Since it was established in the late 1980s as a public health system with universal and unconditional coverage, the SUS has achieved a rapid expansion in access to services.
The concept of Sector-wide Approaches should be developed. II. A code of conduct for NGO’s has to be developed and enforced. III. A global awareness in the sense of a New Global Health is a first essential step.
The share of private sector in Indian inpatient care market has increased from 40 percent to 60 percent during the last two decades. The rural outpatient care market, on the other hand, has been consistently dominated by unqualified private practitioners.
The results of this study show that there is very poor provision of information by sellers and dispensers to consumers of medicines. Consumers are shown to have poor knowledge of the types of information they require, and dispensers and sellers poor knowledge of the information that they should provide.
Village doctors identify MRs as primary sources of pharmaceutical information. Village doctors base drug prescription decisions on disease type and severity, pharmaceutical company reputations, credit availability, and incentives offered by MRs.
A little more than 60 percent of ailing persons in the selected rural areas were found to have sought treatment from the RMPs. Low transaction cost and trust were the two most important determinants of the high demand of RMP services.
This is now changing and as a result, unless action is taken, generic versions of new medicines will only become available after the 20 year patent term has expired. When medicines are patented they are in general more expensive.
Average consulting (120 seconds) and dispensing (60 seconds) time in the UHCs appeared to have increased from 1994, but only marginally so. The proportion of drugs dispensed out of those prescribed was much higher in the UHCs (76%) compared to the urban clinics (44%).
Our study identified oversupply of medical workforce as one of the critical factors influencing the interminable increases of prices in healthcare and spread of corruption in the system. On the basis of trends in several national health indicators, adverse outcomes of care are observed in Armenia.
Till September 2009 around 20 such generic drug stores are opened in the state of Punjab, Haryana, and Rajasthan in the public facilities where the government is supposedly providing free medicines to the population.