Indian Health Care Sector

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IndraD
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Re: Indian Health Care Sector

Postby IndraD » 10 Jan 2018 01:09

NMC bill appears to be a case poorly communicated to the people thanks to lacklustre health minister! Here is a pov in defence of bridging course. Parliamentary standing committee has asked Dr Devi Shetty & others to help.
https://blogs.timesofindia.indiatimes.c ... medicines/

Homeopaths undergo a five and a half year, full time, undergraduate course in India. They are trained in every subject that a student of allopathy is taught except pharmacology. This includes anatomy, physiology, biochemistry, pathology, gynaecology, obstetrics and internal medicine. The students use the same textbooks, the syllabi for these subjects are the same, and the time allotted for these to be taught is also almost the same as the MBBS (Bachelor of Medicine, Bachelor of Surgery) syllabus.

In universities where both MBBS and BHMS (Bachelor of Homeopathic Medicine and Surgery) courses are taught students may often share lecture halls for common lectures. The faculty is often the same! As in the MBBS course, the students must complete a rotational internship. This includes six months at a regular hospital.

There are concerns that homeopaths may not be able to interpret modern investigations and diagnostic tests. These concerns are entirely unfounded. Homeopaths all over the country are using modern diagnostic techniques to assess outcomes of their treatment. Patients themselves are doing this! It is ludicrous to suggest that a homeopath is unable to interpret diagnostic test results because of an inherent and insurmountable lack of understanding.

I have sat in rooms with various kinds of doctors, surgeons and paramedical personnel, in my undergraduate years, in my time as an MD-Homeopathy student, while reading for a post graduate degree at the University of Oxford, and in conferences in various parts of the world. I have sensed the scepticism in the room when i introduce myself many, many times.

No one, however, has ever managed to arrive at the conclusion that i will simply not understand what is being taught or said because i am a homeopath. This seems to be the presumption being made by those opposed to the proposed bridge course. In the absence of details of the specific nature of this course, how is it being opposed, if not for this reason? When the training of both allopathic and homeopathic courses is so similar, i fail to understand the logic to this opposition.

The most facile argument concerns the dual registration of homeopaths in another national register once they complete the bridge course. Apparently, this is ‘neither permissible nor open’. I’m not sure what this means but maintaining a register of homeopaths who have completed the bridge course seems to be both ‘possible’ and ‘not a big deal’ to me.

It is time that the opponents relax this perceived sanctity around the medical profession and become more sensitive to the healthcare needs of India. There are large parts of the country where no medical practitioner is present, and none are willing to go. This is despite changes in regulations like making rural internships compulsory and enforcing of bonds for graduates of government colleges, preventing their departure from the country. Homeopaths are well positioned to shoulder the disease burden of the nation. Only in India, because of the stellar training provided to homeopaths, is such a move even possible.

If providing a bridge course can make them better equipped to handle at least some illnesses that they couldn’t earlier and spread healthcare services to far flung areas of the country, what can possibly be the problem? If ignorance of the structure and scope of the training of a homeopath was the problem, i hope this has helped. If prejudice is the problem, the nation will do well to rise above it.

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Re: Indian Health Care Sector

Postby csubash » 10 Jan 2018 23:47

Again an ingenious way of dumbing down a science subject. If Ayush doctors want to practice allopathy why read alternate medicine in first place? Why there has to be NEET for MBBS alone? If you think the private medical colleges are bad the Ayush colleges (both Govt & Pvt) are significantly worse. If you want healthcare taken to periphery then why not train nurses, midwives & pharmacists with a bridge course - nurses & clinical pharmacists read significant amount of anatomy, physiology & clinical science.

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Re: Indian Health Care Sector

Postby shiv » 14 Jan 2018 12:11

Folks here is my take on the NMC bill:
Why I support the National Medical Commission Bill

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Re: Indian Health Care Sector

Postby shiv » 14 Jan 2018 12:47

This is an emotive subject but I have expressed my views from time to time in other forums as well. Modern medical care is good but it is not going anywhere fast, it is too expensive for the world and certainly for India and it will never ever cover the entire population.

Modern "allopathy" or western medicine which I practice every day of my life and have done so for the last 40 years is very very effective and definitely the best over a limited (I would say 50-60%) of health needs of a population. People hate this figure - but whichever way you cut the cake modern medicine ain't evah going to help 100% of people.

So what does modern medicine excel at?

