Response to Reform Health System

Question: Discuss about the Response to Reform Health System. Answer: Introduction: Thank you for your response and I agree with your comment on implications of RSBY scheme for quality of care. The government should not only focus on the accessibility of the health care facilities by the beneficiaries of the poor families, but also on the quality of the care. However, presently just 53.9% of the below poverty lines families have enrolled for the scheme in India. It implies that the primary challenge is increasing awareness to ensure 100% involvement. In addition, minimising the fraud and corruption in India is a biggest challenge than thinking about accreditation right now. I agree that the out-of-pocket payment should be minimised. The coverage of Rs. 30,000 per family per would not suffice for treating chronic illness such as Diabetes and worsen the quality of care. Thank you for your response and I agree with your comment on safety and acceptability. Unnecessary services and fraudulent claims by hospitals as also mentioned by Girish would only lead to wastage of resources rather than enhancing health benefits. The other challenge for the government is to improve medical investment into unserved and rural areas rather than ubran areas. Therefore, the government should seek companies such as Global health care system to expand infrastructure in rural areas and improve the quality of care. People do face challenges such as delay in the settlement of payments, which is another drawback. Thank you for additional information on the improvement of out-of-pocket payment system. References Dror DM, Vellakkal S. Is RSBY India's platform to implementing universal hospital insurance?. Indian Journal of Medical Research. 2012 Jan 16;135:56-63. Nandi A, Ashok A, Laxminarayan R. The socioeconomic and institutional determinants of participation in Indias health insurance scheme for the poor. PloS one. 2013 Jun 21;8(6):e66296.