Qualidade na Atenção Primária Acesso livre

Abstrato

Critical Failure Factors and its Impact in Accessing Rural Primary Health Care Hospitals-Special Reference from Karnataka

Ganesh L

India has a population of 1.26 billion people in that three quarters live in rural areas. Approximately, in India 400 million people live on less than 1.25 US $ per day In spite of this, most Indians seek healthcare in private facilities. Due to many years of neglect, lower-level public healthcare facilities often suffer from a variety of problems, including worker absenteeism and dual public-private practice, low demand for their use, and shortages of supplies and staff. All these sustainable changes raises questions like, how the health care is delivered and utilized, combined with demands for expensive new technology and how the funds are mobilized. In case of utilization, access to public healthcare is central, in the performance of utilization of health care systems. In fact, the importance of service delivery for people has resulted in measurement of utilization and access having a prominent role in the health policy literature. Opinions about the access differs, whether the emphasis should be put more on describing characteristics of the providers or the actual process of care. However, access to health care can be elaborated by integrating demand and supply-side-factors. Many researchers, policy makers and practitioners, often pushed in confusion about the utilization, innovations in public health financing and about the better usage of Public Health care centers. The main obstacle to access Public health care center was the non-medical direct cost (travel cost) and the non-medical indirect cost (waiting time) incurred by the households especially in rural areas which mainly related to financial interventions. However, there are multiple factors in addressing the access costs alone. The rationale of this paper is to provide an overall framework of the various barriers to access Public health care center.