1. Mechanical problems:
    Blocked artery in the heart:we can unblock it
    Hole in muscle causing hernia: We can seal it
    Clot in brain endangering life: We can evacuate it
    Broken bone may kill you or put you out of action for long: we can fix it quick and better than nature
    Dirty lens in eye: We can replace it
    Rusty painful joint: We can replace it
    Abnormal blocked birth canal threatening mum and child: we can save both
    No baby? Sperm not reaching egg: we can get the two to mate
    Can't pee because of blocked prostate: we can core out the channel
    Stone in gall bladder, bile duct or kidney: we can extract/remove them

2. Infections:
    1. We prevent killer infections Tetanus, Diphtheria, Polio, Whooping cough, Influenza, Hepatitis, Typhoid etc by vaccination
    2. We kill infections using custom-designed anti-infection chemical medicines (anti-bacterial, anti-viral, anti-fungal, anti-protozoal)

3. Critical care/life saving:
    1. Losing blood: transfusion. Coming soon: artificial blood
    2. Can't breathe: unblock pipe, give oxygen, use artificial lung
    3. Kidneys dying: dialysis/kidney transplant
    4. Heart dying: drugs, mechanical support, artificial heart, heart transplant
    6. Liver dying: Liver transplant
    7.Short of hormones? Diabetic? We'll replace them

4. Quality of life:
    1. Dietetics
    2. Lifestyle advice


What modern medicine has done is:
    1. To make humans as a whole much more healthy than earlier
    2. To make humans live much longer than earlier
    3. To make humans much fatter than before
    4. To damage the environment in favour of human health and comfort

What modern medicine has not done: What modern medicine has done is to pull people back from death and cause people who would otherwise be dead to live. But humans continue to have a large number of niggling problems that modern medicine has no cure for. Most of these niggling issues are considered too minor to require attention by allopathic doctors. No research money goes into such conditions and since these conditions do not threaten life, modern medicine is not interested. It is in these areas that traditional medicine scores. There areas that involve lifestyle advice and dietary advice that modern medicine does not even recognize as valid but people do get relief from indigenous/alternative medical therapy. But allopathic science is too cocky and self centered to accept that.

We fill the cities with hi funda specialists who cannot offer holistic treatment. The cardiologist fills his patient up with drugs that keep the patient alive but leave him with him all sorts other symptoms for which he has to seek treatment from other specialists who simply fill him up with more ineffective medicines. Many of these people either move away to alternative medicine or seek to do that but are scared. There is a definite role for alternative therapies in India because Indians live by indigenous beliefs and do not accept allopathic solutions easily.

We need a huge change..It will be painful. I hate to say it - but as I enter my 5th decade of medical practice I see the cocky addiction to allopathy alone as one limb of our mental colonization. Allopathy is good - but not complete and if we are scientists we must keep an open mind to what we cannot do and what have have not been doing.

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Re: Indian Health Care Sector

Postby csubash » 15 Jan 2018 23:13

Shivji,
With due respect to your experience, while scrapping MCI & bringing in NMC is a welcome move, the bridge course for alternate medicine will be disastrous for medical care. Have you seen any of these of homeopathy or other colleges - to call them a medical college is an insult to homeopathy, unani, ayurveda or siddha. These don't even have patients or basic infrastucture. This move will kill ayurveda & siddha - why teach these if you are going to practice allopathy. Have you seen any qualified siddha or ayurveda doctor in a village? The biggest killer in small villages are maternal mortality, diarrheal or respiratory infections, poisoning, trauma, etc which alternate medicine has nothing to offer. If you really want to take medicine to smaller villages educate nurses, midwifes, pharmacists rather than a bridge course.

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Re: Indian Health Care Sector

Postby arshyam » 16 Jan 2018 07:46

Why is a system far older than "modern medicine" called "alternative" medicine? No one I know calls Ayurveda or Siddha as "alternate", but then, these are ordinary people with ordinary problems.

Ayurveda and Siddha are good from a preventive healthcare PoV, in which India hasn't invested much. There was an article a while ago about how the diagnostic healthcare stream gets a lot of money and attention, but the preventive aspect, which could solve issues like diarrhoea, languishes. In that sense, some of the policies like Swacch Bharat will aid preventive care, as will increased number of general practitioners in rural areas, which, in today's medical industry is a problem. I do share csubash's concern about sustain the Ayush streams - the bridge course if done incorrectly could end up harming the Ayush streams, as MBBS has a more attractive ring to it, being "non-alternate", "modern", and all that.

Anyway, here's the TN model on preventive health, and the national policy I think is loosely based on it:
http://www.rediff.com/money/column/colu ... 091224.htm
https://timesofindia.indiatimes.com/ind ... 680691.cms

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Re: Indian Health Care Sector

Postby IndraD » 18 Jan 2018 00:23

Delhi pvt hospitals maybe asked to cut profit margins, give drugs from govt list

Private hospitals should only prescribe from the list of 376 drugs on the National List of Essential Medicines (NLEM), and not charge a premium of more than 15% over market rates on diagnostic tests they conduct, according to the nine-member committee set up by the Delhi government to formulate norms for the profit margins of private hospitals.

The committee, headed by Delhi’s director general of health services, was formed in December after reports of medical negligence at Max Hospital, Shalimar Bagh and overcharging at Fortis Memorial Research Institute (FMRI), Gurgaon, put the spotlight on over-billing at private hospitals.

For drugs and consumables not on the National List of Essential Medicines, the committee recommended that private hospitals be allowed to charge a profit of not more than 50% on the procurement price. Hospitals procure drugs and consumables at a fraction of the maximum retail price (MRP), often as little as 20-30% of the printed price.

