Garg Pankaj, Nagpal Jitender
Fellow, Community Paediatrics, School of Women's and Children's Health, UNSW and Discipline of Paediatrics and Child Health, Central Clinical School, University of Sydney , Australia .
Attending Consaltant, Sitaram Bhartia Institute of Science and Research , New Delhi, India .
J Clin Diagn Res. 2014 Feb;8(2):1-6. doi: 10.7860/JCDR/2014/7532.3990. Epub 2014 Feb 3.
In the context of inadequate public spending on health care in India (0.9% of the GDP); government liberalized its policies in the form of subsidized lands and tax incentives, resulting in the mushrooming of private hospitals and clinics in India. Paradoxically, a robust framework was not developed for the regulation of these health care providers, resulting in disorganized health sector, inadequate financing models, and lack of prioritization of services, as well as a sub-optimal achievement of the Millennium Development Goals (MDG). We systematically reviewed the evidence base regarding regulation of private hospitals, applicability of private-public mix, state of health insurance and effective policy development for India, while seeking lessons on regulation of private health systems, from South African (a developing country) and Australian (a developed country) health care systems.
在印度公共医疗支出不足（占国内生产总值的0.9%）的背景下，政府以提供补贴土地和税收优惠的形式放宽了政策，导致印度私立医院和诊所如雨后春笋般涌现。矛盾的是，却没有建立一个健全的框架来监管这些医疗服务提供者，这导致了医疗部门的混乱、融资模式不足、服务缺乏优先级，以及千年发展目标（MDG）的实现未达最优水平。我们系统地回顾了关于印度私立医院监管、公私合作模式的适用性、医疗保险状况以及有效政策制定的证据基础，同时从南非（一个发展中国家）和澳大利亚（一个发达国家）的医疗系统中汲取私立医疗系统监管方面的经验教训。
