About Pediatric - ISCCM
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Government
sector:Inadequate services
Disorganized/ Poor infrastructure for large population and high mortality
Multiple small pediatric departments in government hospitals with medical
colleges with either small or no PICU
Handfull of big PICUs at AIIMS,PGI etc.
Very few PICUs in the Government institutions in Eastern India
Overall: More is desirable
Private
sector
Multiple small pediatric ICUs in private hospitals (Surat, Nagpur, Hyederabad,
Indore,Bengal etc)and bigger private PICUs at Apollo group hospitals, Ganga
ram,Hinduja,KKCT Chennai etc.
Better PICU services than government institutions
Larger
picture
given the large population of India,services are
GROSSLY INADEQUATE and unaffordable due to high cost
So
what is so different in pediatric care in the West?
There are More than 60 Childrens hospitals in the US and More than 100 PICUs in
general hospitals.Each medical college affiliated institution has attached
speciality services including PICU
CHILDRENS
HOSPITALS Treat all aspects of the patient, including emotional
well-being and that of the child's family under one roof by pediatric trained
and experienced personnel. EXAMPLE:Boston Childrens Hospital ,BOSTON( MA)USA
Private Comprehensive and High Tech Care with Harvard university affiliation
and training programs
Can
we do it? In INDIA?
In private sector :probably YES
Though Investors And Land availability remains a challenge.
Building materials, infrastructure,technology and the trained medical personnel
Are becoming more available
In Government sector? MAY BE
Political
will and speed of action in Government remains a challenge.Big challenges for
the Government sector are Organization&Finances and to
1.ABSORB/SUBSIDIZE COST OF HIGH TECH UNAFFORDABLE ICU CARE TO COMMON MAN
2.LACK OF CRITICAL CARE AND TRANSPORT FACILITIES
3.LONG DISTANCES:TOO FEW TERTIARY CENTERS
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