Question

Discuss the implications of the following statement: “…We came to believe that quality of care in facilities credentialed by the Joint Commission International (JCI) in foreign countries, and in India in particular, is as good as or better than that in the United States, and offers a 70-80 percent cost differential in many cases…”

Answer 1

- Prelude.

A. India health care is also experiencing a change, with increasing focus on better quality of medical care services.

B. With a large section of health care practioners in the private sector, the government has realized the need to improve medical care services.

C. It is simple to compute the direct costs for various medical services however to compute the cost of quality is not only difficult but rather exclusive, which has resultedin over dependence on subjective criterions.  

- Understanding quality in health care.

A. Comprehensive and integrated services based on various components.

B. Manpower skills.

C. Availability of safe and effective drugs.

D. Accountability improves health outcomes.

E. Cost effectiveness plays a crucial role.

- Defining the quality indicators.

A. Patient satisfaction.

B. Identify critical areas of improvement.

C. Accreditations and quality assurance systems.

- Expenditure on medical care.

A. Impact of quality on cost effectiveness.

B. Life expectancy vs health care globally.

C. Governing the crucial aspects of higher utilization of the patients.

D. Analyzing the role of public sector and government in enhancing health outcomes.

- Manpower ratios and direct cost of hospitalization.

A. Deployed manpower at different facilities.

B. Staffing parameters are to be modified.

C. Nurse to bed ratio versus average cost of hospitalization per bed per day.

- Patient experience and direct cost of hospitalization.

A. Patient satisfaction.

B. Patient feedback about the services.

C. Average cost of hospitalization.

D. Medical insurance.