Home › Forums › Other Specialities › General Topics › INDIA NEEDS?
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Anonymous.
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June 8, 2013 at 8:15 pm #2084
Anonymous
InactiveAll India needs is deploying General Physicians in rural health centres for Primary Health Care with Back-up of Referrals.
In our opinion, the need of the hour is Primary Health care rather than the specialization or super-specialization (demanded by Indian doctors and medical students).
Primary health care is the health care that is provided by a health care professional in the first contact of a patient with the health care system. (wordnetweb.princeton.edu/perl/webwn)
Primary health care has been defined by World Health Organization as “essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and the country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination”.
For this we need MBBS doctors who are practically oriented to common health problems and other social and developmental determinants of health such as, clean water and sanitation and nutrition etc. For difficult cases there has to be referrals, where specialists are available with adequate facilities.
The crux of the problem is that rural areas are not equipped with either primary health physicians or nurses where they are most needed as >70% of country’s population resides in rural areas. Multi purpose health care workers (such as Accredited Social Health activist or ASHA, Auxiliary Nurse Midwife, ANM etc.) are deployed in rural areas for Primary Health Care.
In our opinion, the need of the hour is Primary Health care rather than the specialization or super-specialization (demanded by Indian doctors and medical students).[/colo
All we need is to position MBBS doctors in Primary Health Centres situated in rural milieu. For this rural areas have to be developed in order to attract Primary Health Care Physicians to practise there.
Competing interests: None declared
Neeru Gupta, Scientist E
KKJani, Jugal Kishore.
Indian Council of Medical Research, Ansari Nagar, New Delhi-110029bmj aug 6th 2013.
G Mohan.
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