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闪光的未必都是金子:印度医疗体系

All That Glitters Is Not Gold: The Indian Healthcare System.

作者信息

Kandi Venkataramana

机构信息

Clinical Microbiology, Prathima Institute of Medical Sciences, Karimnagar, IND.

出版信息

Cureus. 2023 Jun 2;15(6):e39892. doi: 10.7759/cureus.39892. eCollection 2023 Jun.

DOI:10.7759/cureus.39892
PMID:37404411
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10315252/
Abstract

Healthcare is the most essential requirement for a better quality of life. Governments throughout the world ensure the establishment of improved healthcare systems that are on par with global healthcare systems for people, irrespective of their socioeconomic situation. It is crucial to understand the status of healthcare establishments existing in a country. The coronavirus disease 2019 (COVID-19) pandemic posed an imminent challenge concerning the quality of healthcare in various countries throughout the world. There were different types of problems faced by most nations irrespective of their socioeconomic status and financial capabilities. India also struggled to cope with the initial times of the COVID-19 pandemic wherein the hospitals were overwhelmed with patients and limited infrastructural capabilities, resulting in considerable morbidity and mortality. The greatest achievement of the Indian healthcare system was to increase access to healthcare by encouraging private players and boosting public-private partnerships to deliver better healthcare to people. Moreover, the Indian government ensured healthcare access to people from rural areas by establishing teaching hospitals. However, the major drawback in the Indian healthcare system appears to be illiteracy among people and exploitation by healthcare stakeholders that include physicians, surgeons, pharmacists, and capitalists, including hospital management and pharmaceutical industries. Nevertheless, like two sides to a coin, the Indian healthcare system has both pros and cons. The limitations in the healthcare system need to be addressed to improve the quality of healthcare provided to people in general and especially during disease outbreaks similar to the COVID-19 pandemic.

摘要

医疗保健是提高生活质量的最基本要求。世界各国政府都致力于建立更完善的医疗体系,使其与全球医疗体系水平相当,以服务全体民众,不论其社会经济状况如何。了解一个国家现有医疗机构的状况至关重要。2019年冠状病毒病(COVID-19)大流行对世界各国的医疗质量构成了紧迫挑战。无论社会经济地位和财政能力如何,大多数国家都面临着不同类型的问题。印度在应对COVID-19大流行初期也面临困难,当时医院人满为患,基础设施能力有限,导致了相当高的发病率和死亡率。印度医疗体系的最大成就是通过鼓励私营企业和加强公私伙伴关系,为民众提供更好的医疗服务,从而增加了医疗服务的可及性。此外,印度政府通过建立教学医院,确保农村地区的人们能够获得医疗服务。然而,印度医疗体系的主要缺点似乎是民众的文盲现象以及医疗利益相关者(包括医生、外科医生、药剂师以及包括医院管理层和制药行业在内的资本家)的剥削。尽管如此,正如硬币有两面一样,印度医疗体系有优点也有缺点。需要解决医疗体系中的局限性,以提高总体上为民众提供的医疗服务质量,特别是在类似COVID-19大流行这样的疾病爆发期间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f87a/10315252/bd156fb7d8e9/cureus-0015-00000039892-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f87a/10315252/bd156fb7d8e9/cureus-0015-00000039892-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f87a/10315252/bd156fb7d8e9/cureus-0015-00000039892-i01.jpg

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本文引用的文献

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World J Virol. 2022 Jul 25;11(4):186-197. doi: 10.5501/wjv.v11.i4.186.
2
Optimizing the Health Management Information System in Uttar Pradesh, India: Implementation Insights and Key Learnings.优化印度北方邦的健康管理信息系统:实施洞察与主要经验教训。
Glob Health Sci Pract. 2022 Aug 30;10(4). doi: 10.9745/GHSP-D-21-00632.
3
Preceding child survival status and its effect on infant and child mortality in India: An evidence from National Family Health Survey 2015-16.
被忽视的热带病:全面综述
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印度儿童生存状况及其对婴儿和儿童死亡率的影响:基于 2015-16 年全国家庭健康调查的证据。
BMC Public Health. 2021 Aug 21;21(1):1577. doi: 10.1186/s12889-021-11569-z.