Malhi Ravneet, Goel Divyangi, Gambhir Ramandeep S, Brar Prabhleen, Behal Dikshit, Bhardwaj Arvind
Department of Public Health Dentistry, DJ College of Dental Sciences and Research, Modinagar, Uttar Pradesh, India.
Department of Public Health Dentistry, BRS Dental College and Hospital, Panchkula, Haryana, India.
J Family Med Prim Care. 2020 Feb 28;9(2):459-464. doi: 10.4103/jfmpc.jfmpc_959_19. eCollection 2020 Feb.
The healthcare industry worldwide is undergoing a radical transformation. An enthusiastic healthcare system of the Government of India (GOI) continually tries to tackle numerous challenges facing the system. The Rashtriya Swasthya Bima Yojana (RSBY) program has provided secondary level healthcare facilities to more than 36 million families across most states in India. This particular health insurance initiative was taken by the GOI with the purpose to safeguard the pitiable or marginalized Indian population or those households who are facing economic risks due to hospitalization and their everyday expenditures. RSBY provides affordable and accessible healthcare services along with insurance coverage for secondary care. However, it is limited to inpatient treatment or hospitalization. For outpatient coverage many strategies have been applied but low enrolment is still an existing flaw under this streamer. The present paper discusses various features of RSBY, outpatient projects undertook, and various obstacles that can be removed to integrate this insurance scheme with primary healthcare in India.
全球医疗行业正在经历一场根本性的变革。印度政府热情高涨的医疗体系不断努力应对该体系面临的众多挑战。拉什特里亚健康保险计划(RSBY)已为印度大多数邦的3600多万家庭提供了二级医疗设施。印度政府发起这一特定的健康保险倡议,旨在保障可怜的或边缘化的印度人口,或那些因住院及其日常开支而面临经济风险的家庭。RSBY提供负担得起且可获得的医疗服务以及二级护理保险。然而,它仅限于住院治疗或住院。对于门诊保险,已经采用了许多策略,但低参保率仍是这一保险项目下存在的一个缺陷。本文讨论了RSBY的各种特征、开展的门诊项目以及为将该保险计划与印度初级医疗保健整合而可消除的各种障碍。