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Subrat SaurabhAuthor of Kuch Woh PalHealthcare is a fragmented service with high variance in quality from hospital to hospital and physician to physician. Often, poor management of hospitals contributes to undesired outcomes. The ‘clinical silos’ from where services are delivered lacks an integrated approach to converge all related specialists around the patient. Patient satisfaction is never a unit of measurement of effectiveness in hospitals. Patients are not routinely engaged in decision making and often communication with relatives is established on the eve of a catastrophic event, either convince them to plead their helplessness. This book reveals the internal performance dimensions that are crucial to improve clinical outcomes. The performance enabling framework is an innovative model for any hospital to adapt. The book brings out with clarity what constitutes ‘value’ in the patients’ perspective. The book convincingly argues that appropriate treatment, which is non-negotiable combined with affordability and patient satisfaction are the three dimensions that will create value in healthcare services.
Dr K Ellangovan IAS
Dr K Ellangovan, MS (Ortho), MA (Population Studies), Ph D (IIT, Madras)
Dr K Ellangovan is a career bureaucrat, serving in the Indian Administrative Service. Prior to joining the IAS, he obtained Master of Surgery in Orthopedics and had been a practicing orthopedic surgeon. He also holds a MA degree in Population Studies.His exposure to health care services extends from his graduation days, to being the Mission Director of National Health Mission, Kerala to Secretary to Government in the Department of Health & Family Welfare, Kerala. He has also obtained his Ph D from IIT Madras for his research on “Performance Dimensions in Public Hospitals”, which earned him his ‘Best Thesis Award’ in the area of Organizational Behavior /Human Resource Management. Health Secretary, Kerala he piloted developing standard care pathways to treat non-communicable diseases in the primary care setting and was instrumental in several public hospitals accredited under the NABH program. Several of his initiatives led to further reduction in IMR in Kerala, making it comparable to any other Scandinavian countries. He introduced mandatory prescription of generic drugs and enlarged the list of essential medicines to be dispensed free of cost in public hospitals in Kerala, as a mean to reduce high out of pocket expenditure.
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