“This will make a huge difference. The drug price control orders fix the rates of NLEM drugs by calculating a market average of the selling price of drugs in a particular category, ensuring some profit for manufacturers but not too much,” said Professor Vijay Bhalla, director, SGT College of Pharmacy, Gurgaon.

“Many pharmaceutical companies create irrational drug combinations just to get out of the NLEM list; this removes the cap on pricing and allows them to fix high MRPs,” he added.

The committee has asked Delhi government to ensure that the NLEM drugs are also available at pharmacies. “As profit margins on NLEM drugs are lower, pharmaceutical companies often do not push these medicines in the market,” said Dr Arun Gupta, president of the Delhi Medical Council, and one of the members of the committee.

The committee found that drugs and investigations constitute 50-60% of a bill at the hospital, so these were the areas on which we focussed,” he added.

Among the recommendations is that the charges for diagnostic tests done within hospitals must not exceed their costs at stand alone labs by more than 10-15%.


“People visiting hospital out-patient departments have the option of getting investigations done from other labs, but patients who have been admitted have to get tested in the hospital. We have recommended that the cost of the tests should be comparable,” said Dr Gupta.

Apart from the drugs and investigations, the committee also examined fixed “packages” offered by hospitals for various surgeries and procedures. “Often, the bill exceeds the prices mentioned in the packages by a huge margin, so we have suggested that the prices should vary not more than 10%,” said Dr Gupta.


spl insurance to come as well which will cover potential complications cost. Eg a patient coming with pneumonia with spl insurance cover will be treated for empyema should it develop in course of treatment. If true good initiative by Kejriwal govt

http://www.hindustantimes.com/delhi-new ... ePkcI.html

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Re: Indian Health Care Sector

Postby IndraD » 01 Feb 2018 22:47

Excellent article by Devi Shetty https://blogs.timesofindia.indiatimes.c ... -services/
Served by Indians: For India to be a services superpower, diversify beyond IT to medical services
Contrary to popular perception, the health sector at $8 trillion is the world’s largest industry (IT is $3.4 trillion, oil $2 trillion, automobiles $2 trillion). In the US and UK the health sector is the largest employment generator today. UK’s National Health Service is the world’s fifth largest employer.

India needs two million nurses and the rest of the world nine million. The nursing profession is not attracting talent in India because of lack of career progression. In the US 67% of anaesthetic procedures are done by nurse-anaesthetists. In India a nurse who has worked in intensive care for 20 years is legally not allowed to prescribe even a pain killer. A 25-year-old nurse intensivist can easily earn a lakh rupees a month in India. All it requires is regulatory changes to make healthcare delivery inclusive and not the exclusive domain of doctors.

According to the World Bank there will be a demand for 80.2 million health workers across the world in just 13 years. Healthcare jobs are not attractive for people from wealthy countries. We should train rural youth to become doctors, nurses and paramedics for the world. There are 45,000 doctors and nurses from Cuba working in Central America earning about $8 billion a year. Philippines receives $29.7 billion in remittances, mostly from its 1,50,000 nurses and 18,000 physicians working abroad.

We should convert 600 district hospitals as medical nursing and paramedical schools to train 5 million doctors, nurses and paramedics for the global requirement. They can remit about $100 billion of precious foreign currency every year over a period of time. It doesn’t cost Rs 400 crore to build modern medical schools. There are 35 medical schools in the Caribbean region training doctors for the US. These medical schools occupy about 50,000 sq ft rented space in shopping malls, where most of the teaching is done by Indians.

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Re: Indian Health Care Sector

Postby jaysimha » 03 Feb 2018 11:25

https://community.data.gov.in/stateut-w ... g-2015-16/

State/UT-wise percentage of Men & Women Tobacco Users (age 15-49 years) during 2015-16

Punjab lowest..........may be because Sikh community bans tobacco usage.
great keep it Down ( not up)..

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Re: Indian Health Care Sector

Postby IndraD » 03 Feb 2018 16:18

Health care input from Budget 2018:

- http://www.thehindu.com/business/budget ... 618631.ece
Under the programme, Mr. Jaitley announced a new flagship National Health Protection Scheme, providing a health insurance cover of ₹5 lakh a family per annum. The scheme will cover 10 crore vulnerable families, with approximately 50 crore beneficiaries.

- allocation Rs 600 crore for nutritional support to TB patients in India: The plan is to reduce the incidence of TB from 217 new cases per 100,000 in 2015 to fewer than 44 new cases by 2025. As part of this plan, funding for TB prevention and care doubled from $280 million in 2016 to $525 million in 2017.
In HIV infected patients in India TB is the biggest killer

- Rs 600 to each TB patient monthly

-a medical college for Every 3 MP constitutional area

-new health centres to come up in thousands

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Re: Indian Health Care Sector

Postby Varoon Shekhar » 18 Mar 2018 12:03

https://timesofindia.indiatimes.com/cit ... 351718.cms

Oh good stuff, what is 3 doctors dying in a road accident, India has so many doctors and so many people. And one of the best doctor to patient ratios on earth-not. Sorry, feeling really disgusted right now. The frequency of this garbage...

