates Stimulate new organizations to become more active representatives of people’s concerns in the health sector. Such organizations hold the promise of greater participation by people in their health care, and could help raise accountability and performance of health services at relatively low costs. 4. Support professional self-regulation Use professional bodies to more actively regulate practitioners through measures such as continuing medical education, accreditation of providers and facilities, and providing means for redress of patient complaints.

The relative importance of these objectives shifts as the health status and other conditions of a country improve and evolve. That shift constitutes the health transition that is now emerging in India even as it struggles with the stagnation of its health status. When mortality is high and morbidity widespread, the primary objective is to improve life expectancy and health status by reducing avoidable health losses from malnutrition and from communicable and readily prevented or treated diseases of maternity, birth, and childhood.

This concern does not mean that public health services ought to be made available only to the poor; in fact, the emerging “two-track” health care system, in which the poor can afford to use only the public sector hospitals of lower quality while the rich can afford to choose the better-performing hospitals, which are usually in the private sector, may be the least effective way to protect the poor. Neither the public nor the private system can be considered acceptable until it addresses the large gaps in outcomes between the poor and rich on each of the three objectives.

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