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INTRODUCTION

Over the last few decades, there has been a tremendous improvement in the quality
of healthcare services in India. This is illustrated by the significant improvement in
healthcare indicators such as life expectancy at birth, infant mortality rates,
maternal mortality rate, etc. over this period.

The improvement in the healthcare indicators is a direct result of the improved


penetration of healthcare services in terms of the increase in the number of
government and private hospitals in India. There is a noted increase in the number
of allopathic doctors with recognized medical qualifications, who have registered
with state medical councils.

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HEALTH CARE
Health care is the maintenance or improvement of health via
the diagnosis, treatment, and prevention of disease, illness, injury, and
other physical and mental impairments in human beings. Health care is delivered
by health professionals (providers or practitioners) in allied health
professions, chiropractic, physicians, dentistry, midwifery, nursing, medicine, opto
metry, pharmacy,psychology, and other health professions. It includes the work
done in providing primary care, secondary care, and tertiary care, as well as
in public health.

Access to health care varies across countries, groups and individuals, largely
influenced by social and economic conditions as well as the health policies in
place. Countries and jurisdictions have different policies and plans in relation to
the personal and population-based health care goals within their societies.

Health care systems are organizations established to meet the health needs of target
populations. Their exact configuration varies between national and sub national
entities. In all cases, according to the World Health Organization (WHO), a well-
functioning health care system requires a robust financing mechanism; a well-
trained and adequately-paid workforce; reliable information on which to base
decisions and policies; and well maintained health facilities and logistics to deliver
quality medicines and technologies.

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HEALTH CARE FACILITY

A Health facility is, in general, any location where healthcare is provided. Health
facilities range from small clinics and doctor's offices to urgent care centers and
large hospitals with elaborate emergency rooms and trauma centers. The number
and quality of health facilities in a country or region is one common measure of
that area's prosperity and quality of life.

In many countries, health facilities are regulated to some extent


by law; licensing by a regulatory agency is often required before a facility may
open for business. Health facilities may be owned and operated by for-profit
businesses, non-profit organizations, governments, and in some cases
by individuals, with proportions varying by country.

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TYPES OF HEALTH CARE
FACILITIES

Healthcare center
Healthcare centers, including clinics, doctor's offices, urgent care centers
and ambulatory surgery centers, serve as first point of contact with a health
professional and provide outpatient medical, nursing, dental, and other types of
care services.
Hospital
A hospital is an institution for healthcare typically providing specialized treatment
for inpatient (or overnight) stays. Some hospitals primarily admit patients suffering
from a specific disease or affection, or are reserved for the diagnosis and treatment
of conditions affecting a specific age group. Others have a mandate that expands
beyond offering dominantly curative and rehabilitative care services to include
promotional, preventive and educational roles as part of a primary
healthcare approach.
Today, hospitals are largely staffed by professional physicians, surgeons,
and nurses, whereas in the past, this work was usually performed by the founding
religious orders or by volunteers.

Types of Hospitals
Some patients go to a hospital just for diagnosis, treatment, or therapy and then
leave ('outpatients') without staying overnight; while others are 'admitted' and stay
overnight or for several days or weeks or months ('inpatients'). Hospitals usually
are distinguished from other types of medical facilities by their ability to admit and
care for inpatients whilst the others often are described as clinics.

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Types of
Hospitals

General Clinic

District Teaching
Specialty

General
The best-known type of hospital is the general hospital, which is set up to deal with
many kinds of disease and injury, and normally has an emergency department to
deal with immediate and urgent threats to health.
District
A district hospital typically is the major health care facility in its region, with large
number of beds for intensive care and long-term care.
Specialty
Specialized hospitals include trauma centers, hospitals, children’s, seniors'
(geriatric) hospitals, and hospitals for dealing with specific medical needs such
as psychiatric problems (see psychiatric)
Teaching
A teaching hospital combines assistance to people with teaching to medical
students and nurses and often is linked to a medical school, nursing school or
university.
Clinic
The medical facility smaller than a hospital is generally called a clinic, and often is
run by a government agency for health services or a private partnership of
physicians (in nations where private practice is allowed). Clinics generally provide
only outpatient services.

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HEALTH CARE IN INDIA

The private sector is the dominant healthcare provider in India. In major urban
areas, the quality of medical care is close to and sometimes exceeds first-world
standards. Indian healthcare professionals have the advantage of working in a very
biologically active region exposing them to treatment regimens of various kinds of
conditions. The quality and amount of experience is arguably unmatched in most
other countries.

