Patient perception of attributes of primary care: a study of Aam Aadmi Mohalla Clinics in Delhi, India

Goyanka, Roopali; Garg, Charu C

doi:10.1093/fampra/cmac154

Cited by 2 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Care may be taken to improve these aspects of healthcare delivery at AYUSH facilities and providers to boost the utilisation of AYUSH care. 33…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Utilisation and Out-of-Pocket Expenditure for AYUSH Outpatient Care among Older Adults in India

Kumar

2023

CHCMJ

View full text Add to dashboard Cite

Background: Traditional, complementary, and alternative medicine are known to be used across the world for many types of diseases. In India, they are referred to as AYUSH and are known to be used for promotive, preventive, and curative purposes for healthy living and well-being. This study looks at the levels, patterns, and determinants of utilisation and out-of-pocket expenditure for AYUSH outpatient care among older adults in India. Method: Descriptive analysis, data visualisation, and bivariate and multivariate logistic regression analysis have been used. Results: The utilisation for AYUSH care is found to be quite low at 8.2% among 52% of respondents in the sample who sought outpatient care during the reference period. The study found the mean OOPE for AYUSH to be ₹ 687 per episode, in comparison with the overall mean OOPE of ₹ 1239 per episode for all types (allopathic and AYUSH combined) of outpatient care. Conclusions: Despite the policy support for the promotion of AYUSH by the Government of India for a long time, and the common knowledge about the affordability and low cost of AYUSH care, utilisation of AYUSH healthcare remains low. Evidence-based studies on the efficacy and safety of AYUSH treatment, promotion of cross-referral between different streams of medicine, and standardisation of AYUSH medicines can help to build trust and boost utilisation of AYUSH care.

show abstract

“…Care may be taken to improve these aspects of healthcare delivery at AYUSH facilities and providers to boost the utilisation of AYUSH care. 33…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Utilisation and Out-of-Pocket Expenditure for AYUSH Outpatient Care among Older Adults in India

Kumar

2023

CHCMJ

View full text Add to dashboard Cite

show abstract

A comparison of the cost of outpatient care delivered by Aam Aadmi Mohalla Clinics compared to other public and private facilities in Delhi, India

Garg

Goyanka

2023

Health Policy and Planning

View full text Add to dashboard Cite

Aam Admi Mohalla Clinics (AAMC) were introduced in Delhi in 2015 as neighborhood clinics to strengthen the delivery of primary care. To inform the policies on government investments for outpatient care, this study estimated the cost of outpatient care per visit in Delhi for 2019-20 for AAMC and compared with urban primary health center (UPHC), public hospitals, private clinics, and private hospitals. Facility cost for AAMC and UPHC were also estimated. Using the data from national health survey, government annual budgets and reports, a modified top-down methodology was adopted to measure true cost of public facilities, taking in account both the government expenditure and out-of-pocket expenditures (OOPE). Inflation adjusted OOPE was used to measure cost of private facilities. The cost per visit at a private clinic at ₹1146 (US$16) was more than three times higher than that at a UPHC (₹325/US$5) and eight times higher than that at AAMC (₹143/US$2.0). These costs were ₹1099 (US$15) and ₹1818 (US$25) at public and private hospitals respectively. The annual economic cost per facility of a UPHC at ₹ 92,80,000/$130,000 is approximately four times that at AAMC (₹24,74,000/$35,000). Unit costs are found to be lower at AAMCs. Utilization for outpatient care has shifted in favor of public primary care facilities. Higher investments in public primary care facilities with expanded services for prevention and promotion, upscaled infrastructure and a gate-keeping mechanism can strengthen the delivery of primary care and promote universal health care at a lower cost.

show abstract

Patient perception of attributes of primary care: a study of Aam Aadmi Mohalla Clinics in Delhi, India

Cited by 2 publications

References 21 publications

Utilisation and Out-of-Pocket Expenditure for AYUSH Outpatient Care among Older Adults in India

Utilisation and Out-of-Pocket Expenditure for AYUSH Outpatient Care among Older Adults in India

A comparison of the cost of outpatient care delivered by Aam Aadmi Mohalla Clinics compared to other public and private facilities in Delhi, India

Contact Info

Product

Resources

About