papernon ayushman bharat
73515978
The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana and the path to universal health coverage in India: Overcoming the challenges of stewardship and governance
In an Essay, Blake Angell and colleagues discuss ambitious reforms planned to expand coverage of the health system in India.
PLoS medicine
Blake Angell Shankar Prinja Anadi Gupt Vivekanand Jha Stephen Jan
49706719
'Ayushman Bharat' Program and Universal Health Coverage in India
India's National Health Policy 2017 (NHP 2017) has its goal fully aligned with the concept of Universal health coverage. The Ayushman Bharat Program announced in the Union budget 2018 19 of the Government of India, aims to carry NHP 2017 proposals forward. The Ayushman Bharat Program has two initiatives/components Health and Wellness Centers, and National Health Protection Scheme aiming for increased accessibility, availability and affordability of primary secondary and tertiary care health services in India. Afterwards, the second component has been renamed as Pradhan Mantri Rashtriya Swasthya Suraksha Mission. The new program has received an unprecedented public, political and media attention; and is being attributed to have placed health higher on political agenda. This review article analyzes and provides critical reflections, suggestions and way forward for rapid and effective implementation of Ayushman Bharat Program. To be effective and impactful in achieving the desired health outcomes, there is a need for getting both design and implementation of Ayushman Bharat Program right, from the very beginning. If implemented fully and supplemented with additional interventions, the program can prove a potential platform to reform Indian healthcare system and to accelerate India's journey towards universal health coverage.
Indian Pediatrics
Chandrakant Lahariya
169672155
Ayushman Bharat National Health Protection Scheme: an Ethical Analysis
The Ayushman Bharat (Hindi for "India blessed with a long life" scheme is a government health insurance program that will cover about 100 million poor and vulnerable families in India providing up to INR 0.5 million per family per year for secondary and tertiary care hospitalization services. In addition, it also proposes to establish 150,000 health and wellness centers all over the country providing comprehensive primary health care. The beneficiaries of the hospital insurance scheme can avail health care services from both public and empanelled private health facilities. This scheme is one of the largest government sponsored health insurance schemes in the world. Previous experience with government financed health insurance schemes in India has shown that they are inequitable, inefficient, and do not provide financial protection. There is a lack of clarity on the budgetary provisions over the years when the utilization is likely to increase. The Ayushman Bharat scheme in its current form strengthens the "for profit" private health sector, requiring greater emphasis on its regulation. The scheme, which has primary, secondary, and tertiary care components, places a great focus on the secondary and tertiary care services and requires more investment in comprehensive primary health care. The potential problems of "profit motivated" supplier induced demand by private health care providers and corrupt practices are possible ethical burdens of the scheme. For the Ayushman Bharat to meet the ethical principle of justice, it should first address universal coverage of comprehensive primary health care and move on to hospital insurance in a progressive manner. The scheme should have provisions to strictly regulate secondary and tertiary care hospitalization in the private health sector to prevent misuse. It is the ethical responsibility of the government to ensure a strong and robust public health system, but the current provisioning of the Ayushman Bharat scheme does not do this and the reasons for this are explained in this paper.
Asian bioethics review
Vijayaprasad Gopichandran
216356886
Scope of Management of Noncommunicable Diseases in India through Ayushman Bharat
India is a rapidly developing country, and has been going through a major epidemiological transition over the past 25 years. As per the India State Level Disease Burden Initiative, every state of India now has a higher burden from noncommunicable diseases (NCDs) and injuries than from infectious diseases. Inspired by Sustainable Development Goal vision, mitigating the effect of NCDs will demand a comprehensive approach based on preventive, promotive, and curative cum rehabilitative services. Apart from the community based approach, another key announcement made in the union budget of India, 2018 19, was the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABY) that intend to transform the primary, secondary, and tertiary health care system in India. In this article, we intend to analyze the scope of services offered through ABY at different levels of public health care, and possible constraints in realizing the goal of universal health coverage in terms of NCDs.
Madhur Verma
213592701
Ayushman Bharat India's answer to improve health problems among poor
Ayushman Bharat is a recently unveiled India's health protection scheme that aims to provide health benefits to 50 crore poor people. The article briefly discusses the schemes success and provides few directions to improve the existing scheme.