Despite limited access to high end diagnostic tools in rural areas, healthcare
professions rely on extensive experience in rural areas. However non-availability
of diagnostic tools and increasing reluctance of qualified and experienced
healthcare professionals to practice in rural, under-equipped and financially less
lucrative rural areas is becoming a big challenge. Although rural medical
practitioners are highly sought after by residents of rural areas as they are more
financially affordable and geographically accessible than practitioners working in
the formal public health care sector.

In 2015 the British Medical Journal published a report by Dr Gadre, from Kolkata,
exposed the extent of malpractice in the Indian healthcare system. He interviewed
78 doctors and found that kickbacks for referrals, irrational drug prescribing and
unnecessary interventions were commonplace.

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HEALTH CARE FACILITIES IN
INDIA

The Indian health system includes public and private hospitals as well as
specialized Ayurvedic hospitals offering this traditional Indian system of
alternative medicine. English-speaking doctors are easy to find, as most Indian
doctors speak fluent English. All major cities and medium-sized urban centers
have private hospitals that provide an excellent standard of care.

Health insurance only covers hospitalization and emergency costs. Other care must
be paid for upfront, but even privately it is extremely reasonable compared to other
countries, so medical costs should not be a significant expense.

Most western expats working in India take out private health cover, either
independently or as an employee benefit. As such, foreigners should head to or call
a private hospital in an emergency, as the quality of treatment and care is likely to
be better than a state hospital.

Some of the facilities are:

All India Institutes of Medical Sciences owned and controlled by the central
government. These are referral hospitals with specialized facilities. All India
institutes presently functional are All India Institute of Medical Sciences, New
Delhi, AIIMS Bhopal, AIIMS Bhubaneswar, AIIMS Jodhpur, AIIMS Raipur, and
AIIMS Rishikesh.

Regional Cancer Centers are cancer care hospitals and research institutes
controlled jointly by the central and the respective state governments.

Government Medical Colleges owned and controlled by the respective state


governments. These are referral hospitals.

District Hospitals or General Hospitals: Controlled by the respective state


governments and serving the respective districts (administrative divisions in India).

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Taluk hospitals: Taluk level hospitals controlled by the respective state
governments and serving the respective taluks (administrative divisions in India,
and smaller than districts).

Community Health Centre CHCs: Community Health Centers are available is basic
health unit in the urban areas.

Primary Health Centers: The basic units with the most basic facilities, and
especially serving rural India, generally at the level of a panchayat.

Sub-centers: The most basic units of health in villages; first point of contact
between villagers and public health care system in India.

Medical Institutions in India


0%
Primary Health Care
6% Centers
3% 9% Sub Centers

PSU Hospitals
46%
District Hospitals

36% Community Health


Care Centers
Medical Colleges

There are 22, 271 primary health care centers in India and 17, 271 sub centers. We
have around 1200 PSU hospitals and 4400 district hospitals. There are 2,935
community health care centers. Last but not the least 117 medical colleges which
are also Tertiary care hospitals.

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GOVERNMENT-FUNDED HEALTH
CARE FACILITIES
Publicly funded government hospitals provide basic care only and often lack
adequate infrastructure. They can also be crowded and waiting times can be long.
Government hospitals are often understaffed, which is why a family member
usually attends to the patient during a hospital stay.

Though the cost of care is less at these government hospitals, the standard is
inferior compared to private hospitals, and in general western expats opt for private
healthcare.

Government hospitals in Rural & Urban


Areas

2180

2170

2160

2150

2140 Hospitals
2130

2120

2110

2100
Rural Areas Urban Areas

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PRIVATE SECTOR HEALTH CARE
FACILITIES
Most locals and expats prefer to use the services of private hospitals and clinics.
These offer a high standard of care that is at the same level as North American and
European countries. Private hospitals are modern and well equipped, and the
doctors are highly qualified and often trained abroad. The following private
hospital groups have good reputations and are located in all major cities:

 Apollo
 Fortis
 Manipal
 Max

The cost of medical care is very reasonable compared to other countries. Some
hospitals practice double-pricing, with higher fees for foreigners. These fees can be
negotiable.

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Doctors and Clinics

General practitioners are available in hospitals, clinics and in private practices. The
best way to find a doctor is to ask for recommendations from friends, co-workers
or neighbors. Embassies and consulates can also provide a list of recommended
doctors.

There are hundreds of medical facilities across the country. Your health insurance
provider will normally provide details of the options in your locality

The Health section on the India government website provides details and
directories of a number of health care options

Pharmacies

All types of prescription medicines and health care products are available in India
at a very low cost. Doctors provide prescriptions for certain medications but some
pharmacies do not always ask for them.

