Framework of Indian Healthcare System and Its Challenges: An Insight

Framework of Indian Healthcare System and Its Challenges: An Insight

Prashant Mehta
DOI: 10.4018/978-1-5225-3168-5.ch023
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India, one of the oldest civilizations and second most populous country is ethnically, linguistically, geographically, religious, and demographically diverse is poorly ranked due to complex public healthcare system, which suffers from insufficient funding, poor management. Poor health intertwined with poverty, affordability, accessibility, burden of infectious and non-communicable affecting lives of most Indians. Healthcare ecosystems are complex and still evolving, investments in service delivery system, infrastructure, and technology, are still being experimented and explored. India's booming population; increasing purchasing power; rising awareness of personal health and hygiene; and significant growth in infectious, chronic degenerative, and lifestyle diseases are driving the growing market. In this chapter we will explore accessible and affordable healthcare system, state of public healthcare, healthcare reforms, governance (Constitutional Provisions, Law, and Policy framework) in healthcare delivery, and Opportunity offered by market drivers.
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Structure And Resources Of Healthcare System

The structure of India’s healthcare system is multifaceted, consisting of various types of providers practicing in different systems of medicine and facilities, and within federal structure. There are about 600000 hospital beds in more than 13550 Hospitals; 27400 Dispensaries; 717860 Registered Medical Practitioners; 295000 Nurses; 227000 Auxiliary Nurses; and Midwives. This includes multi-layered rural healthcare system having District hospitals usually with bed strength of over 300 beds located at district headquarters, Sub-district hospitals usually with bed strength of 100-300 located at divisional headquarters in each district, Community Health Centre (3043 in no.) is a 30 bed hospital, acts as a referral unit for four Primary Health Centres (PHCs), and each Primary Health Centre (22842 in no.) is a referral unit for six sub-centres has around 4-6 beds. Sub-centre (137311 in no.) is the most peripheral contact point between the PHC and the community.

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