RIGHT PRESCRIPTION FOR THE GOVERNMENT: START INFORMATION THERAPY
Rajendra P Gupta
When it comes to healthcare, the government’s role is threefold: financier, provider, and regulator. However, the government’s efforts in these directions are far from satisfactory. Citizens account for over 78% of total healthcare spending, and still get a bad deal in return! It is clear that the government is unable to finance the entire healthcare of the nation. Also, it cannot provide healthcare at all levels (primary, secondary and tertiary care). Even as a regulator, the Indian government has not progressed beyond basic accreditation of facilities to ensure quality healthcare.
With a massive population of 1.2 billion, prevention appears to be the only cure. We cannot afford to build hospitals across India, and even if we did, it would be financially unviable to run and sustain them. So what can be done? If effective prevention has to be implemented, adequate, relevant, and comprehensible information must be provided to citizens.
Starting point of healthcare: Healthcare begins with awareness. In the absence of awareness, the healthcare system tends to be abused by providers and overused by patients! It is imperative that the government creates empowered patients, and the best way to do that is by providing information to citizens about their health and healthcare. The government must act as a catalyst and promote information dissemination about health and illness in simple, local language. Thanks to technological advances, there are now many ways through which the government can reach out to the common man. These are not only cost effective, but also act as a visible indicator of the government’s interest in the health of its citizens. The funding for such activities can come through private-public partnerships.
Toll free health help lines: The government should set up toll free help lines for citizens to answer any medical queries relating to common ailments. These could be partly automated, using IVR, and run by call centers staffed with pharmacists, nurses and doctors. India has approximately 800 million mobile phones, and it is believed that 70% Indians have access to mobile phones – directly or indirectly. Callers could be mapped from the location of the call, and guided to the nearest available facility should more tests or treatment be required. The option to be anonymous must be available, should one choose to do so.
The government could mandate healthcare as a VAS (Value Added Service) for all cellular service providers. It is high time that the Ministry of Health develops information that is specific to diseases like obesity, diabetes, hypertension, and the like, and make it available for free download on all cell phones for its citizens. Another option is setting up a web-based SMS alerts service, where people are able to subscribe free of cost.
Pharmacies Over 700,000 (seven hundred thousand) pharmacies exist across the country. Pharmacies are used as the first point of contact for a majority of healthcare problems by most Indians. Apart from being easily accessible, pharmacists are happy to provide solutions to common ailments, and are much less expensive than going to a doctor.
This national network of pharmacies could be effectively used to provide information therapy to every Indian! Pharmaceutical companies can also be encouraged to install ‘point of care’ healthcare information kiosks at pharmacies. The pharmaceutical company can use this to advertise their products, and patients would benefit as they would have easy access to reliable information. Hopefully, these kiosks will become as popular as ATMs!
Incorporating health in the School curriculum: Every government has two challenges when it comes to health – urgent and important, and it is time to separately attend to urgent challenges (to manage chronic diseases) and important challenges (to address child health). By teaching children about their health, we can ensure that they are knowledgeable about basic issues related to good health and symptoms of sickness.
Online health Library: The government must buy copyrights of a few leading healthcare books and articles and make them available for free download at the Online National Health Library. We need to learn from the initiatives which the UK (http://www.nhs.uk) and the US governments ( www.medlineplus.gov) have taken !
UID Smartcards for Healthcare: The UID smartcard initiative by the Indian government also represents a huge opportunity. It is possible to store basic demographic data on these smart cards, and link it to EHRs (electronic health records), thus allowing us to deliver customized information therapy in regional languages !
In this digital age, where IT drives down cost and increases speed and reach, the government must set the right priorities for encouraging awareness and education for healthcare. Information therapy is a logical step in this direction. It is high time that every Indian receives quality healthcare, and the government must ensure that no stone is left unturned to achieve this ambitious, but not impossible, goal. Better governance in terms of healthcare will result in happier citizens, and ultimately lead to a healthy nation!
(Rajendra Pratap Gupta is an international healthcare expert, a sought after writer and speaker, and sits on several advisory boards in healthcare and retail organizations across the globe. Email: office@rajendragupta.in ).