Sembiah Sembagamuthu, Paul Bobby, Dasgupta Aparajita, Bandyopadhyay Lina
Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.
Indian J Community Med. 2018 Jul-Sep;43(3):144-147. doi: 10.4103/ijcm.IJCM_316_17.
Indian health sector is a complex admixture of public and private providers, but several lacunae of public health service delivery system in terms of human resource, access, and quality have resulted in unprecedented growth of private sector. Although seamless delivery of services at rural and urban areas, timely approach, and improved information technology system are the strength of the private sector, this package comes at the cost of high out-of-pocket expenditure. Mobilization of private sector health workforce by their capacity building in terms of orientation toward public health services is one of the available solutions to move toward wider coverage of public health services. However, numerous challenges need to be addressed before realization of this vision.
印度卫生部门是公共和私营医疗服务提供者的复杂混合体，但公共卫生服务提供系统在人力资源、可及性和质量方面存在的若干缺陷导致了私营部门前所未有的增长。尽管在农村和城市地区提供无缝服务、及时响应以及改进信息技术系统是私营部门的优势，但这一系列优势是以高额自付费用为代价的。通过对私营部门卫生人力进行公共卫生服务方向的能力建设来调动他们，是朝着更广泛覆盖公共卫生服务迈进的可行解决方案之一。然而，在实现这一愿景之前，需要应对众多挑战。