Pharmacies are easily found in almost every street in all Indian cities. These can be
simple roadside stalls or bigger shop-like businesses. Some may display green or
red crosses.

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Coming to some recent numbers regarding the Health care sector in India, the
government still seems to lack when it comes to providing state of the medical
facilities. Today, almost 80% of the health care services are provided by the private
sector.

80 % of the hospitals in India have less than 30 beds while only 1 % falls in the
league of more than 200 beds. As per a statistical research, there are around 15,393
hospitals in India. Out of them, around 4049 are run by the public sector while
11,344 are run by the Private sector. Total numbers of beds in the hospitals are 8,
75, 000. There are about 5, 92, 215 doctors in India, a whopping big number!
Apart from the doctors, there are 7, 37, 000 nurses, 80000 dentists, 170 Medical
colleges. Every year the country churns out 18000 doctors.

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HEALTH CARE IN J&K
In Jammu & Kashmir health care is the biggest concern to tackle. The health care
delivery system is one of the worst hit services. Health care facilities in Jammu &
Kashmir are not only inadequate but lack credibility. Availability of wide range of
services has not been ensured.

Although over a period of last one year, a lot of effort has been made to
strengthen the existing peripheral institutions in terms of infrastructure, machinery
& manpower etc. Efforts have been made to make the functioning of health
institutions 24x7. The overall health scenario of the state is crying for proper
planning & management. There are 3960 health care institutions, 4 medical
colleges.

Some hospitals like children’s hospital & district hospitals need adequate
infrastructure & essential equipment .Though changes have taken place in the
medical sphere, however these changes are not enough to give people the best of
facilities which other cities can provide.

The public hospitals are not properly equipped. The environment of public
hospitals is not clean. Some drawbacks are-

 Advanced medical equipment is not available.

 Existing equipment is not being maintained.

 Most of the equipment are un kept & not being used

 Hospitals lack professional management

 Patient load limited to few hospitals

However, there is considerable scope to improve the public health system in J&K
and some initiatives taken by the government will go a long way in improving the
health care delivery system in the state.

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ROLE OF THE GOVERNMENT

For radical changes in Health care Facilities in the state of Jammu & Kashmir,
government has taken many actions, however major actions are still to be taken &
amended.

Various steps taken by the government in order to improve the status of Health
Care Systems are as follows:

 Human Resource Development

 Accountability and transparency

 The National Rural Health Mission(NRHM)

 Infrastructure Development

 Emergency Management Response System(EMRS)

 State Drug policy

 Health Insurance for BPL & others;

 Establishing Biometric attendance system in the hospitals

 Promoting the manufacturing of herbal medicines.

 Setting up of Food Safety organization

 Opening of a state level training institute including department of hospital


administration.

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ABOUT THE HOSPITAL

The hospital is ISO 9001-2008 certified hospital, the only one in Jammu. The hall
mark of BNGH, distinguishing them from their con-temporizes , is the patient
centricity that one will discern all over the hospital design, services, programs and
most significantly in the caring approach of our team. They emphasize on human
approach in patients care which is obvious in every staff's activities,

“Early detection and timely intervention" is their mantra and no undue delay is
observed during administering treatment. Together with the technology to match
world class standards and support services like, pharmacy, laboratory and cafeteria.
They pledge to make patients stay at the hospital peaceful and comfortable.

The superb location is just 3 Kms. from the bus stand, 5 Kms from the railway
station is supplemented with ample parking which further makes the hospital visits
hassle free.

Hospital Profile

Trading Name: Bee Enn General Hospital


Type: Private
Industry: Healthcare
Founded: 1979
Founder: Roshan Lal Bhalla
Location: Talab Tillo Road, Jammu, Jammu & Kashmir 180002
Slogan: Your care is our concern
Website: http://www.beeenngroup.com/BN-HOSPITAL/index.html

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MISSION OF THE HOSPITAL

The mission of the Bee Enn Charitable Trust is to excel in the field of medical care
and services through Bee Enn General Hospital. At Bee Enn General Hospital they
have assembled the finest talents in health care, be they doctors, nurses or
technicians and management professionals across a wide spectrum. Enabling them
to deliver the highest quality of wellness with stare of the art facilities and support
infrastructure.

Bee Enn General Hospital is bench marked to international standard-a cheering


quality through the relentless adherence to the protocols observed in some of the
India's leading Hospitals.