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Re: Indian Health Care Sector

Postby Vips » 03 Apr 2018 18:50

The making of an Indian Brain Template.

At the National Brain Research Centre (NBRC) here, a group of scientists is preparing a one-of-its-kind database of brain images that, when compiled together, could result in a so-called Indian Brain Template (IBT).

This archetype, to be constructed from a composite of Magnetic Resonance Imaging (MRI) scans from 150 adult Indians, will likely include at least one person from every State and Union Territory, and serve as a guide to neuroscientists and surgeons, who have so far based their knowledge of intricate brain anatomy on Caucasian models.

Significant variations
Over the years, scientists from across the world have been pointing out that there are significant variations in the location of key brain regions and the density of neurons in various brain areas between racial types.

Drawing from this, several countries, including China, South Korea and Canada, have brain templates of their population and it is time, say researchers, that India had one of its own, too.

“There are variations in the size, volume and location of certain brain regions in Indian populations compared to, say, the Canadians,” said Pravat Mandal, a neuroscientist and project leader at the National Brain Research Centre here.

A tough job
Of the 150 healthy participants that they hope to recruit over the year, “about 40%,” according to Dr. Mandal’s estimates, are expected to be scanned at the NBRC in the next two months.

“It’s a tough job recruiting and cajoling participants to spend 10 minutes inside an MRI scanner, which is about the time required for a detailed scan,” he added.

By way of comparison, China’s template rests on a bank of about 1,000 volunteers and the Canadian template (called the Montreal Neurological Institute template and a key reference point in the field) is built on about 300 healthy volunteers.

The IBT is funded by the Department of Science and Technology. While other research groups in India have attempted similar databases, none have aspired to the geographical and chronological spread of participants envisaged by Professor Mandal’s initiative.

Naren Rao, a neuropsychiatrist at the Bengaluru-based National Institute of Mental Health and Neurosciences (NIMHANS), and his colleagues had embarked on building an IBT. They, however, had only 27 recruits, all from Aurangabad and this was, said Dr. Rao, “due to logistical challenges.”

In that study of 17 men and 10 women — all certified as mentally fit by a neuropsychiatrist — it emerged that Indian brains “significantly differed” in length and width, but not in their height, from Caucasian brains, according to a 2016 report in Psychiatry Research: Neuroimaging, a peer-reviewed journal. “They were smaller but that doesn’t mean Indians have lesser intelligence,” Dr. Rao clarified to The Hindu in a phone conversation.

While the comparison of brain sizes among people of various ethnicities was an obsession of the 19th century physiology, contemporary researchers are keener on variations in the innards of the brain and whether it could hold clues to neuropsychiatric diseases.

Dr. Mandal, who has completed a few scans in the course of the IBT project, said that while it’s early to say if there’s anything typical about Indian brains, a key factor that he will be looking out for is the quantity of a molecule called glutathione, an antioxidant known to help repair cell damage. Dr. Mandal avers that reduced glutathione concentrations in the parietal cortical region — near the back of the brain near where the skull bulges — may help predict Alzheimer’s disease.

“We will be looking at glutathione concentrations and how they vary with age in the people we study,” he added. The other outstanding question, said Dr. Rao, would be to establish if the brain variation within Indians, given the country’s complex history of migrations, was greater than among other countries.

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Re: Indian Health Care Sector

Postby JayS » 04 Apr 2018 09:51

arshyam wrote:Why is a system far older than "modern medicine" called "alternative" medicine? No one I know calls Ayurveda or Siddha as "alternate", but then, these are ordinary people with ordinary problems.

Western universalism. Anything western is main stream, anything else is alternative or native or other such adjective. Or perhaps arrogant Science..? Only I am right attitude.


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Re: Indian Health Care Sector

Postby IndraD » 15 Apr 2018 02:34

NEET exam turns into farce: For an MBBS seat, you need just 5% in physics, 20% in biology https://timesofindia.indiatimes.com/ind ... IIndiaNews

With just 5% marks in physics, less than 10% in chemistry, and 20-odd per cent in the biology section of the National Eligibility-cum-Entrance Test (NEET), candidates have got admission to medical colleges in the past two years. This was made possible by the “percentile” system under NEET that was supposed to keep non-meritorious students out.
Before NEET was made mandatory in 2016, the cut-offs for admission were 50% marks for the general category, and 40% for the reserved categories. From the 2016 admission year, these were changed to 50th and 40th percentile, respectively, opening the doors to candidates with just 18-20% marks in the NEET aggregate.
Here’s how it happened. In 2015, you needed 50% marks for admission in the general category, so you would have had to score at least 360 out of 720 marks. But in 2016 you only needed to be in the 50th percentile, which meant scoring 145 out of 720, or barely 20%.

