Not targeted, but integrated and broad approach is needed to make it happen at each level of healthcare service delivery setup. The current challenge would be to have effective policy for the same. This suggests the importance of hospitalist in healthcare setting to improve quality and add value to the service delivery.Ĭhallenges and Scope for India: Hospitalist can play pivotal role in functioning of both public and private setup. By seeing and sensing the need and usefulness of the hospitalist, currently fellowship programs are being offered in hospital medicine, pediatric hospitalist, Obstetrics and Gynecology hospitalist and so on. For instance, there are nearly 35,000 hospitalists are working in USA in 2012. Hospitalist program covers emergency department, orthopedic, pediatrics, neurology and many more specialties today in USA. But now as the concept of hospitalist has already proved its worth in western world during past one and half decades, it is now growing and expanding its span from non-specialist hospitalist to specialty based hospitalists. Hospitalist concept was criticized heavily by experts in late 1990s. Hospitalists are hired by hospitals and they usually do not have office-based practice. Relevance of Hospitalist: Hospitalist work is not limited to family medicine or internal medicine, but any department with large OPDs and small indoor admissions are suitable for hospitalist. Currently tertiary care teaching hospital is the only facility that has inbuilt advantage of post graduate residents, whose work is more or less similar to that of the hospitalist’s work. With increasing trend of literacy rate, concept of hospitalist will become essential in Indian hospital and healthcare setting. The same scenario is there in private setup, where patient chooses the hospital based upon presence of qualified person to answer them immediately. Though government is putting stress on improving infrastructure of the district hospitals (DHs) across the nation, healthcare personnel management becomes equally decisive with regard to its utilization. Patient outcome and patient satisfaction heavily depends on the presence of qualified person within the healthcare facility. Round the clock availability of qualified PG residents along with frequent rounds of consultants (APs, HOUs and HODs) puts Civil Hospital, Ahmedabad in top position as preferred choice by educated people of the capital city and state. Indian Scenario: Even though NABH accredited District Hospital, Gandhinagar has latest and improved conditions, still educated population of well-doing capital of Gujarat, prefer tertiary care teaching hospital (Civil Hospital, Ahmedabad) which has one of the finest medical college in India (B.J.Medical College) affiliated with it. According to Rahul Gandhi, only 5 per cent of development funds reached their intended recipients due to hierarchical corruption in the country! However this failure of the trickle down theory has received little attention as compared to the 2G scam. The trickle down theory doesn’t work anyway, whereas it needs to work on a grand scale to ensure these “papers in the wallets” (fruits of economic growth), trickledown to the poorest of the poor.The social and health programs of the government have failed to trickle down and raise the living standards of the poor.
But even if the money had been present, there would be multiple mini-scams, each may be on an individual basis to absorb the money and the picture perhaps wouldn’t have been a rosy one. Many intellectuals have been crying how much good could have been done with that money. Take for example, the much hyped 2G scam, which has said to have resulted in a loss of crores of rupees. This might just be the tip of the ice berg. Off late, we have had a battery of scams, rather a battery of identified scams.
0 kommentar(er)
