Public Health in India: Technology, governance and service delivery

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Despite rapid advances in modern medicine and state-of-the-art health care services in the private sector, primary health care in India remains inaccessible to a majority of the population. Besides, even policymakers often do not have access to real-time data to fine-tune their policies or design appropriate research and intervention programmes.

Drawing on field experiences, this volume brings together scholars and practitioners to examine public health from different perspectives. It discusses practical and applied issues related to the health sector, especially the role of Information and Communications Technology (ICT); participation of civil society; service delivery; quality evaluation; consumer empowerment; data management; and research and intervention.

This book will be useful to scholars, students and practitioners of public health in developing countries such as India. It will also interest policymakers, health care professionals, and departments of public health management and those concerned with community medicine.

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About the author

Diatha Krishna Sundar is Professor of Operations Management; Chairperson of Production & Operations Management Area; and Chairperson — ERP Center, Indian Institute of Management Bangalore (IIMB).

Shashank Garg is Chief Executive Officer of Handheld Solutions & Research Labs (HANDSREL), Bangalore.

Isha Garg is a Medical Doctor and was Professor of Pathology, and a former head, at St. John’s Medical College, Bangalore.

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Additional Information

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Published on
Jun 5, 2015
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Health & Fitness / General
Medical / General
Medical / Health Policy
Medical / Public Health
Social Science / General
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Content Protection
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Eligible for Family Library

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A New York Times bestseller

A Washington Post Notable Book of the Year 

At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems.

In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast?

Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. 

The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.
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In Sierra Leone, one in 21 fifteen-year-old women will die in her fertile years of a maternal-related cause; in Italy, the figure is one in 17,100; but in the United States, which spends more on healthcare than any other country in the world, it is one in 1,800. Why?

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Marmot underscores that we have the tools and resources materially to improve levels of health for individuals and societies around the world, and that to not do so would be a form of injustice. Citing powerful examples and startling statistics ("young men in the U.S. have less chance of surviving to sixty than young men in forty-nine other countries†?), The Health Gap presents compelling evidence for a radical change in the way we think about health and indeed society, and inspires us to address the societal imbalances in power, money, and resources that work against health equity.
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