The reserved categories needed to be in the 40th percentile, which translated to 118 out of 720, or 16.3% marks. In 2017, this fell further to 131 marks (18.3%) for the general category, and 107 marks (14.8%) for the reserved seats.
This year’s NEET exams, to be held next month, continue with the same percentile cut-offs, so students with less than 20% marks in the entrance exam may be admitted to MBBS courses again.
Percentile measures the proportion of candidates, not scores. Thus, 50th percentile means students with more marks than the bottom half, 90th percentile comprises students with more marks than the bottom 90%, and so on. It does not mean they have 90% marks.
The percentile system not only made low-scoring students eligible to study medicine, it actually got them seats in colleges. TOI found that in 2016, general category students with just 148 marks, or 20.6%, in NEET were admitted to a private college in Uttar Pradesh which is a deemed university. As many as 30 of the 100 students this institution admitted had less than 25% marks in NEET. A Puducherry college admitted 14 students with less than 21% marks, the lowest being 20.1%. Some students admitted in the reserved categories had even lower marks.

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Re: Indian Health Care Sector

Postby vijayk » 26 Apr 2018 01:03

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Re: Indian Health Care Sector

Postby Vips » 28 Apr 2018 18:32

Medical tourism can be the next big export earner.

Last month the Association of American Medical Colleges issued a sobering report: The US could see a shortage of up to 120,000 physicians by 2030. While the reasons are largely demographic — the over-65 age group is expected to increase by 50 per cent by then — America is also a victim of its own policy choices.

The American healthcare industry is gigantic, so vast, that at an annual spend of $3.5 trillion, it is one-and-a-half times larger than India’s GDP. Healthcare spending is further expected to grow at 5.3 per cent in 2018. Such high growth rates are unsustainable in the long run. Because of doctor shortages, an explosion in the number of sick people and illegal immigrants demanding care, waits to see a doctor are long, almost as bad as in Canada or in the UK. Most consumers are simply frustrated with America’s healthcare system. If India Inc can innovate just like Nasscom did in the 1990s, India’s health services sector can grab a portion of the American market by offering world class medical tourism services to American patients. Even a 5 per cent slice can result in a $175 billion export industry, much larger than our IT services sector today. (And this is just taking into consideration the American market, if you add Western Europe and other markets, the size and value would easily double)

American healthcare policy debacles have been many and create a perfect opportunity for Indian companies to exploit. Consider Obamacare. By imposing on insurance companies to offer mandatory benefits such as maternity care and mental health services to everyone — and removing price differentials for those with pre-existing medical conditions — the government sent the private health insurance market into a tailspin. Double digit premium increases are now an annual occurrence. Deductibles and co-payments are unreasonably high. There just aren’t enough healthy people in the system, so the insurance market is already in the dreaded “death spiral” as more big insurance companies simply withdraw from the Obamacare marketplace.

Americans would warmly respond to visiting India to get treated for non-life threatening ailments — such as knee and hip replacement surgery — and life-saving preventive care, such as stents and balloon angioplasty. Americans already have the highest regard for Indian doctors who have earned a reputation for outstanding clinical skills and bedside manners. The big issues are that America perceives India’s hospital infrastructure and service quality levels to be poor — and these are legitimate concerns.

But we’ve been here before. In the mid-1990s, most Americans never thought we had the internet bandwidth, the reliability of electrical power, workplace comfort for IT staff and building security in our development centres to offer global technology services. Today, Nasscom companies in India operate world-class centres which have become the world’s envy.

To be sure, India does have a thriving medical tourism industry catering largely to private-pay patients from Asia but the few players who offer this service are all fragmented. For India to become truly successful though, the hospital sector should borrow from Nasscom’s playbook to invest, train and scale both in quantity and quality.

Just like the IT industry offers technology parks with five-star hotels within them to cater to visiting foreign business people, the medical tourism sector has to build world-class hospitals, staffed and dedicated to foreign patients.

Customer acquisition should start in the US. The industry should establish primary care clinics in America to refer patients to India, for free. It should offer a one-stop service, soup to nuts — travel, accommodation, cashless direct billing, 24x7 customer service and post-hospital care — all coordinated through a single portal or call centre. Arriving patients should be met at the airport by a full-time adviser who stays with the patient until departure, much like a conducted tour manager. Top quality health care requires abundant (perhaps even redundant) labour and India offers a competitive advantage here. And India has the advantage of being able to recruit English-speaking workers for the entire experience. Post-surgical rehabilitation could include camps at yoga, meditation and balanced-diet clinics, already respected as Indian exports in many parts of the US. Nasscom companies could provide the industry with the required technology and business transformation expertise to make the whole process work like a well-oiled machine.The cost arbitrage factor, however, is the real selling point for America’s insurance companies. Total knee replacement in the US retails for about $50,000, compared to about $3,000 in India. Outsourcing medical care may be the only way for America to control runaway health sector costs.

India is already a powerhouse in the production and distribution of the world’s generic drugs such as for controlling hypertension, diabetes and heart disease. Expanding the medical tourism industry is a natural byproduct of our pharma industry’s success. But doing so should become a concerted public-private partnership where careful planning and world-class execution are vital.

