Pramesh C S, Seshadri D V R, Fernandez Evita, Rao Gullapalli N, Dutta Manisha, Mohan Pavitra
Tata Memorial Center, Mumbai, Maharashtra, India.
Indian School of Business, Hyderabad, Telangana, India.
J Family Med Prim Care. 2021 Dec;10(12):4337-4340. doi: 10.4103/jfmpc.jfmpc_2032_21. Epub 2021 Dec 27.
Over the years, healthcare system in India has been largely centralized, expensive and impersonal. In a country where expenditure on healthcare is low, most healthcare expenditure is out-of-pocket and where most of the population continue to live in rural areas or in urban fringes, such a care is inaccessible, unresponsive and unaffordable. COVID pandemic exposed these realities further. Based on experiences of directly managing health services during COVID-19 pandemic in different settings and across different levels, authors of this paper argue for a decentralized, distributed and responsive health systems for India, that is likely to be more effective and sustainable in normal times, and in times of crisis.
多年来，印度的医疗体系在很大程度上是集中化、昂贵且缺乏人情味的。在一个医疗支出较低、大部分医疗费用需自掏腰包，且大多数人口仍居住在农村地区或城市边缘的国家，这样的医疗服务难以获得、缺乏响应且负担不起。新冠疫情进一步暴露了这些现实情况。基于在不同环境和不同层面直接管理新冠疫情期间卫生服务的经验，本文作者主张为印度建立一个分散化、分布式且具有响应能力的卫生系统，该系统在正常时期以及危机时期可能会更有效且可持续。
