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Rebuilding Healthcare - Coggle Diagram

- - - - last few decades increased
      - unregulated form of health care
      - trust deficit
      - doctors and hospitals approach led by commissions
      - erosion in doctor-patient relationship
      - private sectors prices capped
        
        loopholes in the system
        
        profiteering on PPEs
    - - Income lossed - doctors and Hospitals
      - resurgence of unethical practices
      - to make up its losses
- - - - use social support schemes
      - support to District Health Officers and team
      - prevent from hunger or economic distress
- - - - carry basic test - PCR test
      - Quality assured testing
      - Prevent the epidemic
      - devl confidence among the population
      - Public Health Level
        
        Enable understand of disease dynamics
        
        Within the Community
    - - reduction in patients seeking care
      - EG
        
        unnecessary hysterectomy practiced has reduced
        
        Caesarean sections reported to have gone down
      - Spared of procedures for debatable indications
      - Routine admissions for observation reduced
      - insurance claims have got curtailed
      - emergency medical case have declined
      - Good things
        
        focus to basic preventive health
        
        diet, exercise, good sugar control
        
        quitting tobacco and smoking
    - - Requisitioning
        
        PHS during disasters
        
        dependable option
        
        in Indian Context
        
        can be done under law
        
        punitive action
        
        against non-compliant hospitals
        
        becomes tricky
        
        during disasters
        
        since health services
        
        already inadequate
      - Indian Private Sector
        
        characterised by
        
        weak regulation
        
        and poor organisation
        
        not capable
        
        enought for mounting
        
        strong and co-ord
        
        response to disasters
        
        Majority of Private Hospitals
        
        small enterprises
        
        which cannot meet
        
        inclusion criteria for insurance
        
        unsuitable
        
        for meeting disaster-related care needs
        
        Disaster preparedness
        
        doesnt make strong business case
        
        prefer to invest
        
        in more profitable areas
    - - fail to identify
        
        progressive events as disasters
      - neglecting
        
        public health issues
        
        such as TB and Dengue Outbreaks
    - - Public Sector
        
        strong capacities needed
        
        dealing with disasters
        
        considering
        
        most vulnerable from disasters
        
        from
        
        low-income people
        
        which cannot
        
        afford private health care
        
        During COVID
        
        observed that private hospitals
        
        charging outrageous sum
        
        from the patients
        
        introduce legal mandate
        
        strengthen public sector capacities
        
        via disaster legislation
        
        include relevant facets
        
        such as
        
        capacity-building of staff
        
        National Health Mission
        
        flagship primary-care programme
        
        began as
        
        National Rural Health Mission
        
        concurrently
        
        Disaster Management Act, 2005
        
        Primary health care
        
        central to disaster management
        
        can be sig step
        
        toward building health system
        
        and community resilience
        
        to disasters
- - - - create crisis and opportunity for health-care reform
      - social-economic support inventions
      - limitation of law enforcement
        
        managing epidemic
    - - helped to manage the current crisis
      - Enable india to move far ahead
      - in Health-care delivery
    - - raised in COVID-19 challenge
      - COD has led many Coronavirus warriors
      - set aside commerce for now time being
      - forced them to consider alternative paradigms
      - public respect improved for medical professional
      - doctor-patient relationship
        
        seize the chance to correct undesirable practises
        
        increase trust
        
        severe threat before pandemic