In: Nursing
Read about a number of health care delivery systems throughout the world. Using research with three evidence-based, peer-reviewed resources. IN A 3-4 PAGE PAPER,CHOOSE ONE COUNTRY (EXCLUDING UNITED STATES OF AMERICA) AND ANSWER THE QUESTIONS THAT FOLLOW.
PLEASE INCLUDE INTEXT CITATIONS AS WELL AS REFERENCE LIST
(1) India has a universal health care model that is mostly administered at teh state level rather than the federal level . The public system is essentially free for all Indian residents except for small often symbolic co -payments in some services .The Indian consititution makes the provision of healthcare in India the responsibitilty of teh state governments , rather then the central federal government . it makes every state responsible for raising the level of nutrition and the standard of living of its people and improvement of public health as among its primary duties . Since the country's independence , teh public healthcare sysytem has been entirely funded through general taxation
(2) The National Health Policy was endorsed as by the parliament of India in 1983 and updated in 2002 as then they again updated in 2020 ,their new updates need to focus on tehfrowing burden of the non communicable disease on the emergence of the robust healthcare industry , on growing incidences y of unsustainable expenditure due to health care costs and on rising economic growth enabling enhanced fiscal capacity . In the pracatice however , teh private healthcare sector is responsible for tehmajority of healthcare in India and the most healthcare expenses are paid directly out of pocket by patients and their families rather than through health insurance . Government health policy has thus far largely encouraged with designed but limited public health insurance .A government funded health insurance project that was launched in 2018 by the government of India thats called Ayushman Bharart. This aimed to cover the bottom 50% of the country's population and offer them free treatment even at private hospitals. According to the world Bank , the total expenditure on health carre as a proportion of GDP taht was 3.89% . Out of 3.89% , the governmrnt health expenditure as a proportion of GDP is just 1% and theout of pocket expenditure as a proportion of the curent health expenditure was 65.06% .
(3) PUBLIC HEALTH CARE
Public health care is free for every Indian resident . The indian public health sector encompasses 18% of total outpatient care and 44% of total inpatient care . Middle and upper class individuals living in India tend to use public healthcare less than those with a lower standard of living ,Additionally women and the elderly are more likely to use public services .The public health care system was originally developed in order to provide a means to healthcare access regardles s of socioeconomic status or caste . However, reliance on public and private healthcare sectors varies significantly between states . several resons are cited for relying on the private rather than public sector , the main reason at the national level is poor quality of care in the public sector , with more than 57% of household pointing to this as the reason for a preference for private health care .
PRIVATE HEALTH CARE
Since 2005, most of the healthcare capacity added has been in the private sector , or in partnership with the private sector . The private sector consist 58% of teh hospitals in tehcountry , 29% of beds in hospitals and 81% of doctors.The private medical sector remains the primary source of health care for 70% of house holds in urban areas and 63% of household in rural areas .However , the high out of pocket cost from the private healthcare to incur catastrophic health Expenditure which can be defined as health expenditure that threatens a household capacity to maintain a basic standard of living . Cost of the private sector are only increasing .
(4 ) The Indian healthcare secanario presents a spectrum of contrasting landscapes . At one end of the spectrum are the glitizy steel and glass structures delivering high tech medicare to the well heeled mostly urban Indian . Our country began with a glorious tradition of pubic health , as a seen in the reference to the descriptions of The Indus Valley civilization which mention " Arogya" as reflecting " holistic well being" Today Indians are of ,236,667,068, people who present an enormous diversity and tehrefore an enormous challenge to the health care delivery system
(5) Difference with U.K
National health service of U.K is a single powerful , organised sytem owned and driven smoothly by the govrnment and works as the heart and brain of healthcare sector in the U.K .All the medical facilities are owned by the egovernment . One of the best part of the national Health service is that it is totallly financed out of taxation ! every health service is provided free of cost to all the permanent UK residents . And the major health care sector of U.k is tehNational health services even though theprivate agencies exists , The cost of health care service provided by the private agencies is met by the private health insurance schemes .
(6) In a few years time , health services in India will be accessible only to the rich people . The corporate parivate hoapitals are getting huge help from the government by driving the patient load fem public hospitals to their side . Lack of basic health infrastructure and a poorly regulated healthcare system is making the whle setup unstable . the concerned authorities their eyes closed and refused to make cahnge s inthe current system .There are many visionaries like Aneurin Bevan who perfected the National Health Service in UK , but what is lacking is the support of the government ,The hunger to make money is any means possible is here to stay india and that is why we can only dream about a system like National health service in India .