Gurpreet Kaur Sagoo has her expertise in innovation and helping the mankind. She has received graduate degree in Biochemistry and Post-graduate in MBA (Healthcare Management).
Statement of Problem: Thyroid disorders are increasing more than ever before. The current prevalence rate of people suffering from thyroid disorders in India is 1 out every 10 people, in a country of 1.21 billion populations. Women are more affected with thyroid as compared to the men as per the surveys carried out. People aged between 25-55 years are being affected the most. A disorder that interrupts the normal metabolism of the human system can disturb the healthy lifestyle, if went undiagnosed. Majority of people are unaware of what thyroid disorders and what can be the consequences if went undiagnosed. Around 77% of Indian rural populations go undiagnosed for thyroid disorder, affecting the most productive age group. Methodology: An interactive, demographic study was carried out, targeting the rural population as well as urban in hospitals and institutions, with in-depth interviews and observations. Questionnaire was used to record the inputs which were taken in-consent from the patients. Findings: The study shows that people are undiagnosed in rural mainly because they are unaware of what thyroid disorders are and next they avoid getting tested regularly as the tests are not economical. In urban sector, the health is taken for granted as they do not have time to wait in the queue at the laboratories to get tested and wait for the results. It was found that even after diagnoses of thyroid disorder the main reason due to which thyroid levels are abnormal is not shared with the patients, they are unaware of the cause and straight away put on medications. As in some cases thyroid levels might be abnormal due to stress, other hormonal imbalances, pregnancy, etc. Conclusion: More awareness should be given, especially to women. Innovative technology is required to make test more economical and faster than conventional methods.
June Kakshapati is currently a Resident Doctor pursuing MD Hospital Administration at BPKIHS, Nepal. She has keen interest in healthcare economics, quality, patient safety and healthcare management.
Background & Objectives: In India, 5% of GDP is spent on health and 80% of this is out of pocket expenditure. Over 60% of total health out of pocket expenditure is on medicines, both in urban and rural India in 2011-12. Intensive Care Unit demand a great deal of financial and manpower resources. Intensive care beds account for at least 10% of the hospital beds and 20-40% of all hospital costs. They also consume 34% of hospital budgets. The objective of this study was to identify major cost centers in Pulmonary ICU and identify the gap between hospital expenditure and out of pocket expenditure towards medical care at AIIMS. Materials & Methods: A cross-sectional study was conducted. Costing methodology used combination of traditional and activity based approach. Retrospectively, records were studied of past three months and key informants interviewed to identify major cost centers. Prospectively 10 patients admitted in Pulmonary ICU were followed up for a period of two weeks until discharged to identify hospital and out of pocket expenditure. Cost was apportioned to per patient per day. Results: Major cost centers were Manpower [40.72%, drugs and surgical consumables (27.35%)], Equipment (21.63%) followed by supportive services (9.81%) and general stores (0.49%). The hospital expenditure on drugs and surgical consumables per patient per day was (INR) 419.19, whereas, out of pocket expenditure per patient per day was (INR) 2228.87 and average length of stay was 9.5 days. Conclusion: In this study, out of total health expenditure, 84% was out of pocket and only 16% was hospital expenditure. It is imperative for health care providers to use costing studies to understand the financial burden on household expenditure and optimize appropriate resources to avail critical care services at reasonable price to the public.