Bhaduri Soham D
Physician, Public Health Commentator, and Chief Editor the Indian Practitioner, Mumbai, Maharashtra, India.
J Family Med Prim Care. 2020 Nov 30;9(11):5427-5431. doi: 10.4103/jfmpc.jfmpc_1548_20. eCollection 2020 Nov.
COVID-19 has exposed the fault lines of India's public health system. The pandemic can be a useful window of opportunity to undertake public healthcare reforms that are long due. Such reforms are, however, constrained by the path-dependent characteristics of private healthcare in India. Measures taken to expand healthcare during the pandemic appear unlikely to sow the seeds of successful path transformation, and may rather reinforce the private sector dominated trajectory. Policymakers must introduce a bold set of pro-public healthcare reforms during the pandemic, which can then be incrementally built upon through securing legitimacy and support.
新冠疫情暴露了印度公共卫生系统的断层线。这场大流行可以成为一个契机,推动早就该进行的公共医疗改革。然而,此类改革受到印度私立医疗路径依赖特征的限制。疫情期间为扩大医疗保健采取的措施似乎不太可能播下成功路径转变的种子,反而可能强化私营部门主导的轨迹。政策制定者必须在疫情期间推出一系列大胆的支持公共医疗的改革措施,随后通过获取合法性和支持来逐步推进。