{"title":"Kerala's public healthcare services: Bihar's blueprint for post-COVID-19 resilience.","authors":"Rajani Mol, Bawa Singh, Vijay Kumar Chattu","doi":"10.4103/jfmpc.jfmpc_1800_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and aim: </strong>The COVID-19 pandemic has exposed the vulnerability of the healthcare system in the Indian states. The pandemic has revealed the appalling lack of preparedness of the Indian states, as well as their inadequate public health systems, structural weaknesses, and gaps in the implementation of welfare programs. States like Kerala have well-managed healthcare services during COVID-19, and Kerala has a decentralized health model that provides affordable, accessible, and responsive healthcare to its population. On the other hand, Bihar has been struggling to provide basic health facilities to the state population and exposed the lackluster performance of the health sector. The paper primarily focuses on analyzing Bihar's health issues and suggesting ways the state might improve its health while implementing Kerala's healthcare model.</p><p><strong>Methods: </strong>A detailed search and analysis of health status and health care in these two states was done using major databases, such as Web of Science, Medicine/PubMed, Scopus, OVID, and Google Scholar search engines.</p><p><strong>Results: </strong>Bihar has been facing structural and functional deficiencies in the public health system, making it inadequate for handling the future healthcare needs of the people. However, Bihar can ensure no one is left behind by the law, which will help to maintain equality among the people.</p><p><strong>Conclusion: </strong>Therefore, Kerala's healthcare service and public policies, such as the public health Act, are role models for Bihar. The paper concludes that Kerala's public healthcare system offers strong health sector infrastructure and policy frameworks, effectively demonstrated by its impressive health indicators.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 5","pages":"1973-1979"},"PeriodicalIF":1.1000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178499/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Family Medicine and Primary Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jfmpc.jfmpc_1800_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/31 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0
Abstract
Background and aim: The COVID-19 pandemic has exposed the vulnerability of the healthcare system in the Indian states. The pandemic has revealed the appalling lack of preparedness of the Indian states, as well as their inadequate public health systems, structural weaknesses, and gaps in the implementation of welfare programs. States like Kerala have well-managed healthcare services during COVID-19, and Kerala has a decentralized health model that provides affordable, accessible, and responsive healthcare to its population. On the other hand, Bihar has been struggling to provide basic health facilities to the state population and exposed the lackluster performance of the health sector. The paper primarily focuses on analyzing Bihar's health issues and suggesting ways the state might improve its health while implementing Kerala's healthcare model.
Methods: A detailed search and analysis of health status and health care in these two states was done using major databases, such as Web of Science, Medicine/PubMed, Scopus, OVID, and Google Scholar search engines.
Results: Bihar has been facing structural and functional deficiencies in the public health system, making it inadequate for handling the future healthcare needs of the people. However, Bihar can ensure no one is left behind by the law, which will help to maintain equality among the people.
Conclusion: Therefore, Kerala's healthcare service and public policies, such as the public health Act, are role models for Bihar. The paper concludes that Kerala's public healthcare system offers strong health sector infrastructure and policy frameworks, effectively demonstrated by its impressive health indicators.
背景和目的:2019冠状病毒病大流行暴露了印度各邦医疗保健系统的脆弱性。这次大流行暴露了印度各邦严重缺乏准备,以及它们不完善的公共卫生系统、结构性弱点和福利计划实施方面的差距。喀拉拉邦等邦在2019冠状病毒病疫情期间拥有管理良好的医疗服务,喀拉拉邦的分散式医疗模式为其人口提供负担得起、可获得和及时响应的医疗服务。另一方面,比哈尔邦一直在努力向全邦人口提供基本卫生设施,暴露出卫生部门表现平平。本文主要侧重于分析比哈尔邦的健康问题,并建议国家在实施喀拉拉邦医疗模式的同时改善其健康状况。方法:利用Web of Science、Medicine/PubMed、Scopus、OVID、谷歌Scholar等主要数据库对两州的健康状况和医疗保健进行详细的检索和分析。结果:比哈尔邦的公共卫生系统一直面临着结构和功能上的缺陷,使其无法满足人们未来的医疗需求。然而,比哈尔邦可以确保没有人被法律落下,这将有助于维护人民之间的平等。结论:因此,喀拉拉邦的医疗服务和公共政策,如公共卫生法,是比哈尔邦的榜样。该论文的结论是,喀拉拉邦的公共医疗保健系统提供了强大的卫生部门基础设施和政策框架,其令人印象深刻的健康指标有效地证明了这一点。