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Developing Standard Treatment Workflows—way to universal healthcare in India

Primary healthcare caters to nearly 70% of the population in India and provides treatment for approximately 80–90% of common conditions. To achieve universal health coverage (UHC), the Indian healthcare system is gearing up by initiating several schemes such as National Health Protection Scheme, Ayu...

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Autores principales: Grover, Ashoo, Bhargava, Balram, Srivastava, Saumya, Sharma, Lokesh Kumar, Cherian, Jerin Jose, Tandon, Nikhil, Chandershekhar, Sudha, Ofrin, Roderico H., Bekedam, Henk, Pandhi, Deepika, Mukherjee, Aparna, Dhaliwal, Rupinder Singh, Singh, Manjula, Rajshekhar, Kavitha, Roy, Sudipto, Rasaily, Reeta, Saraf, Deepika, Kumar, Dhiraj, Parmar, Neeraj, Kabra, Sushil Kumar, Chaudhry, Dhruva, Deorari, Ashok, Tandon, Radhika, Singh, Rajdeep, Khaitan, Binod, Agrawala, Sandeep, Gupta, Sudeep, Goel, Satish Chandra, Bhansali, Anil, Dutta, Usha, Seth, Tulika, Singh, Neeta, Awasthi, Shally, Seth, Amlesh, Pandian, Jeyaraj, Jha, Vivekanand, Dwivedi, Sudhanshu Kumar, Tripathi, Reva, Thakar, Alok, Jindal, Surinder, Gangadhar, Banglore Nanjudaiah, Bajaj, Anjali, Kant, Mohan, Chatterjee, Aniket
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472454/
https://www.ncbi.nlm.nih.gov/pubmed/37663866
http://dx.doi.org/10.3389/fpubh.2023.1178160
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author Grover, Ashoo
Bhargava, Balram
Srivastava, Saumya
Sharma, Lokesh Kumar
Cherian, Jerin Jose
Tandon, Nikhil
Chandershekhar, Sudha
Ofrin, Roderico H.
Bekedam, Henk
Pandhi, Deepika
Mukherjee, Aparna
Dhaliwal, Rupinder Singh
Singh, Manjula
Rajshekhar, Kavitha
Roy, Sudipto
Rasaily, Reeta
Saraf, Deepika
Kumar, Dhiraj
Parmar, Neeraj
Kabra, Sushil Kumar
Chaudhry, Dhruva
Deorari, Ashok
Tandon, Radhika
Singh, Rajdeep
Khaitan, Binod
Agrawala, Sandeep
Gupta, Sudeep
Goel, Satish Chandra
Bhansali, Anil
Dutta, Usha
Seth, Tulika
Singh, Neeta
Awasthi, Shally
Seth, Amlesh
Pandian, Jeyaraj
Jha, Vivekanand
Dwivedi, Sudhanshu Kumar
Tripathi, Reva
Thakar, Alok
Jindal, Surinder
Gangadhar, Banglore Nanjudaiah
Bajaj, Anjali
Kant, Mohan
Chatterjee, Aniket
author_facet Grover, Ashoo
Bhargava, Balram
Srivastava, Saumya
Sharma, Lokesh Kumar
Cherian, Jerin Jose
Tandon, Nikhil
Chandershekhar, Sudha
Ofrin, Roderico H.
Bekedam, Henk
Pandhi, Deepika
Mukherjee, Aparna
Dhaliwal, Rupinder Singh
Singh, Manjula
Rajshekhar, Kavitha
Roy, Sudipto
Rasaily, Reeta
Saraf, Deepika
Kumar, Dhiraj
Parmar, Neeraj
Kabra, Sushil Kumar
Chaudhry, Dhruva
Deorari, Ashok
Tandon, Radhika
Singh, Rajdeep
Khaitan, Binod
Agrawala, Sandeep
Gupta, Sudeep
Goel, Satish Chandra
Bhansali, Anil
Dutta, Usha
Seth, Tulika
Singh, Neeta
Awasthi, Shally
Seth, Amlesh
Pandian, Jeyaraj
Jha, Vivekanand
Dwivedi, Sudhanshu Kumar
Tripathi, Reva
Thakar, Alok
Jindal, Surinder
Gangadhar, Banglore Nanjudaiah
Bajaj, Anjali
Kant, Mohan
Chatterjee, Aniket
author_sort Grover, Ashoo
collection PubMed
description Primary healthcare caters to nearly 70% of the population in India and provides treatment for approximately 80–90% of common conditions. To achieve universal health coverage (UHC), the Indian healthcare system is gearing up by initiating several schemes such as National Health Protection Scheme, Ayushman Bharat, Nutrition Supplementation Schemes, and Inderdhanush Schemes. The healthcare delivery system is facing challenges such as irrational use of medicines, over- and under-diagnosis, high out-of-pocket expenditure, lack of targeted attention to preventive and promotive health services, and poor referral mechanisms. Healthcare providers are unable to keep pace with the volume of growing new scientific evidence and rising healthcare costs as the literature is not published at the same pace. In addition, there is a lack of common standard treatment guidelines, workflows, and reference manuals from the Government of India. Indian Council of Medical Research in collaboration with the National Health Authority, Govt. of India, and the WHO India country office has developed Standard Treatment Workflows (STWs) with the objective to be utilized at various levels of healthcare starting from primary to tertiary level care. A systematic approach was adopted to formulate the STWs. An advisory committee was constituted for planning and oversight of the process. Specialty experts' group for each specialty comprised of clinicians working at government and private medical colleges and hospitals. The expert groups prioritized the topics through extensive literature searches and meeting with different stakeholders. Then, the contents of each STW were finalized in the form of single-pager infographics. These STWs were further reviewed by an editorial committee before publication. Presently, 125 STWs pertaining to 23 specialties have been developed. It needs to be ensured that STWs are implemented effectively at all levels and ensure quality healthcare at an affordable cost as part of UHC.
