Three-layered healthcare system to aid common man

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Three-layered healthcare system to aid common man

Sunday, 15 May 2022 | Gaurav Pandey

Prevention is better than cure. Its significance can be witnessed in the tri-layered healthcare mechanism introduced by the Governments. The mechanism encompasses Primary Healthcare Centres (PHCs), Community Healthcare Centres (CHCs) and District Healthcare Centres (DHCs)  after which big hospitals comes into play, whenever needed, says  Gaurav Pandey

The objective of this mechanism is to ensure that larger number of ailments shall be diagnosed at  the initial stage in rural pockets or small towns and effective medications may begin to uproot it.

The importance of PHCs is considerable as the locals receive medical aid the moment symptoms appear. Also, such Centres are responsible for spreading awareness about and bringing various government healthcare measures to the locals through Aanganvadi workers and Asha workers. 

If one does not get cured at the PHCs, s/he is referred to the CHCs which has adequately equipped Diagnostic Laboratory as well. The consultations and investigations may help him to get fully cured. But if there is no respite, s/he may be sent to District Hospital and to higher referral hospitals like All India Institute of Medical Sciences (AIIMS).

It is quessential for every resident to understand the nuances and structure of this mechanism. Talking of private sector, a person visits a General Physician also known as Family Physician, usually an MBBS degree holder. In case of common diseases, a person gets cured there itself. There are Polyclinics where Specialists dealing with various body parts and related ailments are available and a patient may get synergized expert opinion of these Consultants in case of two-three ailments.

Then there are Nursing Homes where the patients can be admitted. It falls under primary healthcare. The bigger Nursing Homes equipped with Operation Theatre (OT) and Intensive Care Unit (ICU), they are considered as second-level or Secondary care Centres.

The big hospitals with more than hundred beds, fully-equipped with latest machines, contemporary Modular Operation Theatres, ICU, facilities of CT Scan, MRI, in-house pathology and Consultants related to every speciality are available fall under the category of Tertiary Care Hospitals.

The hospitals where Robotics Surgery, Proton Therapy, Heart Transplants, Lung Transplants and other advanced solutions are possible are known to be Fourth-level Healthcare Hospitals which are at the zenith in terms of providing medical solutions.

It may be true that these mechanisms and levels come into play once someone falls ill but it is important for all of us to be aware of these structures so that the illness can be diagnosed at the initial level through investigations and doctor's interventions and prescriptions and can be contained before it may cause serious damages.

In abroad, the cost of keeping every citizen healthy lies with the Insurance Companies and the Governments. There exist Diagnostic Related Groups where annual medical tests are carried out so that contagious ailments can be contained in time and the burden of paying for cure and recovery may get lessened from the shoulders of the Insurance Company or Government.

Many Insurance Companies offer annual health check-ups to those who hold their mediclaim policies. The private hospitals also play their active part and offer significant rebates on various investigation packages.

The government-run and private hospitals organize free camps continually and the people in remote locations are investigated through mobile vans and people must take benefit of it without second thoughts as many serious ailments get diagnosed in time. More such drives are needed which is possible by effective Public Private People Model.

The writer is an expert in health care management

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