Friday, August 2, 2024

UDLCO: doctor population ratio and the urban rural divide!

 

UDLCO transcripts:

[03/08, 08:59] GAC: The doctor-population ratio in the country is 1:836.. better than WHO standard!

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[03/08, 09:12] CMCV: Where are they ? No doctors in PHCs , CHCs, SCs in many parts of India .


[03/08, 09:14] RB: Yes that's the vital rejoinder.

Most of those 1:836 are concentrated in cities where the ratio could be 1:200?


[03/08, 09:24] RB: In villages the gap is filled by informal healthcare practitioners aka rural medical practitioners who have learned as an apprentice to licenced physicians as informal physician assistants and may not have a licence to practice

In US the same gap is filled with formally trained physician assistants, nurse practitioners who may impress quite a lot of people by their knowledge and skills.Their informal counterparts in India don't impress India's licenced doctors but Indian rural patients always return back to them for their local health needs while making a customary trip to an urban doctor just to also remain in touch with the urban driven licenced health practice system where long queues and short encounters and long tests and treatment lists ensure they have no love lost in it.

[03/08, 09:45] AK: In IT services India by and large benefited from mass scale comp sci engineers churned out by tier 3 colleges ... why not scale up nurse practioners .. and  promote use technology for diagnosis in low resource settings. Tech enabled nurse practioners at scale ..


[03/08, 09:48] AK : Also lateral entry to bPharm, BSc Biology etc.. with 2 year tech enabled mid career bridge course .. get more mature workforce instead of all fresh grads ..

[03/08, 09:49] RB: Has been tried. Could be even easier to recruit on ground informal healthcare practitioners as part of an ICT driven online team based learning network as else the trained nurse practitioners will also succumb to an urban mall driven existence unless they are already used to living rural!

The ICT driven online team based learning network would itself serve as a real time clinical audit support as well as centralized data repository


[03/08, 09:52] RB : Here's a course looking for those Bsc BAs as well as a university:


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