South Asian Research Journal of Medical Sciences
Dr Vagish Kumar L S
213494718
'Ayushman Bharat is a Boon for the Country' For the Motion
Corresponding Author: Venkatesh U, Department of Community Medicine, Vardhman Mahavir Medical College Safdarjung Hospital, New Delhi. E mail Id: venkatesh2007mbbs@gmail.com Orcid Id: https:/orcid.org/0000 0001 8059 9364 How to cite this article: Venkatesh U, Mogan KA, Kumar M, Doley P, Kishore J. 'Ayushman Bharat is a Boon for the Country' For the Motion. Int J Preven Curat Comm Med 2019; 5(3) 31 35.
Venkatesh U
204830807
Reforms in Health Sector after Implementation of Ayushman Bharat Yojana in Government Medical College Jammu J&K
Ayushman Bharat Yojana is an ambitious health care project launched by central government in 2018 with the key focus on covering primary, secondary and tertiary health care system to provide benefit cover to approx 10 crore beneficiaries which belong to economical weaker sections of country .In this study we are assessing the patient cover ratio under Ayushman Bharat scheme, effect on cost of procedure along with impact on 3 parameters i.e morbidity ,mortality and mobility. The study is based on 6 month hospital data, 3 months data before Ayushman Bharat and 3 months data after Ayushman Bharat. Study was made over 100 patients of economical weaker category admitted in Orthopedics department. They were divided into two groups ie study over 50 patients before scheme and 50 patients after scheme. Of the 50 patients, before implementation of scheme only 15 got operated and 35 remained non operated because of economical deficit. On the other hand after implementation of Ayushman Bharat Yojana out of 50 patients, 42 got operated and 8 remained non operated because of poor compliance. Studies also revealed significant changes in mortality, mobility and morbidity ratio with significant p value change after the Ayushman Bharat yojana. Apart from this, study also includes the comparison of cost of procedure before and after the implementation of Ayushman Bharat Yojana. Ayushman Bharat is definitely a giant leap towards providing accessible and affordable health care to the common man and is taking health care protection to a new aspirational level.
Akhil Gupta Dr Tanvi Gupta
216524448
Ayushman Bharat Yojna
The Prime Minister's most ambitious scheme, Ayushman Bharta Yojna is boost for the poor families of the India. The concept and the thought behind the Ayushman Bharta yojna are wonderful. Taking into the account of the poor people those are willing to take proper medical services but are unable to take care and treatment from any medical institution due to lack of medical facilities. Many India poor are dependent on Government health facilities for the treatment. But for few treatments requires major out of pocket expense for treatment, surgeries and medicine. The new health insurance scheme of Ayushman Bharat Yojna included two initiatives; one is to provide INR 5,00000 health coverage to the poorest families and second is to establishment of Health and Wellness centres up to health sub centres level. The two ways process is to cover the maximum number of the beneficiaries by the Ayushman Bharat Yojna. By the insurance of INR 5,00000 a poor family can seek treatment in private hospitals also those are affiliated with the chief medical official of the same district.
Yogita Bhatia
213231081
'Ayushman Bharat is a Boon for the Country' Against the Motion
Corresponding Author: Surabhi Sethi, Department of Community Medicine, Vardhman Mahavir Medical College Safdarjung Hospital, New Delhi, India. E mail Id: drsurabhisethi@gmail.com Orcid Id: https:/orcid.org/0000 0001 8415 1065 How to cite this article: Sethi S, Sharma P, Kumar A, Singh N, Kishore J. 'Ayushman Bharat is a Boon for the Country' Against the Motion. Int J Preven Curat Comm Med 2019; 5(3) 36 40.
Surabhi Sethi
169215102
Private Hospitals in Health Insurance Network in India: A Reflection for Implementation of Ayushman Bharat
This paper examines the availability and spread of private hospitals in the country to provide insights on the potential access to insured health services in GSHIS schemes. It uses three sets of information to analyse the issue: private hospitals empanelled by insurance companies, the 6th Economic Census, and private hospitals empanelled in GSHIS schemes in four States. The analysis suggests that, in low income States of the country, empanelment of private hospitals by insurance companies is low and concentrated in a few pockets. This pattern closely corresponds to the pattern of availability of private hospitals indicated in the 6th Economic Census. In Andhra Pradesh, Telangana, Tamil Nadu and Karnataka, the four States which have some of the largest GSHIS schemes in the country, there is a strong correspondence between private hospitals empanelled by insurance companies and private hospitals empanelled in GSHIS schemes. In these States, the extent of empanelment of private hospitals in GSHIS schemes is also substantially smaller than the empanelment of private hospitals by insurance companies. This may indicate differences in entry conditions or low willingness of private hospitals to participate in GSHIS schemes.
Mita Choudhury Pritam Datta