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Developing Standard Treatment Workflows—way to universal healthcare in India

Authors :
Ashoo Grover
Balram Bhargava
Saumya Srivastava
Lokesh Kumar Sharma
Jerin Jose Cherian
Nikhil Tandon
Sudha Chandershekhar
Roderico H. Ofrin
Henk Bekedam
Deepika Pandhi
Aparna Mukherjee
Rupinder Singh Dhaliwal
Manjula Singh
Kavitha Rajshekhar
Sudipto Roy
Reeta Rasaily
Deepika Saraf
Dhiraj Kumar
Neeraj Parmar
Sushil Kumar Kabra
Dhruva Chaudhry
Ashok Deorari
Radhika Tandon
Rajdeep Singh
Binod Khaitan
Sandeep Agrawala
Sudeep Gupta
Satish Chandra Goel
Anil Bhansali
Usha Dutta
Tulika Seth
Neeta Singh
Shally Awasthi
Amlesh Seth
Jeyaraj Pandian
Vivekanand Jha
Sudhanshu Kumar Dwivedi
Reva Tripathi
Alok Thakar
Surinder Jindal
Banglore Nanjudaiah Gangadhar
Anjali Bajaj
Mohan Kant
Aniket Chatterjee
Source :
Frontiers in Public Health, Vol 11 (2023)
Publication Year :
2023
Publisher :
Frontiers Media S.A., 2023.

Abstract

Primary healthcare caters to nearly 70% of the population in India and provides treatment for approximately 80–90% of common conditions. To achieve universal health coverage (UHC), the Indian healthcare system is gearing up by initiating several schemes such as National Health Protection Scheme, Ayushman Bharat, Nutrition Supplementation Schemes, and Inderdhanush Schemes. The healthcare delivery system is facing challenges such as irrational use of medicines, over- and under-diagnosis, high out-of-pocket expenditure, lack of targeted attention to preventive and promotive health services, and poor referral mechanisms. Healthcare providers are unable to keep pace with the volume of growing new scientific evidence and rising healthcare costs as the literature is not published at the same pace. In addition, there is a lack of common standard treatment guidelines, workflows, and reference manuals from the Government of India. Indian Council of Medical Research in collaboration with the National Health Authority, Govt. of India, and the WHO India country office has developed Standard Treatment Workflows (STWs) with the objective to be utilized at various levels of healthcare starting from primary to tertiary level care. A systematic approach was adopted to formulate the STWs. An advisory committee was constituted for planning and oversight of the process. Specialty experts' group for each specialty comprised of clinicians working at government and private medical colleges and hospitals. The expert groups prioritized the topics through extensive literature searches and meeting with different stakeholders. Then, the contents of each STW were finalized in the form of single-pager infographics. These STWs were further reviewed by an editorial committee before publication. Presently, 125 STWs pertaining to 23 specialties have been developed. It needs to be ensured that STWs are implemented effectively at all levels and ensure quality healthcare at an affordable cost as part of UHC.

Details

Language :
English
ISSN :
22962565
Volume :
11
Database :
Directory of Open Access Journals
Journal :
Frontiers in Public Health
Publication Type :
Academic Journal
Accession number :
edsdoj.17bf83c1cc9646d7b63122d987479a87
Document Type :
article
Full Text :
https://doi.org/10.3389/fpubh.2023.1178160