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Jan Swasthya Abhiyan called for de-corporatization of health care facilities
Oct 21, 2013

The healthcare industry in the past has majorly been under the control of the government, however, in the recent past a number of private companies have marched in to become medical service providers. This has led to commercialization/ corporatization of medical facilities.

The Jan Swasthya Abhiyan has suggested changes in the Rules of the Clinical Establishments (Registration and Regulation) Act, 2010 (CEA) with emphasis on a patients’ rights charter and a grievance-redressal mechanism. The CE Act, 2010, and the 2012 Rules focus on the standardisation of quality and costs of care, Standard Treatment Guidelines, minimum standards, ensuring that hospital charges are within government norms and indicative charges for major items such as medical consultations and room charges are displayed. But the NGOs is pressing on decentralization of medical standards i.e. according to the needs of the state. The Maharashtra wing of JSA is already leading a campaign for the enactment of a State-specific law instead of adopting the CE Act. It is seeking regulation of charges and display of indicative rate cards at private hospitals, standard treatment guidelines to curb unnecessary investigations and multi-stakeholder participatory regulatory councils at the district level, which would include representatives of doctors, patients and civil society organisations.

It also advocated inclusion of civil society representation in the District Registering Authority to prevent corporatisation of health care and promote patients’ rights.

The JSA wants a designated autonomous public regulatory body for all clinical establishments, differential punitive provisions for public health facilities which would preclude their closure, and preparation of minimum standards for clinical establishments at the State level after consultations with experts and stakeholders.

Drawbacks of corporatization of health facilities are:

a) It leads to exploitation of people by over charging them for the services rendered. 

b) There is lack of transparency. There is no regulatory body to control the prices or keep a close look at the kind of serives that hospitals and diagnostic centres provide.

c) It also leads to lack of attention to the low income group, few initiatives are aimed at the lower income group improvement. 


 

 


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