Brief description about healthcare system in INdia

3. Public Rural Health System

4. India's medical infrastructure at glance
 Health sector in India is responsibility of State and central
government.
 In terms of service delivery it is more concerned with the
state.
 There are :
1. 5097 hospitals ,
2. 8,70,161 Hospital beds
3. 5,03,900 Doctors
4. 7,37,000 Nurses
5. 162 Medical Colleges

5. Public Urban health system
 Super speciality hospitals like AIIMS but they are very limited.
(1500-2000 Beds).
 Special Disease Hospitals like Cancer Hospitals and TB hospitals
(500-1000 Beds).
 Medical College Hospitals and district hospitals form main public
health system for cities (500 Beds).
 Taluka hospitals cover mostly small cities and districts (below50
Beds.)
 All the hospitals have inpatient and Out patient department.
 Medicines and tests are usually covered at subsidised rates but
district Taluka hospitals may not have all the facilities.
 Public health in general is very poor with few exceptions
 This is generally due to lack of resources, over burden corruption,
lack of planning and accountability.

6. Private Urban Health System
 Privatised health system is much better than public health system.
 This is quite expensive as compared to public health system.
 The super speciality hospitals usually follow American health
system model and have advance facilities.
 The main customers for these is rich and middle income group.
 Insurance companies are key source of medical reimbursement for
medical bills.
 Both cashless and reimbursement facility available with insurance
companies.
 Usually medical insurance coast is covered by employer in the
private sector.

7. Private Urban Health system
 Pharmacy , Medical test , inpatient and outpatient are integrated
in single compound.
 Medium Size hospitals have average infrastructure and provide
basic health care.
 They cater mostly lower income and middle class.
 They work on both cash and insurance companies while lot of
them may not be covered by insurance companies.
 The facility is not superb but acceptable to some degree for non
critical disease.
 Nursing Homes are small private hospitals with limited
infrastructure.
 Again cater lower income, middle income group along with rural
population which come to cities for treatment.
 Facilities are not that good.

8. Private Urban Health system
 Private Clinics work in collaboration with private test houses and
private pharmaceuticals.
 Mostly work on direct payments. In some insurance scheme some
basic consultation fees is covered up to some extent.
 The number of private physicians is huge but scarcity of good
specialist.
 Lot of good doctors also fallow private practise for some portion
of their time but their number is quite small.