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Healthcare in post-COVID India: A call for a decentralized healthcare system

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 in...

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Detalles Bibliográficos
Autores principales: Pramesh, C. S., Seshadri, D. V. R., Fernandez, Evita, Rao, Gullapalli N., Dutta, Manisha, Mohan, Pavitra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8884288/
https://www.ncbi.nlm.nih.gov/pubmed/35280624
http://dx.doi.org/10.4103/jfmpc.jfmpc_2032_21
Descripción
Sumario: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.