SPECIALTIES

At Bee Enn General Hospital they have assembled the finest talents in health care,
be they doctors, nurses or technicians and management professionals across a wide
spectrum. The hospital has 10 bedded state of the art I.C.U these includes 04
bedded main ICU and 06 bedded wards. They have 04 world class
ventilators(Puritan and Bennett, Wipro GE) and 8 monitors (L & T). They have 01
dedicated cardiac defibrillator for ICU. To prevent bed sores and provide best
possible comfort to their patients, their ICU is equipped with 10 Fowler beds with
air mattress.

To support and monitor of ICU the patient's condition they have blood gas
analyzer. The whole ICU is air conditioned with centralized piped oxygen and
suction supply. They ensure proper climate control for the ICU patients and have

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portable X-ray machine for providing X-ray facility at the patient's bedside itself.
They have specialized and experienced staff at ICU with vast experience in CCU
(Critical Care Unit).

To ensure sterility of ICU and to effective infection control they have introduced
fogging method this has insured that they use only bio degradable disinfectants non
aldehyde. The hospital has two ultra modern operation theaters with laminar air
flow system that enhances filtration's levels thereby increasing sterility. The
Operation Theaters are benchmark to international standards in technology and
equipment s e.g. C-arm, Laparoscope, microscope and Anesthesia trolley etc. They
have 24 hours facility of blood.

Medical disciplines which are covered by us are:-

 Advanced ICU rooms


 Ultra modern operation theaters
 NEUROSURGERY
 UROLOGY
 PLASTIC SURGERY
 LAPAROSCOPIC SURGERY
 ORTHOPEDICS
 GYNECOLOGY AND OBSTETRICS
 ANESTHESIA
 CARDIOLOGY
 NEPHROLOGY
 PEDIATRICS
 GENERAL MEDICINES
 DERMATOLOGY
 OPHTHALMOLOGY
 ENT
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 DENTISTRY
 PSYCHIATRY AND DEDICATION
 PATHOLOGY AND BIOCHEMISTRY

FACILITIES
Hospital has following facilities:

 24x7 Ambulance Services


 24 Hours Pharmacy
 24x7 Emergency services
 Pre and post operative rooms

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KIDNEY AND UROLOGY CENTER

Bee Enn Kidney and Urology center (BNKUC) is a state of the art super specialty
centre dedicated for all types of Kidney and Urological disorders.

The hospital has pool of highly proficient consultants and doctors who are abreast
of latest developments in the management of Kidney and Urological diseases. The
centre is equipped with latest ultra sophisticated equipments for precision,
diagnosis and treatment.

The setup is fully air conditioned for patients and attendant comfort. The technical
and other supportive staff is highly trained and skilled.

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VISIT TO THE HOSPITAL
In order to gain more knowledge and have a first-hand experience, we visited the
hospital. To make our study more comprehensive and authentic, we interviewed
the staff and the patients.

We found that a newly built Kidney and Urology Center had been set up especially
for renal patients. The hygiene and sanitation conditions are moderate and there are
special ICU and Emergency wards.

In all, we had an enriching experience learning a lot about the hospital and the
facilities provided.

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DATA COLLECTION, ANALYSIS &
INTERPRETATION
In our study, we collected data from the patients & the staff of the hospital. There
were a total of 10 respondents to the survey.

1. Is there a difference in performance between the hospitals located in the


city?
50%
50% 30%
20%

0%

YES NO CAN'T SAY

Out of the 10 people surveyed, 5 feel that there is a difference in performance


between the hospitals in the city while 3 feel the contrary.

2. Are you satisfied with the skills and competency of the staff?

50%
50% 30%
20%

0%

YES NO CAN'T SAY

Only 3 people, out of the 10 surveyed, are satisfied with the staff whereas 5 are not
& 2 are unsure.

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3. Is the hospital equipped for modern diagnosis and treatment?

40%
40% 30%
30% 20%
20%

10%

0%

YES NO CAN'T SAY

4 out of 10 people agree that the hospital is adequately equipped whereas 3


don’t and 2 are unsure.

4. Are you satisfied with the overall cleanliness of the hospital?

80% 60%
60%
30%
40%
10%
20%

0%

YES NO CAN'T SAY

6 people are satisfied with cleanliness of the hospital whereas 3 are


dissatisfied.
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5. Does the hospital have managers/staff dedicated to patient satisfaction
matters?

YES NO CAN'T SAY


10%

20%

70%

7 out of 10 people feel that the staff is dedicated to patient satisfaction


whereas 2 feel the contrary.