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spelling pubmed-104724542023-09-02 Developing Standard Treatment Workflows—way to universal healthcare in India Grover, Ashoo Bhargava, Balram Srivastava, Saumya Sharma, Lokesh Kumar Cherian, Jerin Jose Tandon, Nikhil Chandershekhar, Sudha Ofrin, Roderico H. Bekedam, Henk Pandhi, Deepika Mukherjee, Aparna Dhaliwal, Rupinder Singh Singh, Manjula Rajshekhar, Kavitha Roy, Sudipto Rasaily, Reeta Saraf, Deepika Kumar, Dhiraj Parmar, Neeraj Kabra, Sushil Kumar Chaudhry, Dhruva Deorari, Ashok Tandon, Radhika Singh, Rajdeep Khaitan, Binod Agrawala, Sandeep Gupta, Sudeep Goel, Satish Chandra Bhansali, Anil Dutta, Usha Seth, Tulika Singh, Neeta Awasthi, Shally Seth, Amlesh Pandian, Jeyaraj Jha, Vivekanand Dwivedi, Sudhanshu Kumar Tripathi, Reva Thakar, Alok Jindal, Surinder Gangadhar, Banglore Nanjudaiah Bajaj, Anjali Kant, Mohan Chatterjee, Aniket Front Public Health Public Health Primary healthcare caters to nearly 70% of the population in India and provides treatment for approximately 80–90% of common conditions. To achieve universal health coverage (UHC), the Indian healthcare system is gearing up by initiating several schemes such as National Health Protection Scheme, Ayushman Bharat, Nutrition Supplementation Schemes, and Inderdhanush Schemes. The healthcare delivery system is facing challenges such as irrational use of medicines, over- and under-diagnosis, high out-of-pocket expenditure, lack of targeted attention to preventive and promotive health services, and poor referral mechanisms. Healthcare providers are unable to keep pace with the volume of growing new scientific evidence and rising healthcare costs as the literature is not published at the same pace. In addition, there is a lack of common standard treatment guidelines, workflows, and reference manuals from the Government of India. Indian Council of Medical Research in collaboration with the National Health Authority, Govt. of India, and the WHO India country office has developed Standard Treatment Workflows (STWs) with the objective to be utilized at various levels of healthcare starting from primary to tertiary level care. A systematic approach was adopted to formulate the STWs. An advisory committee was constituted for planning and oversight of the process. Specialty experts' group for each specialty comprised of clinicians working at government and private medical colleges and hospitals. The expert groups prioritized the topics through extensive literature searches and meeting with different stakeholders. Then, the contents of each STW were finalized in the form of single-pager infographics. These STWs were further reviewed by an editorial committee before publication. Presently, 125 STWs pertaining to 23 specialties have been developed. It needs to be ensured that STWs are implemented effectively at all levels and ensure quality healthcare at an affordable cost as part of UHC. Frontiers Media S.A. 2023-08-16 /pmc/articles/PMC10472454/ /pubmed/37663866 http://dx.doi.org/10.3389/fpubh.2023.1178160 Text en Copyright © 2023 Grover, Bhargava, Srivastava, Sharma, Cherian, Tandon, Chandershekhar, Ofrin, Bekedam, Pandhi, Mukherjee, Dhaliwal, Singh, Rajshekhar, Roy, Rasaily, Saraf, Kumar, Parmar, Kabra, Chaudhry, Deorari, Tandon, Singh, Khaitan, Agrawala, Gupta, Goel, Bhansali, Dutta, Seth, Singh, Awasthi, Seth, Pandian, Jha, Dwivedi, Tripathi, Thakar, Jindal, Gangadhar, Bajaj, Kant and Chatterjee. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Grover, Ashoo
Bhargava, Balram
Srivastava, Saumya
Sharma, Lokesh Kumar
Cherian, Jerin Jose
Tandon, Nikhil
Chandershekhar, Sudha
Ofrin, Roderico H.
Bekedam, Henk
Pandhi, Deepika
Mukherjee, Aparna
Dhaliwal, Rupinder Singh
Singh, Manjula
Rajshekhar, Kavitha
Roy, Sudipto
Rasaily, Reeta
Saraf, Deepika
Kumar, Dhiraj
Parmar, Neeraj
Kabra, Sushil Kumar
Chaudhry, Dhruva
Deorari, Ashok
Tandon, Radhika
Singh, Rajdeep
Khaitan, Binod
Agrawala, Sandeep
Gupta, Sudeep
Goel, Satish Chandra
Bhansali, Anil
Dutta, Usha
Seth, Tulika
Singh, Neeta
Awasthi, Shally
Seth, Amlesh
Pandian, Jeyaraj
Jha, Vivekanand
Dwivedi, Sudhanshu Kumar
Tripathi, Reva
Thakar, Alok
Jindal, Surinder
Gangadhar, Banglore Nanjudaiah
Bajaj, Anjali
Kant, Mohan
Chatterjee, Aniket
Developing Standard Treatment Workflows—way to universal healthcare in India
title Developing Standard Treatment Workflows—way to universal healthcare in India
title_full Developing Standard Treatment Workflows—way to universal healthcare in India
title_fullStr Developing Standard Treatment Workflows—way to universal healthcare in India
title_full_unstemmed Developing Standard Treatment Workflows—way to universal healthcare in India
title_short Developing Standard Treatment Workflows—way to universal healthcare in India
title_sort developing standard treatment workflows—way to universal healthcare in india
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472454/
https://www.ncbi.nlm.nih.gov/pubmed/37663866
http://dx.doi.org/10.3389/fpubh.2023.1178160
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