Reduced burden on urban hospitals by strengthening rural health facilities: Perspective from India

Mansi Arora
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Abstract

ABSTRACT In India, rural–urban health disparities have been persisting over a period. Migration of patients from rural to urban is an integral part of population dynamics thereby creating an additional burden on urban hospitals. Over the decade, India has made significant advances in health in reducing the rural-urban gap. The article highlights how the strengthening of rural healthcare facilities has reduced the burden of urban hospitals. Secondary data on the usage of public and private healthcare facilities from two rounds of the National Family Health Survey (NFHS) conducted in 2016 and 2021 and the Rural Health Statistics 2021-2022 were analyzed. The proportion of beneficiaries seeking care from public health facilities has increased from 41.9% to 45.7% in rural areas and 31% to 35.3% in urban areas between 2014 to 2017. The institutional deliveries have increased from 56% to 69.2% in rural areas and from 42% to 48.3% in urban areas. The State and local level interventions such as the upgradation of existing physical infrastructure, human resources, regular supply of medicines and consumables, development of referral linkages, patient transportation, and enhancing community participation have strengthened the rural healthcare system. Adequate utilization of the resources is crucial to addressing the lag and alleviating the rural-urban divide.
通过加强农村医疗设施减轻城市医院的负担:印度的视角
摘要 在印度,城乡之间的医疗卫生差距已经持续了一段时间。病人从农村向城市迁移是人口动态不可分割的一部分,因此给城市医院造成了额外负担。十年来,印度在缩小城乡差距方面取得了重大进展。文章重点介绍了农村医疗设施的加强如何减轻了城市医院的负担。文章分析了 2016 年和 2021 年进行的两轮全国家庭健康调查(NFHS)以及 2021-2022 年农村健康统计中有关公共和私营医疗设施使用情况的二手数据。从 2014 年到 2017 年,在公共医疗机构就医的受益人比例在农村地区从 41.9% 增加到 45.7%,在城市地区从 31% 增加到 35.3%。住院分娩率在农村地区从 56% 增加到 69.2%,在城市地区从 42% 增加到 48.3%。国家和地方一级的干预措施,如升级现有的有形基础设施、人力资源、定期供应药品和消耗品、发展转诊联系、运送病人以及加强社区参与,都加强了农村医疗保健系统。充分利用资源对于解决滞后问题和缩小城乡差距至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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