#Health Care System vis a vis #Urban #Rural and #Medicine systems #HealthCareSystem

A question always arises in mind whether public health system is better or private? I think such question if arises then it is in itself a proof that how much faith we have in public health system? But more often than not we have no other option but to go to public health system.
This debate is going on for very long. I suppose that this will continue for a long period of time. Question always arises whether government provide better health care facilities or private hospitals. All India estimates (in 2014) of rural areas indicated that private hospitals were preferred. Why? Since more number of cases were hospitalized in private hospitals that in public hospitals. Cases 581 per thousands were hospitalised in private hospital whereas 419 in public hospital. Similarly in urban areas 680 per thousand cases hospitalized in private hospitals and only 320 in public or government hospital.
The difference between type of hospitals in rural areas was about hundred or 200 cases. However in urban areas the difference was almost double that means urban private hospitals were most preferred. I don’t know how to infer that a public has more faith in private hospitals in urban areas?
Difference of double that of public hospital is a striking thereby indicating that there is a huge gap in coverage by public health system?? How to expand coverage by public health system is major challenge. Now at this stage we have to talk about coverage leaving aside the quality of health coverage.
More male patients than female are hospitalized in Private hospital compared to public hospitals? Is there any gender issue involved in this?
Or families prefer private hospitals for male patients in rural areas? The difference is not large though even though little bit difference is there. About 278 female and 303 male per thousands patients were taken into private hospital.
In A & N Islands, about 941 per thousand patients hospitalised in public hospitals in rural areas and only 59 per thousand patients in private hospitals. [50 male and 9 female]
No simple inference can be drawn, as in rural areas might not be having any option as not much private hospitals were available. States like Arunachal Pradesh, Assam, J&K, Manipur, Meghalaya, Mizoram, Nagaland, Odisha, Sikkim, Tripura and even in Delhi less number of patients were hospitalised in Private hospitals
Andhra Pradesh, Gujarat, Haryana, JharkhandKarnataka, Kerala, Maharastra, Punjab, Telangana, UP, Pudducherry more patients were hospitalised in Private Hospitals.
AP, Gujarat, Jharkhand, Karnataka, Kerala, Maharastra, Punjab, Telangana, UP, Pudducherry, almost more than double patients hospitalised in private hospitals than that of in Public Hospitals. In Urban areas, AP, Bihar, Chattisgarh, Gujarat, Haryana, Jharkhand, Karnataka, Kerala, Maharastra, Nagaland, Tamil Nadu, Telangana, UP, Uttarakhand large number of patients were hospitalised in private hospitals. In few states the number was three times higher than that of public hospitals.
Allopathy is still the most preferred choice of treatment. In urban areas 94.4% Male and 91% female received treatment in Allopathy medicine. All other Indian system of medicine i.e Homeopathy, Yoga, Naturopathy got only less than 7% of total patient share. All these system collectively named as AYUSH.
If data is to be believed then Nagaland shows 82% male received treatment in other system of medicine? While female received 100% Allopathy? Is it a mistake of data entry?
Over all more number of patients got treatment in other form of medicine was observed in Tripura(18), kerala(15.3), Punjab(14.8), Lakshdweep(11.5). Chattisgarh(11.2), Rajasthan(10.3), Himachal Pradesh and A & N Islands (10.1).
However, if any recent study is done few places will top the chart for usinf AYUSH including A & N Islands. I saw long queues standing in AYUSH hospital waiting for their turn to meet Ayurvedic or Homeopathic doctors. Few like to visit AYUSH, as many costly brand medicine are provided free of cost. I overheard two persons talking each other about this.

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Reference: Key Indicators of Social Consumption in India,  Health, NSS 71″ Round, (January- June 2014), National Sample Survey Office, June2 015