THE PRIVATE PUBLIC MIX IN HEALTH-CARE IN INDIA
THE PRIVATE PUBLIC MIX IN HEALTH-CARE IN INDIA
复制标题
DOI：
10.1093/heapol/8.1.43
复制
发表时间：
1993-03-01
影响因子：
3.2
通讯作者：
BHAT, R
中科院分区：
文献类型：
--
作者：
BHAT, R
私立医院和私人医生在印度提供医疗保健服务方面发挥着重要作用。随着医疗保健需求的增加，该领域的机构在城市和农村地区广泛扩展。患者和私人医生之间的关系在很大程度上影响着人们对医疗保健的感知和实际需求。这种关系预计将在疾病模式的控制和管理中发挥重要作用。然而，该部门的发展引发了人们对资源效率、公平性和设施获取以及支持私人医疗保健的融资机制的可用性的担忧。此外，该部门的资源使用效率直接影响服务的成本和质量。因此，这些医疗保健机构的存在对印度医疗保健系统的现状及其未来发展方向具有深远的影响。本研究的目的是回顾印度私营医疗保健部门的作用及其产生的政策问题。讨论表明，印度的政策制定者应该认真关注私营部门在印度提供医疗保健方面日益增长的影响力。卫生领域的政策干预不应忽视其存在，该部门应明确参与健康管理过程。有人认为，监管和支持性政策干预对于促进该行业的可行和适当发展是不可避免的。
Private hospitals and private medical practitioners play a significant part in delivering health care services in India. As the demand for health care has increased, institutions in this sector have expanded widely in both urban and rural areas. The relationship between patient and private practitioner considerably influences the perceived and actual needs about health care. This relationship is expected to play an important role in the control of disease patterns and management. However, the developments in this sector have prompted concern about the efficiency of resources, equity and access to facilities, and the availability of financing mechanisms to support private health care. Also, the efficiency with which the resources are used in this sector has direct bearing on the cost and quality of services. The existence of these health care institutions therefore has profound implications for the present character of the Indian health care system, and its future course.The objectives of the present study are to review the role of the private health care sector in India and the policy concerns it engenders. The discussion suggests that policy makers in India should take serious note of the growing influence of the private sector in providing health care in India. Policy interventions in health should not ignore their existence and this sector should be explicitly involved in the health management process. It is argued that regulatory and supportive policy interventions are inevitable to promote this sector's viable and appropriate development.