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Re: Indian Health Care Sector

Postby Vasu » 23 May 2018 14:38

India ranks 145th among 195 countries in healthcare access, quality

India ranks 145th among 195 countries in terms of quality and accessibility of healthcare, behind its neighbours like China, Bangladesh, Sri Lanka and Bhutan, according to a Lancet study.

The Global Burden of Disease study, however, mentioned that India has seen improvements in healthcare access and quality since 1990. In 2016, India’s healthcare access and quality scored at 41.2 (up from 24.7 in 1990).

“Although India’s improvements on the (healthcare access and quality) HAQ index hastened from 2000 to 2016, the gap between the country’s highest and lowest scores widened (23·4-point difference in 1990, and 30·8-point difference in 2016),” the study stated.

It said that Goa and Kerala had the highest scores in 2016, each exceeding 60 points, whereas Assam and Uttar Pradesh had the lowest, each below 40.

According to the study, India performed poorly in tackling cases of tuberculosis, rheumatic heart diseases, Ischaemic heart diseases, stroke, testicular cancer, colon cancer and chronic kidney disease among others.

For the first time, the study also analysed healthcare access and quality between regions within seven countries: Brazil, China, England, India, Japan, Mexico, and the US.

The study found that China and India had the widest disparities in healthcare access and quality with 43.5 and 30.8 point differences, respectively. Japan had the narrowest differences with 4.8 points.

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Re: Indian Health Care Sector

Postby Suraj » 08 Jun 2018 02:34

Maternal mortality rate down 22% between 2014 and 2016
The number of women who die during childbirth in India has come down sharply, with more women now delivering children in hospitals.

The maternal mortality rate (MMR) , according to the sample registration system (SRS) data released by the office of Registrar General of India on Wednesday declined to 130 in 2014-16 from 167 in 2011-13 — a significant improvement on a parameter widely used by analysts and developmental economists to rate a country’s progress.

MMR is defined as the number of maternal deaths per 100,000 live births. The 22% reduction in MMR since 2013 means nearly one thousand fewer women now die of pregnancy-related complications each month in India.

The Union health ministry is attributing this improvement mainly to rise in institutional deliveries across the country.

“This is a great achievement for us and a major contributing factor is that almost 80% of women are now giving birth in hospitals, both public and private. If you look at decade-old numbers, the percentage was just about 40%,” says Dr Ajay Khera, deputy commissioner, child health, health ministry.

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Re: Indian Health Care Sector

Postby sanjaykumar » 09 Jun 2018 21:59

https://www.standardmedia.co.ke/article ... -surgeries

This is concerning, health care for Kenyans, even wealthy ones, seems lacking in basic diagnostics let alone treatment.

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Re: Indian Health Care Sector

Postby Vasu » 17 Aug 2018 11:30

Can Indu Bhushan deliver PM Modi’s promise of healthcare?

But occupying his desk and mindspace today is a large, poster-size checklist of states and Union Territories that the Centre is targeting for Ayushman Bharat — National Health Protection Mission (AB-NHPM) – the world’s largest sponsored healthcare insurance scheme that aims to provide 10 crore of India’s poorest families with health insurance of Rs 5 lakh each per year for secondary and tertiary care hospitalisation.

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For the world’s largest democracy of 1.3 billion, where over 70% of the population has had no significant insurance coverage and has been spending out of pocket for medical care, the sheer ambition and audacity of AB-NHPM, or Modicare, will eclipse all social welfare programmes, as well as subsume the existing Rashtriya Swasthya Bima Yojana (RSBY), launched in 2008 by the UPA government.

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Till date, Bhushan has managed to bring on board 28 of the total 36 states and UTs, including some ruled by the opposition. The likes of TDP-led Andhra Pradesh or Trinamool Congress-led West Bengal had initially declined participation, claiming it would be a “waste” of state resources.

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Some states are yet to complete the tendering process for insurance companies and hospital empanelment while BJP-ruled Maharashtra sent a letter declaring “inprinciple” agreement to participate in the scheme, just hours before Independence Day. An official memorandum of understanding (MoU) is expected in a week’s time, say government sources.

Seven states, including Tamil Nadu and Kerala, are yet to agree to implement ABNHPM, and Odisha is its fiercest critic.

Most already have existing health cover schemes for a much larger universe of beneficiaries than what the Centre is willing to provide under Ayushman Bharat.

Even their annual cover is far higher than what has been envisaged under Modicare. Integrating them with the Centre’s will, therefore, burden the state exchequers even more as costs may rise significantly to cover those beneficiaries left out of their own scheme.

Senior government officials remain hopeful that at least five states that are holding out — Telengana, Punjab, Kerala, Tamil Nadu and Karnataka — will sign agreements in the next 30 days.

Their inputs have already been implemented on ground. Telengana’s IT architecture for its Arogyashree health scheme is getting replicated nationally under AB-NHPM.

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As per the government’s own admission in March, inpatient hospitalisation costs have risen 300% over the past 10 years and an estimated six million families are knocked back into poverty every year by a medical crisis.

