A STUDY ON IMPLEMENTATION OF COMMUNITY HEALTH INSURANCE SCHEME IN THE CARDIOLOGY DEPARTMENT OF A TERTIARY CARE GOVERNMENT HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 18
Abstract
In many parts of the developing world, health care expenditure is largely met out of pocket, and illness can drive individuals and families into poverty and debt. India ranks third in the World Health Organization's 2012 list of "countries with highest out of pocket (OOP) expenditure on health" in the south-east Asia region with almost 60% of total health expenditure paid by the common man in 2009 (World Health Organization 2009).1 The Rajiv Aarogyasri Community Health Insurance (RACHI) in Andhra Pradesh (AP) has been very popular social insurance scheme with a private public partnership model to deal with the problems of catastrophic medical expenditures at tertiary level care for the poor households is achieved [b]AIM OF THE STUDY[/b]: To study implementation of Aarogyasri community health insurance scheme in the department of cardiology of a tertiary care government hospital. [b]MATERIAL[/b]: A total number of 27 cases of cardiac patients recruited over a period of ten weeks from 5-9-14 to 15-11-14 in the department of cardiology K.G.H Visakhapatnam. [b]DISCUSSION[/b]: Community health insurance scheme is one of the models for providing health security for the people below poverty line. The Aarogyasri scheme of Andhra Pradesh aims to ensure health care for the BPL population at the time of critical and catastrophic illness. All the cases in the study group underwent surgical treatment, PTCA with one stent and for one case an additional stent was placed. Cash less packages also covered free food and transportation charges. Medicines are given for ten days at the time of discharge. Many states, and even the central government, are believed to be looking at the scheme to see if this can be replicated across the country.6 [b]CONCLUSSION:[/b] The case travel time from registration to final claims disposal is less than two weeks because of the organization pattern of the Arogyasri community health insurance scheme.
Authors and Affiliations
Kalyani P
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