| Popis: |
Towards achievement of universal health coverage for BPL families whether defined in terms of financial protection or access to and effective use of health care, Government of Andhra Pradesh is implementing state sponsored scheme known as NTR Vaidya Seva. The scheme provide coverage for the 1044 " Therapies" for identified diseases in the 29 categories to provide cashless treatment in the empanelled network hospitals and also the then existing limit of financial coverage of Rs.2.20 lakhs per family per annum. The scheme is a unique PPP model in the field of Health Insurance; tailor made to the health needs of poor patients and provides end-to-end cashless services for identified diseases under secondary and tertiary care through a network of service providers from Government and private sector. The scheme is designed in such a way that the benefit in the primary care is addressed through free screening and outpatient consultation both in the health camps and in the network hospitals as part of scheme implementation. The IEC activity during the health camps, screening, counselling and treatment of common ailments in the health camps and an out-patient service in network hospitals is supplementing the government health care system in preventive and primary care. NTR vaidya seva like any other government program is beset with several issues and problems. One of the chief challenges is the misuse of the scheme by the hospitals. The present study will help in identifying the ways in which the scheme is being misused, and how they can be rectified. Another area of concern is the loopholes in the scheme that have to be recognised and plugged. This research study will help the policy makers to make the scheme better so that it can achieve the purpose for which it was introduced, that is to make quality health services available to underprivileged rural masses. |
