India is steadily moving from acute disease to a chronic lifestyle diseases burden, Corporate hospitals are struggling to make the transition from high dependency on high cost short term hospital treatment to primary preventive healthcare systems. Public policy interventions in providing insurance cover for the lowest strata of society and better insurance coverage management are positives for the emerging health care scenario.
Some early birds have started focusing on diabetics, eye care and cardiac segments including a new segment led by franchise model in the new field of infertility.
The present non performance and capacity of PHC and high margin of private healthcare providers is the stark reality of the Indian HC sector. This situation has encouraged more private entry level hospitals to take advantage of the prevailing gap in healthcare delivery system existing in India. This growth is concentrated in and around already available major cities accentuating the rural segment even further.
One of the major reasons for this lopsided growth is the structure of our medical institutions which has evolved on the urban based model. This was because all our medical institutions were based in cities to draw the basic requirement for sustenance. The case of Vellore CMC and a few other instructions which were created with the wider vision are few and is the exception rather than the rule.
Today we lack the organisation internal capacity to address the healthcare needs of our nation. Policy interventions till date though conceptually encompasses relevant factors grossly misses out on the delivery mechanism, which in the first case is anyway missing. Hence most of our programs have failed. Though pilot projects which are actually focused and tailored on mission mode prove the feasibility of such well thought out concepts.
The centralized models of AIIMS and private super specialty hospitals must be replaced by agile technology driven delivery systems. The numerical duplication of the existing models is no solution for our needs. Any attempt will continue to be disasters.
The new paradigm shift must address the intensity of diseases burden and wide spectrum geographical spread of villages, cities and intra-city and leverage the scale and economics for a sustainable business model.
Technology is a great enabler towards this objective. But healthcare industry has been a very slow adopter of this facilitator. Medical devices which were designed to serve this purpose have been constrained to serve the industry objectives and not essentially patient’s diagnostic objectives. The rampart malpractices is well documented. This has ultimately hurt the interest of industry and the patients.
There is a strong case of “uber”isation of medical services which could drive economics favourably for both the providers and the patients while making paradigm shift in quality of outcomes.
Image 100 helps in building strong relationship:
There is a strong case for value based healthcare which could drive economics favourably while making paradigm shift in quality of outcomes.
Image100 can help multiple hospitals develop innovative collaborative strategies for implementing customer centric systems that build strong continuous relationships that capture life cycle expenses of patients in a predictable and viable financial model.