Can Indian ‘healthcare’ survive a business focused hospital set up?

Working for a hospital I thought it was my karmic duty to insist on price revision as per current industry norms, to impress on consultants to promote utilization of our pharmacy and diagnostics (for better drugs and accurate results for the patients!!) and off course maximum conversion to inpatient services. After all, EBITDA had to be above the red mark to keep the institution viable.

This was until yesterday, when a leading specialist at another leading hospital refused to even go through the previous case sheets of one of my relatives until a costly scan he was suggesting was done at the facility suggested by him. Another revelation in this tryst was that some hospitals now have stop watches in the cabins of consultants so as to double up consultation fee as soon as the management accepted time is up.

I always had a perception that consultants are treated as the final authority in majority of hospitals today. However, this experience of a hospital where consultants are understandably under strict instructions from the management was repellent from a patient perspective.


The same day had more experiences in store. Another famous consultant working for a mid – sized hospital (read mismanaged and unpleasant) attended to my relative with patience, appropriate clinical concern and had no bearing upon where the drugs and investigation came from as long as they were from an authentic source. However I had no answers when I was faced with a question from my relative that why this famous doctor has moved from a five star hospital to this one and not a ladder up may be a seven star hospital?

Contradictions galore, questions remain constant.

Are we headed towards a commercialized Indian Healthcare where patient is at the bottom of the food chain?

How to bring patient in focus for business minded managements?

A questionable change in the patient perception that a star hospital will house best of the consultants and a small hospital will not.

I leave you with this final question to ponder upon:

Can ‘healthcare’ survive a business focused hospital set up?

The Arogyada
www.arogyada.in

US Doctors running small practices going broke??


An article about US Doctors running small practices going broke.


I was of the view that small practices are amongst most profitable small businesses inspite of payout pressures from insurers (The 20 Most Profitable Small Businesses)

Reasons for small practices going broke being cited by the author are shrinking insurance reimbursements, changing regulations, lack of business acumen in clinicians, rising business and drug costs. The article is also indicative of decreasing profitability of small practices and rising pressure on providers due to healthcare reforms.

If doctors are not earning in US, but costs are rising…where is the money from increased costs getting channeled to? Is it that healthcare consumption is going beyond healthcare Requirement …? or Is it the over indulgence of US with high end medical technology or the indiscriminate use of high end pharmaceuticals. In my view, the most immediate reason to which causality of increasing costs can be attached is the Healthcare consumption going beyond healthcare requirement.  


If the article is representative of true picture, then in the long term it will be more profitable for the physicians to be associated to large providers and practices which have the required economies of scale to sustain the indirect pressure being transferred by healthcare reforms.

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The Arogyada
www.arogyada.in