Role of tertiary care institutions for preventive activities for positive health: an exploratory study among defence and civilian health care facilities of Bangalore

Authors

  • Subodh M. R. Department of Hospital Administration, Ramaiah University of Applied Sciences, Bangalore, Karnataka, India
  • Narendranath V. Ramaiah Medical College Hospital, Bangalore, Karnataka, India
  • Nanda Kumar B. S. Department of Community Medicine, Ramaiah Medical College, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20174170

Keywords:

Prevention, Positive Health, Defence, Government, Private

Abstract

Background: Health sector in India is facing several challenges. These can be attributed to population, poverty, illiteracy, poor social indices, poor patient to hospital ratio and inadequate government spending. Preventive activities for positive health by the various tertiary care institutions play a crucial role in mitigating some of the problems. The study was undertaken to assess the preventive services for positive health among tertiary care institutions of defence and civilian HCFs in Bangalore.

Methods: Study was conducted by interacting with the key respondents of defence, government and private tertiary care hospitals. Using structured checklist, activities pertaining to preventive services promoting positive health was assessed.

Results: Study shows that preventive health activities are being undertaken in all the sectors. There is varying degrees of effectiveness of implementation of the programs. Defence sector has maximised the service delivery and coverage, while Government sector delivers the preventive services through its outreach and national program implementation drive. In case of Private sector, though the focus is largely on curative care, preventive health services are being undertaken in a fragmented manner.

Conclusions: Preventive activities for positive health can be optimally utilized and implemented by having coordination and cross-sectorial linkages of services. All the teaching hospitals and government hospitals may undertake these programs in a more systematic manner. Sharing of experiences and research between sectors in optimum provision of preventive services, may help in curtailing the increasingly expensive healthcare costs and improve the health of the communities. 

Author Biography

Nanda Kumar B. S., Department of Community Medicine, Ramaiah Medical College, Bangalore, Karnataka, India

Associate Professor, Department of Community Medicine, Ramaiah Medical College

References

Wikipedia: the free encyclopedia. St. Petersburg (FL): Wikimedia Foundation, Inc. 2001 – Health definition cited from Wikipedia. Available at: https://en.wikipedia.org/wiki/Health. Accessed on 3 June 2017.

K Park, Park’s Textbook of Preventive and Social Medicine. 23rd Edition. Jabalpur: Banarsidas Bhanot; 2005.

AFMC, Manual of Health for the Armed Forces, 4th Edition, Delhi: Controller of Publications, 1968.

DGAFMS, Public Health and Preventive Medicine: For the Indian Armed Forces, The “Red Book”, 8th Edition, Pune: Department of Community Medicine, AFMC, 2008.

LTG Magnezi R, LT Dankner R, Shani M, BG Levy Y, COL Ashkenazi I, MAJ Reuveni H. Comparison of Health Care Services for Career Soldiers Throughout the World. Military Med. 2005;170(12):995-8.

Congressional Budget Office, Comparing the Costs of the Veterans’ Health Care System with Private-Sector Costs. 2014; Available at: https://www.cbo. gov/publication/49763. Accessed on 1 June, 2017.

Lando ME. A Comparison of the Military and Civilian Health Systems. 1970: 1-20.

National Prevention Council, National Prevention Strategy, Washington, DC: U.S. Department of Health and Human Services, Office of the Surgeon General. June 2011. Available at: https://www. surgeongeneral.gov/priorities/prevention/strategy/report.pdf. Accessed on 4th July, 2017.

Groene O, Garcia M. Health Promotion in Hospitals: Evidence and Quality Management, Vienna, WHO Collaborating Centre for Hospitals and Health Promotion, EUR/05/5051709. 2005.

Cocchi Renee, Top 10 issues impacting healthcare industry in 2016, healthcare IT. January 19, 2016; Available at: http://www.healthcarebusinesstech. com/issues-impacting-hospitals-2016/. Accessed on 27 May, 2017.

Raje N. Preventive Healthcare Technology Trends That Indian Healthcare Industry Should Look Into. 2017. Available at: http://techstory.in/preventive-healthcare-technology/. Accessed on 4 August 2017.

Downloads

Published

2017-09-22

How to Cite

M. R., S., V., N., & B. S., N. K. (2017). Role of tertiary care institutions for preventive activities for positive health: an exploratory study among defence and civilian health care facilities of Bangalore. International Journal Of Community Medicine And Public Health, 4(10), 3596–3600. https://doi.org/10.18203/2394-6040.ijcmph20174170

Issue

Section

Original Research Articles