Sitarah Mathias , Mohan Sonu Chandra , Carl Britto
{"title":"公私合作伙伴关系的成功模式,通过远程重症监护室在低资源环境中增加重症监护服务的可及性","authors":"Sitarah Mathias , Mohan Sonu Chandra , Carl Britto","doi":"10.1016/j.hlpt.2023.100781","DOIUrl":null,"url":null,"abstract":"<div><p>In India, the dearth of critical care expertise is more pronounced in rural regions, and tele-ICU models have been associated with high costs and low acceptability. Private-public partnerships (PPPs) in India are a potential solution for improved healthcare delivery, although its establishment is challenging. Cloudphysician (CP), a private tele-ICU network, used adaptable, low-cost technology and collaborated with 14 Indian government hospitals (4 states) to provide critical care services in remote areas amidst the COVID-19 pandemic. Between June 2020-December 2021, 487 ICU beds were added (0.6% increase from estimated 2020 baseline) in 3 phases. Ramanagara district (8.06 beds per 100,000) and Ladakh state (2.57 beds per 100,0000) demonstrated the highest district-wise and state-wise impact respectively. Totally, 4514 admissions were treated (Leh recorded 112 admissions per 100,000), including 25% non-COVID-19 patients. Thus, this PPP demonstrates a successful model of increasing healthcare delivery to remote areas using a tele-ICU system and effective partnership strategies.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":3.4000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A successful model of a Private-Public Partnership in increasing accessibility to critical care services in low-resource settings through tele-ICU\",\"authors\":\"Sitarah Mathias , Mohan Sonu Chandra , Carl Britto\",\"doi\":\"10.1016/j.hlpt.2023.100781\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>In India, the dearth of critical care expertise is more pronounced in rural regions, and tele-ICU models have been associated with high costs and low acceptability. Private-public partnerships (PPPs) in India are a potential solution for improved healthcare delivery, although its establishment is challenging. Cloudphysician (CP), a private tele-ICU network, used adaptable, low-cost technology and collaborated with 14 Indian government hospitals (4 states) to provide critical care services in remote areas amidst the COVID-19 pandemic. Between June 2020-December 2021, 487 ICU beds were added (0.6% increase from estimated 2020 baseline) in 3 phases. Ramanagara district (8.06 beds per 100,000) and Ladakh state (2.57 beds per 100,0000) demonstrated the highest district-wise and state-wise impact respectively. Totally, 4514 admissions were treated (Leh recorded 112 admissions per 100,000), including 25% non-COVID-19 patients. Thus, this PPP demonstrates a successful model of increasing healthcare delivery to remote areas using a tele-ICU system and effective partnership strategies.</p></div>\",\"PeriodicalId\":48672,\"journal\":{\"name\":\"Health Policy and Technology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Policy and Technology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2211883723000576\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Policy and Technology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2211883723000576","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
A successful model of a Private-Public Partnership in increasing accessibility to critical care services in low-resource settings through tele-ICU
In India, the dearth of critical care expertise is more pronounced in rural regions, and tele-ICU models have been associated with high costs and low acceptability. Private-public partnerships (PPPs) in India are a potential solution for improved healthcare delivery, although its establishment is challenging. Cloudphysician (CP), a private tele-ICU network, used adaptable, low-cost technology and collaborated with 14 Indian government hospitals (4 states) to provide critical care services in remote areas amidst the COVID-19 pandemic. Between June 2020-December 2021, 487 ICU beds were added (0.6% increase from estimated 2020 baseline) in 3 phases. Ramanagara district (8.06 beds per 100,000) and Ladakh state (2.57 beds per 100,0000) demonstrated the highest district-wise and state-wise impact respectively. Totally, 4514 admissions were treated (Leh recorded 112 admissions per 100,000), including 25% non-COVID-19 patients. Thus, this PPP demonstrates a successful model of increasing healthcare delivery to remote areas using a tele-ICU system and effective partnership strategies.
期刊介绍:
Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments.
HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology.
Topics covered by HPT will include:
- Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems
- Cross-national comparisons on health policy using evidence-based approaches
- National studies on health policy to determine the outcomes of technology-driven initiatives
- Cross-border eHealth including health tourism
- The digital divide in mobility, access and affordability of healthcare
- Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies
- Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies
- Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making
- Stakeholder engagement with health technologies (clinical and patient/citizen buy-in)
- Regulation and health economics