Over 50% of households either don’t use or don’t have access to government facilities, says Crisil research, as India only has 0.8 physicians per 1,000 people, one of the lowest ratios in the world. India is at least 75% short of the number of qualified doctors it needs.

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......around 80% of the poor’s acute medical needs at the primary level are “overwhelmingly” met by unqualified medical practitioners, highlights Shailaja Chandra, former secretary in the health ministry.

The low reimbursement rates –20-25% lower than even Central government health schemes — for hospitals for some critical procedures has also irked service providers. AB-NHPM is expected to contribute 30-40% of the actual cost of hospital operations and, in its present form, may not encourage private hospitals to expand to underserved areas, according to the Association of Healthcare Providers India (AHPI).

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Re: Indian Health Care Sector

Postby Suraj » 19 Sep 2018 23:10

India improves: Infant mortality dips to world average; Modi’s Swachh Bharat tackling common causes of death
In a good news, India’s infant mortality rate dropped to 32 for every 1,000 live births in 2017 from 34 in 2016, according to a report by the United Nations Inter-agency Group for Child Mortality Estimation (UNIGME). In absolute numbers, this translates to 8,02,000 infant deaths in 2017 compared to 8,67,000 infant deaths in 2016. However, infant deaths in India continue to remain the highest in the world. “India continues to show impressive decline in child deaths, with its share of global under-five deaths for the first time equalling its share of childbirths,” Yasmin Ali Haque, Representative, UNICEF India, said.

The major reasons behind these deaths were lack of access to water, sanitation, proper nutrition and basic health services, the report said. The Modi government is currently working on various programmes on santionation, health and nutrition. In his recent Independence Day address, Prime Minister Narendra Modi had referred to a recent report by the World Health Organization (WHO), which had praised government’s ‘Swachh Bharat Mission’ saying India could avert three lakh deaths provided there is 100 percent implementation of the cleanliness drive by October 2019.

In the year 2016, India’s infant mortality rate was 44 per 1,000 live births. India reported the highest number of infant deaths followed by Nigeria at 4,66,000, Pakistan 3,30,000 and Democratic Republic of Congo 2,33,000 (DRC), the report said.

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Re: Indian Health Care Sector

Postby Sachin » 20 Sep 2018 12:27


SaiK
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Re: Indian Health Care Sector

Postby SaiK » 10 Oct 2018 07:14

This is good, and nice to hear.. but q: what about skull growth? how long this can last?
https://timesofindia.indiatimes.com/ind ... 141216.cms

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Re: Indian Health Care Sector

Postby Jayram » 25 Nov 2018 05:44

This heart drug breakthru is big news for the world. Recent large scale outcome trials of a Fish oil derived drug called Vascepa has provided potential for paradigm shifting results in world of Heart Health. Very good news for those on Statins this drug has been proven to reduce Cardio Vascular hard outcomes by 20% on top of Statin therapy. Statins like lipitor were big break thru drugs to cut CV risk by 25% since there were first introduced in 1990 good but not complete reduction right. This is the first drug that further reduces that risk by a further 31% in overall CV outcomes and 20% in hard outcomes (ie leading to death).

The detailed results came out Nov 10 at the American Cardio Association meeting. The lead investigator was Dr Deepak Bhatt from Harvard. There was some motivated controversy on the placebo used, by journalists, but that has been strongly refuted by the Drs involved. Additional benefits - This drug is cheaper and since naturally extracted has minimal side effects and is orally administered. I put this this here because of some members here are on statins who can benefit now and the potential for life changing in India (with its high incidence of CV symptoms) in the near future. For those in the US talk to your Dr about this to get yourself and/or your parents covered.

NEJM article here https://www.nejm.org/doi/full/10.1056/NEJMoa1812792
Company press release here https://globenewswire.com/news-release/2018/11/10/1649340/0/en/Vascepa-icosapent-ethyl-26-Reduction-in-Key-Secondary-Composite-Endpoint-of-Cardiovascular-Death-Heart-Attacks-and-Stroke-Demonstrated-in-REDUCE-IT-Supports-25-Overall-Reduction-in.html

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Re: Indian Health Care Sector

Postby Suraj » 27 Nov 2018 00:45

Modi’s vaccination drive one of the world’s best; to feature in top 12 practices in prestigious journal
The Narendra Modi-led government’s vaccination programme Intensified Mission Indradhanush (IMI) is one of the 12 best practices from around the world to be featured in a special issue of the British Medical Journal (BMJ) next month. The special issue is being brought out on the occasion of the fourth Partners’ Forum conference on infant and maternal health. PM Modi will deliver the keynote address at the conference, to be held in New Delhi on December 12-13.

IMI was launched by PM Modi in October last year. The special drive aims to cover every child in the country under the age of two years as well as pregnant women, who have been left uncovered under the routine immunisation program. Its special focus is on improving immunisation in cities and districts with low immunisation rates, in order to ensure full immunisation to over 90% by the end of December 2018. In all, the vaccination scheme covers 173 districts and 17 cities across the country.

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Re: Indian Health Care Sector

Postby Vips » 06 Dec 2018 18:49

Seated 32 km away, city doctor fixes woman's heart.


