Quality health care in Indian setup: an ear, nose, throat outpatient department-based approach for quality health care indicators

<p><strong>Background:</strong> In this era doctor patient relationship facing hard times, especially in Indian setup. It is immensely evident in form of increasing lawsuits and violence against doctors. This brings patient centred approach with patient satisfaction into picture and further leads to concepts of quality health care. There is raised attention on enhancing the quality of life through the quality council of India. Here is an attempt to look for any causal association with the help of some routine indicators which if modified can lead to better state of doctor patient relationship.</p><p><strong>Methods:</strong> This study has taken patient satisfaction into consideration with the help of quality care parameters at ear, nose, throat (ENT), outpatient department in Indian setup. These indicators are based on parameters divided into hospital domain and doctor domain and each parameter is graded on 5-point Likert scale.</p><p><strong>Results: </strong>Score under doctor domain are significantly high statistically. Examination and communication by doctor (domain) are the parameters which scored the most. Under hospital domain the highest preference by patients in terms of score was given to hygiene and sanitation of hospital.</p><p><strong>Conclusions:</strong> Quality health care is multifactorial and parameters under hospital domain and doctor domain are interdependent to much extent. It has been concluded statistically that examination and communication by doctor derives a better sense of trust and doctor patient relationship significantly.</p>

Are We Ready For The Paradigm Shift In The Health Care System Of Pakistan?

Pakistan’s health care indicators and accomplishment of its national as well international goals/targets though improving but are lagging the expected achievements.

Health Care Indicators of Moderate to Severe IBD and Subsequent IBD-Related Disability: A Longitudinal Study

Using administrative health data of a population based sample of persons with IBD we found that milestones of health care utilization suggesting moderate to severe disease (higher number of IBD-related hospitalizations, IBD-related surgeries, and corticosteroid or anti-TNF usage) predicted later development of IBD-related disability.

Decision Support System to Develop Evidence-based Policies for Inequity Reduction in Maternal and Child Health Care

To reduce inequity in maternal and child health care indicators among socio-economically different regions, strategic location-specific policies should be designed. In this research work, a knowledge-discovery-based interactive decision support system has been developed on a web platform which would assist health care policymakers to design evidence-based decisions. Two modules have been prepared under this system to find out key influential Maternal and Child Healthcare (MCH) interventions for socio-economically different regions which had high impact on health care indicators. Data of 284 districts of nine high-focus states of India have been provided into the system to find out the efficiency of the system. Those data have been collected from district- level household survey part three (DLHS-3). The first module of the system has segregated all 284 districts into three segments based on their educational, social and economic conditions, and the second module has found out key influential health care interventions for all three segments separately which had high impact on health care indicators. It has been observed that adolescent health care intervention like female sterilization and childhood health care interventions such as DPT (diphtheria, pertussis, and tetanus) vaccine and measles vaccine were key influential health care interventions. The improvement of coverage of these interventions would help to reduce inequity and improve health care indicators of regions. Further research should be done to understand how the coverage of these interventions can be improved, especially in socio-economically poor regions.

Maternal Health in Haryana: Evidences from NFHS

The paper is based on National Family Health Survey (NFHS) Haryana data collected during third and fourth round of survey. In terms of maternal health care indicators like ANC, IFA consumption, TT, assisted births, institutional births and PNC, Haryana performed better than India for parameters like TT, assisted deliveries and PNC; at par for IFA tablets and lower for ANC and institutional deliveries. Punjab was ahead of Haryana in terms of all these parameters. All these maternal health care indicators had a positive relationship with the raise in the educational level of the women. With the education the awareness level of women gets enhanced and they understand the importance of vital factors than their uneducated counterparts. Our policy planners and programme implementers should keep this important point well in mind that education is the key to easy eradication of all these problems and education of women will assist in achieving better results.