Universalising healthcare in India : from care to coverage / / Imrana Qadeer, K. B. Saxena, P. M. Arathi, editors

• Pubblicazione: Singapore : , : Springer, , [2022]; ©2022
• Descrizione fisica: 1 online resource (442 pages)
• Disciplina: 362.10954
• Soggetto topico: Medical policy - India; Health care reform - India; Health care reform; Salut pública
• Soggetto geografico: Índia
• Soggetto genere / forma: Llibres electrònics
• Persona (resp. second.): QadeerImrana <1941->; SaxenaK. B <1941-> (Kanwar Nahadur); ArathiP. M.
• Nota di contenuto: Intro -- Foreword -- Acknowledgements -- Introduction: The Idea of Universal Healthcare-Its Passage Through Time -- The Background of Universal Healthcare -- The World Health Organisation: Transformations Within -- Healthcare Strategies for the Other Half: International to Global -- The Universalisation of Healthcare in India -- References -- Contents -- Editors and Contributors -- About the Editors -- Contributors -- Abbreviations -- List of Figures -- List of Tables -- List of Maps -- Part I Ideas, Concepts, History, and Practice of UHC in India -- 1 Universal Health Coverage: The Trojan Horse of Neoliberal Policies -- The International Context -- The National Context of UHC for India -- Contemporary Official Strategies to Provide UHC in India -- The Trends and the Challenges for the Future -- References -- 2 Universal Healthcare and Health Assurance Through Healthcare Industry and Market Mechanisms: Evidence Versus Ideology -- Background -- UHC: Legacy of Social Protection and Welfarism -- UHC in India: Policy Proposals and Measures -- Private Healthcare Services in India -- Healthcare as 'Big Business Opportunity', Engine of Growth -- 'Targeting New Segments'-Setting Up Clinics and Hospitals Outside Metropolises and Big Cities -- Infusion of Private Equity -- Role of Development Finance Institutions -- Discussion -- Impact of Market-Oriented Reforms on Expenditure, Quality and Comprehensiveness -- Adverse Impacts of Corporate Presence -- Experience of USA with Private Capital Financing -- Conclusion -- UHC and Health Assurance in Times of for-Profit Healthcare: Evidence Versus Ideology -- References -- 3 National Health Policy 2017: Securing Interests of Profits -- The Current Policy Context: The Consensus and Few Contentions -- National Health Policy 2017: Healthcare an Avenue for Quick Returns Over Investments?. ; Making Resources Available to States and Enhancing Capacity to Spend: The 'Cloud-Rain Conundrum' -- Private Provisioning: Consolidation of Capital and Destruction of Petty-Production -- Is Regulation the Panacea? -- Conclusions -- References -- 4 Interrogating the Proposed Universal Healthcare in India Through a 'Quality' Lens -- Introduction -- Conceptual Underpinnings of 'Quality' in Healthcare -- Levels of Quality in Healthcare Services -- Definition of Quality of Care at an Individual Level -- Definition of Quality Healthcare at a Population Level -- Challenges to Assessment of Quality in Healthcare -- Social Determinants of Quality of Healthcare -- Tracing 'Quality' in Healthcare Services Development in the Indian Context -- Contemporary Currents of 'Quality' in Indian Health Services -- Special/Specific 'Quality' Related Policy Measures for Public Institutions -- Emerging Discourse for Health Services Strengthening: Implications for Quality HLEG and Steering Committee Recommendations -- National Health Policies (NHP): Draft 2015 and NHP 2017 -- The Way Forward -- References -- 5 Growth of Private Medical Colleges in Maharashtra and Its Implications for Universal Healthcare -- Methodology -- Rise of Private Medical Colleges in India: Time-Trend Analysis -- Regional Distribution of Medical Colleges and Intake Capacity: Interstate Analysis -- The Case of Maharashtra State -- Brief Profile of the State -- The Emergence of Marathas as the Dominant Caste in Maharashtra -- Economic and Political Power in Maharashtra -- Link Between the Cooperative Sector and the Ownership of Private Medical Colleges -- Growth of Medical Colleges: Time Trends, Spatial Distribution and Social Basis -- Spatial Distribution of Medical Colleges -- Social Basis of Private Medical Colleges -- Implication of the Growth Pattern of Medical Colleges for Universal Healthcare. ; References -- Part II Evidences and Experiences of Public-Private Partnerships and Health Insurance Schemes -- 6 A Critical Look at Public Private Partnership for Health Services in Karnataka -- Introduction -- Background of RGSSH -- Salient Points from the Evaluation Report of the State Government (Government of Karnataka, 2011) -- Community Response to Apollo-Managed RGSSH -- Karuna Trust Model of Primary Healthcare -- Discussion -- References -- 7 Role of Public Private Partnerships in Ensuring Universal Healthcare for India -- Introduction -- Types of PPP and Structural Issues: 1995-2015 -- Policies Enabling PPP -- First Phase (1995-2005) -- Second Phase (2006-2015) -- Creation of PPP Cells -- Infrastructure-Based PPP Projects -- Evidence on Access, Quality and Processes of Implementation -- Quality of Care -- Processes of PPP Implementation -- Discussion and Conclusion -- References -- 8 Unaccountable Deaths and Damages: An Analysis of Socio-Legal Implications of Sterilisation Camp Deaths in Bilaspur, Chhattisgarh -- Background -- Economic Transition and Fertility Changes in India -- Family Planning Programmes: Yesterday and Today -- Re-Emergence of Malthusianism -- Legal Articulation of Rights in the Indian Context -- Legal Battles in India -- Is India's UHC Model a Solution? -- References -- 9 Universal Healthcare and Universalising Health Insurance: Examining the Binary Through the RSBY/MSBY in Chhattisgarh -- Introduction -- Provider Perspectives -- Technology -- Settlement of Claims -- For-Profit (Private) Hospitals -- Public Hospitals -- Not-For-Profit Hospitals -- Beneficiary Perspectives -- Demographic and Socio-Economic Characteristics of the Female Patients -- Enrolment -- Hospitalisation -- Utilisation of the UHIS -- Oope -- Childbirth -- Current Concerns -- References. ; 10 Aarogyasri Scheme in Andhra Pradesh, India: Some Critical Reflections -- Introduction -- Is Public Private Partnership in Healthcare Desirable? -- Growth of Private Sector -- Health Insurance: Benefits to the Private Sector -- RACHI Scheme -- Coverage and Budget -- Key Stakeholders in RACHI -- Achievements of the RACHI Scheme -- Critical View of the Aarogyasri Scheme -- Skewed Towards Tertiary Sector -- State Sponsored Private Health Systems -- Under-Utilisation of Public Healthcare System -- Pressure Tactics and Lobbying -- Issues of Sustainability -- Ethical Issues -- Discussion -- References -- 11 Health Insurance to Achieve Health for All: A Critical Appraisal of Pradhan Mantri Jan Aarogya Yojana -- Grossly Inadequate Budget -- Inadequate Coverage and Containment of Out-of-Pocket Expenditure? -- An Inefficient Health Care Model -- No Protection from OPD Expenditures -- Undermining Primary Care -- Non-universal: A Faulty Application of Insurance Logic -- Conclusion -- References -- Part III Drugs and Pharmaceuticals: Critique of Policies and Practices -- 12 Developments in India's Domestic Pharmaceutical Sector and Implications for Universal Healthcare in India -- Introduction -- Genesis of a Domestic Pharmaceutical Industry -- Impact of Reforms on the Indian Pharmaceutical Industry -- Globalisation of the Indian Pharmaceutical Industry -- Implications for Universal Healthcare -- References -- 13 Vaccine Policy of the Government of India: Driven and Controlled by Vested Interests? -- Introduction of New Vaccines: Role of WHO -- Hepatitis B -- Evaluation of Benefits After Introduction of Hepatitis B -- H. Influenza B -- Accelerated Development and Introduction Plans (ADIP) -- Multivalent Pentavalent Vaccines and Adverse Events -- Rotavirus Vaccine -- Ad Hoc Revision of the AEFI Classification: Downplaying Adverse Events. ; The Official Revision of the AEFI Classification -- Consistent Causal Association to Immunisation -- Inconsistent Causal Association to Immunisation -- Indeterminate -- CIOMS/WHO Report on Vaccine Pharmacovigilance -- TOKEN Study and Population Based Evidence of AEFI -- Inflating Benefits to Match Cost -- WHO Cost-Effective Thresholds -- Pandemic Flu: WHO-Vaccine Manufacturer Nexus -- National Technical Advisory Groups -- Public Interest Litigation for Vaccine Policy -- Immunisation Policy for Namesake -- Way Forward: A NICE Solution Suggested Previously -- The Health Economics Model -- References -- 14 Availability and Access to Medicines: Some Issues in Pricing -- Introduction -- A Brief Historical Context -- Medicine Pricing in India: Some Features -- What Can Be Done About Providing Medicines-To Those Who Need It-In the Public Health System? -- Feasibility of Public Provision: The Experience of Tamil Nadu and Rajasthan -- Drug Price Regulation -- Omission of Useful Life-Saving Drugs in the NLEM-2011 and NLEM-2015 -- Case of Anti-Diabetics as Illustration of the Ineffective Price Control Policy -- Fixed Dose Combinations and Price Control -- Pricing of Patented Drugs -- Conclusion -- References -- 15 Vaccines and Vaccine Policy for Universal Healthcare -- Introduction -- Vaccines Under Universal Healthcare -- PPPs and Distorted Vaccine Needs -- Epidemiological Evidence from India for New Vaccines -- Rotavirus Vaccine -- Pentavalent Vaccine (DTP-Hepatitis B-Hib) -- The Need for an Evidence-Based Policy -- Critique of the Health Ministry's National Vaccine Policy -- Conclusion -- References -- 16 Drugs and Vaccines in Healthcare: Problems and Possibilities -- Drugs -- Vaccines -- References -- Part IV Missing Links in the Debate -- 17 The Elusive Development: Poverty, Inequality and Vulnerability -- Economic Growth -- Creation of Employment -- Wages. ; Conditions of Work.
• Titolo autorizzato: Universalising healthcare in India
• ISBN: 981-16-5872-2
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910506402403321
• Lo trovi qui: Univ. Federico II