An Ahmedabad doctor created history by performing the world’s first-in-human telerobotic coronary intervention on Wednesday. Chief interventional cardiologist Tejas Patel of Apex Heart Institute performed percutaneous coronary intervention on his patient, who was in a catherization laboratory at his hospital in Ahmedabad, from Swaminarayan Akshardham temple in Gandhinagar, roughly 32 km away.

The Padma Shri awardee used CorPath GRX, a vascular robotic system developed by US-based Corindus installed at his hospital, to carry out the angioplasty. His patient was a middleaged woman who suffered a heart attack some days ago. “We inserted a stent in one of her arteries the regular way. When we told her about the telerobotic technology, she volunteered for the procedure,” said Dr Patel, refusing to divulge any more information about her identity citing “patient-doctor confidentiality”.

Dr Sanjay Shah partnered Dr Patel by attending to the patient at the hospital. The robotic system was placed in the operation theatre and Dr Patel was connected to it through high-speed wireless internet. Moving the buttons from the temple, the patient’s arteries were cleaned and a stent was inserted.

After successfully performing the surgery, Dr Patel — a pioneer of transradial coronary intervention (technique of performing angioplasty through the wrist) — said, “This procedure can can change the scenario of medical practice internationally. With this technology of distant stenting, we began with a distance of 32 km but we will soon be able to treat patients that are 300 or 3,000 km away. This technology will help cover remote areas and cut down on time spent in a hospital.”

Explaining the rigorous procedure they underwent before implementing the system, Dr Tejas Patel said, “We first tested the system on simulators at varying speeds. After achieving success, we along with a host of professors carried out studies on animal at the renowned Mayo Clinic in Rochester. We have also got approval from the ethics committee of our institute and notified the Drug Controller General of India (which monitors clinical trials). We have not circumvented any regulations.”

When asked about the cost of the procedure, Dr Patel said, “The technology is in its initial phase. Eventually, like most other technology, it will become affordable. As this is a pioneering procedure, we haven’t charged anything yet.” The surgery was conducted on internet with speed of 100 mbps. According to Dr Patel, the surgery could have even been conducted if internet speed was 20 mbps.

“This will transform the entire vascular space. It has the capability of changing the lives of millions of people living in rural areas,” he said, adding, “It will also eliminate hurdles caused by geographic location, socio-economic status, and rapidly reducing number of skilled specialists in accessing timely, specialised cardiovascular care.”

With experience of over 90,000 cath lab procedures, Dr Tejas Patel is a pioneer of transradial cardiac intervention. He received the Padma Shri in 2015 for his contribution to medical field. In 2005, he was conferred Dr B C Roy Award, India’s highest in field of medicine, and Dr K M Sharan Cardiology Exellence award for his pioneering work. He has written 2 books and trained over 5,000 cardiologists across the globe.

Robotic system
· Apex Heart Institute is first facility outside US to introduce robotic procedures for heart
· Robotic stenting is said to provide accuracy of sub-1 mm, against human surgeon’s 5-10 mm
· The system comprises 3 parts: a cath lab-integrated robotic arm, a cockpit from where the cardiologist commands robot through a joystick, and a replaceable cassette, which carries clinical materials

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Re: Indian Health Care Sector

Postby Vips » 11 Dec 2018 03:25

Now, a portable ventilator for just Rs 35,000! AIIMS team develops low cost life-saving device.

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The device automatically detects breathing pattern. If there is a problem, it has a feature to alert the attendant/s.

A neurosurgeon and a robotics engineer from the All India Institute of Medical Sciences (AIIMS) have given people who need ventilator support, for different reasons, hope and respite from hefty bills. They have developed an advanced portable ventilator which is equipped with a tablet and will cost ten to twenty times lower than those available in the market.

According to a report in the Indian Express, AIIMS is the first medical institute in the national capital to successfully use it on patients. “This ventilator’s home version will cost patients around Rs 35,000 as they don’t need a tablet. They can connect it on their android phones. The family of a patient is being trained on how to use it and they are excited to take the patient back home,” Dr Deepak Aggarwal, co-inventor of the device and professor of neurosciences at AIIMS was quoted as saying by IE.

The report adds that the device runs on minimum electricity. Its power requirement is equivalent that of just two tube lights, i.e. 100 watts. Talking to Indian Express, Professor Diwakar Vaish, co-inventor of the ventilator and robotics scientist said, “These ventilators can run without the help of any special technician”.

The patient-friendly, portable ventilator has a shape like that of a bluetooth speaker. The device automatically detects breathing pattern. If there is a problem, it has a feature to alert the attendant/s. Cost of the advanced version of this portable ventilator starts from Rs 45,000. It has a fixed tablet displaying vitals such as pulse, blood pressure, etc. The device will also help hospitals and medical institutes meet the shortage of beds. Many patients who are on ventilators continue to stay in hospitals because their families cannot afford a traditional life-saving ventilator for home.

India already has the Portable low cost ECG machine (GE India),the low cost portable X Ray machine and now this.


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