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HEALTH CARE Generally consists of hospital activities and other human health activities. The delivery of modern health care depends on an expanding group of trained professionals di f i d f i l coming together as an inter disciplinary team. .

Health care (cont d) (cont’d) Health care implies more than medical care. ll l in l . care Health H l h care i a public right and i i the is bli i h d it is h responsibility of governments to provide this care to all people i equal measure.

Levels of Health care Primary Secondary S d Tertiary .

Changing Concepts Comprehensive Health care Basic H l h B i Health services i Primary Health Care .

Principles of Primary Health care Equitable Distribution Community participation Intersectoral coordination I l di i Appropriate Technology .

Classification of Hospitals (Ownership/Control) / Public Hospitals Voluntary H i l V l Hospitals Private Nursing Homes Corporate Hospitals .

3% between 2000 -2009 .Growth of Health Care Projected 23% per annum US$ 35 billion to 77 by 2012 billi b The sector registered 9.

75 1 75 million beds by the end of 2025 Investment US$ 86 billion (Public sector is likely to contribute 15 -20%) Corporate India is therefore leveraging on this business potential. Sahara. b i i l Companies increase their foot print: Reliance. Emami. Panacea group . Apollo tyres.Requirements 1.

HDI: A Challenge for All Longevity. Weakness i health sector h an adverse effect W k in h l h has d ff on longevity India ranks low(115th) amongst the nations judged by HDI.Literacy Longevity Literacy and GDP per capita are main indicators of Human Development. Longevity is a measure of state of health & is linked to income and education. .

Welfare Measures Growth in national income by itself is not enough. if the benefits do not manifest themselves in the form of more food. -Amartyo. better food access to health and education.Sen Amartyo K Sen .K.

outcomes .Welfare Measures (cont d) (cont’d) Health outcomes are determined by environmental.converge in urban settings determinantswhich strongly influence health status and other outcomes. social and physical infrastructure conditions and factors that can be positively influenced. Underlying drivers-referred to as driverssocial determinants.

Welfare Measures (cont d) (cont’d) Prevention and early diagnosis and treatment are the most effective strategies for most of the diseases (Health check up awareness) .

Obesity etc Smoking. Radiation. El S ki High BP Elevated serum d cholesterol. Smoking.Disease Prominent risk factors Risk Factors Smoking. Alcohol. Diabetes.workfactors. Hi h hazards etc.Pollution.RTA g g Alcohol Heart Di H Disease Cancer Stroke Cirrhosis of liver .High BP.Dietary factors.

habits & behaviour. access to health services. water supply. ethnic&cultural group. Rural. other health conditions etc. etc SocioSocio-cultural . physiological state. Over crowding.Risk Groups Situation Biological Physical Group Age. Social class. proximity to Industries etc. Urban slums. life style and attitudes etc. Living conditions. sex. genetic factors. customs.

Welfare through intervention Health Promotion Health Protection (specific) Early Di E l Diagnosis and T i d Treatment Disability Limitation Rehabilitation .

Welfare Measures (cont d) (cont’d) Infection Control Bio Medical Waste Management EMRI (108) KKT (Tamil Nadu Health Insurance Scheme) Organ donation Compulsory rural service of Doctors. Doctors .

Mattrellam Variyaarku Kuriyethirppai Neera Dudaithu”. Charity “Variyaarku Onru Eevade Eehai. All other gifts have the nature of a measured return). Dudaithu”chapter 23. return) .1 23 1 (To give to the destitute is true charity.Thirukkural.Altruism.