group 5 medical tourism

8/9/2019 Group 5 Medical Tourism

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HEALTH CARE

PROFESSIONALS ININDIA

Presented by:Aarti RauAmeer

AkbarSneha


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HEALTH CARE

PROFESSIONALS

A health care provider or health professional isan organization or person who delivers properhealth care in a systematic way professionally toany individual in need of health care services.

Source: Wikipedia

.


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HEALTH CARE PROFESSIONALS

A doctor must work

eighteen hours a day

and seven days a week.If you cannot console

yourself to this, get out

of the profession.

~Martin H. Fischer


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RESPONSIBILITIES

Practicing the profession with honesty,

integrity, and accountability .

Seeking the trust and confidence of allcustomers

Supporting the Standards ofPractice for

Healthcare Quality Professionals

Aiding the professional development and

advancement of colleagues


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FOCUS POINTS

Where does India stand in terms of availability of

doctors and nurses vis--vis other countries?


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SUFFICIENT DOCTORS

AND NURSES

DEMAND FACTORS

eg:

demographic, epidemio-logical factors

SUPPLYFACTORS

eg: labour market

trends, funds to pay

salaries

PRODUCTIVITYeg:

Technology, finan

cial

incentives, Staff

mix

PRIORTYeg :

prevention, treatment

and rehabilitation


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2001 2006 2011P 2016P

No. of

ALLOPATHICdoctors

577094 680384 795844 940845

No. ofAYUSH

DOCTORS

6888502 730860 795860 860860

TOTALNOOF

DOCTORS

1265896 1411244 1591704 1801708

POPULATION(IN

BN)

1.03 1.11 1.19 1.27

ALLOPATHIC

DOCTORS(POPLT

N IN000)

0.56 0.61 .67 0.75

AYUSH

DOCTORS000

POPULATION

0.67 0.66 0.67 0.68

TOTAL

DOCTORS000

POPULATIONS

1.23 1.27 1.33 1.42

RATIO OF DOCTORS TO POPULATION:


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ALLOPATHIC DOCTORS 000 POPULATION

IN INDIA

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

2001 2006 2011P 2016P

population('000)

no.of physicians0.56

0.61

0.67

0.74

0.45

0.45

0.50

0.55

0.65

0.70

0.75

0.80


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INTERPRETATION:

Ratio of allopathic doctors per thousand

population in India is 0.60 (2006). Against world

average of 1.5.

Considering the AYUSH doctors, the ratio of total

doctors has improved to 1.27 in 2006. This ratio

is expected to further improve over the medium

to-long-term at a rate of CAGR of 3.3 over the

next 10 years.


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RURAL HEALTH CARE

Doctors inadequate in Primary Healthcare

Centres and Community Healthcare Centers.

Despite 229 medical colleges with an annual

admission capacity of 25,600, nearly 700

primary health centers are without a doctor.

Factors:

y Lack of basic amenities.

(both monetary and non-monetary).

Source: (Rural Health Statistics 2005).


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Are there

disparities

in the

availability

of doctors

across the

states?


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STRIKING CONTRASTS

Delhi 30098 15569 1.93

Goa 2469 1450 1.70

Karnataka 68988 55597 1.24Andhra Pradesh 34761 79852 0.44

Uttar Pradesh 47873 19824 0.27

Chhattisgarh 470 22251 0.02

Jharkhand 553 28846 0.02

India 660801 1095722 0.60

states Allopathic docs Population(000) Allopathic

docs (000

population)

SOURCE: Ministry ofHealth and Family Welfare, MCI, Census andCRISILResearch, 2005


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Doctor-to-population ratio above world average

in DELHI (1.93) and GOA(1.70).

UP (0.27) Vs KARNATAKA (1.24)- an

upsetting scenario.


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Overthemedium -to -

long term wouldthere be

adequate nursesin India?


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AVAILABILITY OF NURSES IN INDIA

Shortage of nurses a global problem

y Steep population growth, resulting in growing need for

healthcare services

y Drying up pipeline of students in nursing.

y An ageing existent nursing workforce.

Migration of nurses a challenge for developingcountries like India.


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INDIAS NURSE-PER-BED RATIO BELOW

WORLD AVERAGE

The nurses-per-bed ratio in India is 0.87 as

against the world average of 1.2.

At least 1.3 nurses per bed needed in tertiarycare hospitals and 0.8 nurses per bed needed in

secondary care hospitals to deliver quality care


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NURSES PER BED RATIO IN INDIA

0

200,000

400,000

600,000

800,000

1,000,000

1,200,0001,400,000

1,600,000

1,800,000

2,000,000

2001 2006 2011P 2016P

No.of beds

no.of nurses

1.371.40

1.29

1.0

1.1

1.2

1.3

1.5

0.0

1.15


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SHORTAGE OF NURSES IN FUTURE

1. Factors for shortage of nurses

relatively low salaries

poor working conditions

long working hours etc.

2. Asignificant number of nurses go abroadeach year for better salaries offered

outside India, better working conditions

etc.


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IMPACT OF LACK IN HEALTH

PROFESSIONALS

substantial impacts on emergency preparedness

quality of care

patient safety

access to needed health care services especially for

vulnerable populations.


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Specific Objectives:

To study the trend in migration of health care

professionals from India since 1990.

To understand the reasons for migration ofhealth care professionals from India.

To analyze the implications of international

policies associated with migration.

To explore the implications for migration on

health service system in India.


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FINDINGS

India one of the major source of physicians andnursing professionals for US, UK and Canada.

India trained doctors account for 18.3 percent of

the total foreign physician workforce in UK in

year 2001.(OECD 2006). India is the second largest sources of foreign

nurses.


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POLICY RECOMMENDATION:

Ensure quality of training and need based

courses.

Ethical recruitment practices.

Incentives for return and ensure the use

of skill by the returned migrants.

Provide opportunities for professional

improvements and higher studies-promotion.


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Improve status, recognition-awards for better

performance.

On the job training abroad-bilateral agreements.

Compulsory public service a necessary condition

for migration.

Incentives for rural area service.


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CONCLUSION.

Make stringent migration laws Promote Telemedicine

Provide for better opportunities

Incentives

Appraisals Basic amenities

o Promote infrastructure(rural and urban)

o Increase funds for medical and nursing education.

o Encourage public private partnership andinvestment in setting up nursing education.

o Develop high regards for nursing profession


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