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Titolo:
Privately funded quality health care in India: a sustainable and equitablemodel
Autore:
Samandari, R; Kleefield, S; Hammel, J; Mehta, M; Crone, R;
Indirizzi:
Harvard Pilgrim Hlth Care, Dept Ambulatory Care & Prevent, Boston, MA 02215 USA Harvard Pilgrim Hlth Care Boston MA USA 02215 event, Boston, MA 02215 USA Harvard Med Int, Boston, MA USA Harvard Med Int Boston MA USAHarvard Med Int, Boston, MA USA Dana Farber Canc Inst, Ctr Outcomes & Policy Res, Boston, MA 02115 USA Dana Farber Canc Inst Boston MA USA 02115 olicy Res, Boston, MA 02115 USA
Titolo Testata:
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
fascicolo: 4, volume: 13, anno: 2001,
pagine: 283 - 288
SICI:
1353-4505(200108)13:4<283:PFQHCI>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
CATARACT; BLINDNESS;
Keywords:
delivery of health care; education; eye diseases; hospitals; India; medical; quality of health care; rural health services; voluntary;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Samandari, R Harvard Pilgrim Hlth Care, Dept Ambulatory Care & Prevent, 133 Brookline Ave,6th Floor, Boston, MA 02215 USA Harvard Pilgrim Hlth Care 133 Brookline Ave,6th Floor Boston MA USA 02215
Citazione:
R. Samandari et al., "Privately funded quality health care in India: a sustainable and equitablemodel", INT J QUAL, 13(4), 2001, pp. 283-288

Abstract

Objective. As the cost and degree of training necessary to provide state of the art health care has increased throughout the world, the present challenge in health care is to establish institutions that are financially soundand responsive to the dynamic needs of the communities in which they exist. As public funds have diminished, the role of the private sector in establishing innovative health care institutions has increased. Setting and study participants. This paper reviews the case of the LV Prasad Eye Institute (LVPEI), an ophthalmologic institute in Hyderabad, India, that is financially sound and medically vital. With an annual budget of US$3 Million, 180 000 patients are seen and 23 000 surgeries are performed at the Institute and its satellites each year. Main Measures. The Institute provides patient care at a ratio of 1:1 non-paying to paying patients through fee cross-subsidization. The Institute uses a combination of financial modalities, including donations, grants and fees to administer its non-patient care programs. Non-clinical programs of the Institute include a paramedical training program and a fellowship in ophthalmology, an internationally accredited eye bank for the preservation of corneal tissues, a rural out-reach and education program, a basic science and epidemiology program that directs health policy activities of the Institute and a rehabilitation program for patients with incurable visual deficits. To evaluate its effectiveness, LVPEI uses quality improvement measures, including patient surveys, post-operative outcomes studies and service utilization reviews. Conclusion. This case report of a privately-funded medical institution describes a successful model through which high-quality, equitable health carecan be provided in a developing country. The LVPEI's active program of quality management, its academic commitment and programmatic relevance to the needs of its community should be modularized and replicated to establish equitable, efficient and effective health care institutions in the developingworld.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 18:24:26