6. Do you find the location of the hospital convenient?

YES NO CAN'T SAY


10%

40%

50%

4 people find the location convenient whereas 5 people find it inconvenient.

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7. Do you usually come to this hospital?

70%
60%
60%
50%
40%
30%
30%
20%
10%
10%
0%

YES NO CAN'T SAY

Majority answered negative i.e. 6 people said they don’t come to the hospital
whereas 3 people answered positive.

8. Does the hospital have modern operating rooms?

50%
40% 40%
40%

30%
20%
20%

10%

0%

YES NO CAN'T SAY

Out of the 10 people surveyed, 4 agree that the hospital has modern
operating rooms whereas 4 disagree.

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9. Have any programmes been introduced by the hospital in the last 12
months?

50%

20%

30%

0% 10% 20% 30% 40% 50% 60%

CAN'T SAY NO YES

While the majority is unsure about the matter, 2 don’t think any programme
has been introduced whereas 3 say yes.

10.In your opinion, are hygiene and sanitation conditions properly


maintained in the hospital?

10%

40%

50%

0% 10% 20% 30% 40% 50% 60%

CAN'T SAY NO YES

In this case, 5 out of 10 people say yes while 4 answered negative.

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CONCLUSION
 Healthcare facilities are quintessential to the development of an economy.
 Majority of the respondents are not satisfied with the skills and competency
of the staff.
 Most of them agree to the fact that the hospital is adequately equipped and
has maintained hygiene and sanitation conditions.
 Dedication of the staff is appreciated by the patients but they lack skills.
 Since the hospital is located at one end of the city, the patients residing at the
other end of the city find it inconvenient.
 We can conclude by saying that the hospital facilitates diagnosis & treatment
but lacks quality. There is scope for improvement.

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RECOMMENDATIONS
1. There is dire need for public education in the local languages on patient’s
rights, violation of those rights and procedures for seeking redress for the
attention of the illiterate population.
2. A billboard should be erected at the entrance of the hospital enumerating the
main basic rights of patients during the course of seeking health care.
3. The complaints unit of the hospital should be advertised and made
operational for patient’s complaints and suggestions to be considered for
improved services
4. The complaints unit should institute a yearly survey where patients are given
the opportunity to assess the performance of the hospital in areas of care and
treatment, sanitation of working environment, access to information, and
relations of health workers with patients, the consent and confidentiality of
patients, among others for improved service delivery.
5. There is need for the hospital to improve efficiency of services to reduce the
waiting time in accessing health care. In the absence of adequate physicians
at the hospital, the hospital should assign more health professionals in peak
periods or days to enable them to cater for patients.

There should be a Pharmacist not only to tell patients of the dosage of drugs but
also the side effects of some noted drugs that can cause some discomfort when
administered as well as avoidance of some meals during the course of
administering some drugs.

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BIBLIOGRAPHY

https://data.gov.in/catalog/number-government-hospitals-and-beds-rural-and-
urban-areas

https://en.wikipedia.org/wiki/Health_facility

https://en.wikipedia.org/wiki/Hospital

http://www.findyourdoctor.net/2013/08/bee-enn-general-hospital.html

https://www.angloinfo.com/india/how-to/india-healthcare-health-system

https://en.wikipedia.org/wiki/Health_care

http://www.beeenngroup.com/

http://www.beeenngroup.com/bnct.htm

https://en.wikipedia.org/wiki/Public_health_system_in_India

http://www.medicaljobcity.com/the-booming-medical-sector-in-india/

https://www.kpmg.de/docs/Healthcare_in_India.pdf

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QUESTIONNAIRE

NAME: AGE: MALE FEMALE

1. Is there a difference in performance between the hospitals located in the


city?

YES CAN’T SAY

NO

2. Are you satisfied with the skills and competency of the staff?

YES CAN’T SAY

NO

3. Is the hospital equipped for modern diagnosis and treatment?

YES CAN’T SAY

NO

4. Are you satisfied with the overall cleanliness of the hospital?

YES CAN’T SAY

NO

5. Does the hospital have staff dedicated to patient satisfaction matters?

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YES CAN’T SAY

NO

6. Do you find the location of the hospital convenient?

YES CAN’T SAY

NO

7. Do you usually come to this hospital?

YES CAN’T SAY

NO

8. Does the hospital have modern operating rooms?

YES CAN’T SAY

NO

9. Have any programmes been introduced by the hospital to in the last 12


months?

YES CAN’T SAY

NO

10. In your opinion, are hygiene & sanitation conditions properly


maintained in the hospital?

YES CAN’T SAY

NO
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