How can standards help improve hospital services in India: Inputs Sought

Below are some of the key issues identified by you in regards to hospital services. Kindly review them and help identify solutions through formation of standards that can help in addressing some of these issues. We look forward to your inputs!

Issues identified with Hospital Services

1.Patients are asked to take unnecessary tests
2.Rate of tests like MRI, CT scan etc. are way higher in private hospitals than outside
3.As a money-making exercise, many hospitals straight away suggest surgeries in cases where it might not immediately be needed
4.If the patient has insurance, the hospitals keep them admitted for a longer duration of time and bills are inflated
5.Patients are kept on ventilators even if there is no chance of recovery
6.Room rates in private hospitals are very high
7.Private clinic/hospital encourage to pay bills in cash and also give forged bill
8.In place of generic medicines, branded costlier medicines are recommended
9.People with health cards, medical insurances extra also lured into unnecessary treatments, procedures and surgeries
10.Doctor's compensation is linked to revenue contribution in many private hospitals
11.The grievance cells in private hospitals are terrible
12.Customer complaints are not addressed properly
13.Patients are asked to get admitted even if they don’t really need admission and room
15.Unnecessary tests are ordered just to increase revenue
16.Consultation fees in private hospitals is very high
17.Room rent in private hospitals is similar to 4 and 5 star hotels
18.The rates of tests are also very high in private hospitals compared to the outside labs
19.Patients with insurance are charged more compared to the others
20.Patients from EWS section entitled to treatment are discouraged by making them buy expensive medicines/paperwork
21.There are long waiting times to see the doctor
22.Appointment system is not up to the mark in many hospitals
23.There is corruption in most departments at Government hospitals
24.The disposal of various kinds of wastes is a serious issue
25.Medical devices used for patients are charged at MRP or even above MRP
26.There is no transparency in billing at most hospitals where prices of medicines, consumables and services are not itemised. more  

View all 32 comments Below 32 comments
The govt hospital need to be improved to give competition to private hospitals. Education and health must be under the control of the state. more  
While I agree with most of the points, I would want to add/alter some of the points as follows :

1.Patients are asked to take unnecessary tests : Sometimes the same blood test is repeated 2-3 times or even more, charges for which are to be paid by the patient.

4.If the patient has insurance, the hospitals keep them admitted for a longer duration of time and bills are inflated : Partial Truth. Irrespective of the fact, whether the patient has medical insurance o not, some patients are kept admitted, (mostly) till another patient seeks admission to occupy that bed.

8.In place of generic medicines, branded costlier medicines are recommended : Partially True, because even when the branded medicines are administered, only those brands are chosen, which have maximum RRP over the other brands of the same medicine. Patients are NOT allowed to bring their own medicines and have to buy them only from the Chemists shop attached to the hospital, which only has branded medicines of highest MRPs.

11.The grievance cells in private hospitals are not only terrible, they do not exist for most of the private hospitals. Even if they exist, there is no written indication available anywhere, either in the documents available with the patients and/or various displays put out by the hospital.

MOST Important : The Quality & Quantity of Food served to the patient is questionable. Many hospitals have dieticians, but the diet specified for a patient and the food provided do NOT match most of the time. Rates charged are very high.

Such hospitals also do NOT have a provision for providing food for the patient’s relatives. Even if some hospitals do have them, again the quality of food provided is questionable. Rates charged are very high. more  
1. The basic facility of clean washrooms for the visitors to hospitals is sadly lacking. Even doctors do not have proper toilets. A ratio of toilets vs number of persons who use them should be scientifically arrived at, and minimum standards of cleanliness and maintenance should be adhered to.
2. Potable drinking water is usually denied to the visitors. They are forced to purchase mineral water at exorbitant prices. When they ask for butter milk or jaljira they are given coca cola and thums up which are harmful to the patients' health. Every hospital should supply drinking water to the visitors, and traditional drinks like buttermilk, jaljira and tamarind summer drink should be made available throughout. Harmful synthetic aerated waters should be banned from hospital premises. more  
Ratio of Toilets to commensurate with number of users . Thumbs up. more  
Dear Ammar

Indian government health care, leaving a few places or institutions, the health units are orphaned by the department of health. Either the equipment disfunct, expired medicines, no qualified doctors, nurses, compounders, no emergency or casuality wing. These facts are well aware of all ruling parties, but no a tion.

This casual, careless of government, paves way for private hospitals to flourish.

When government not even showing interest to maintain health care units in rural functiong, sir, general public is only at the receiving end. Can someone dream to have effective treatment like the one is enjoyed in Scandinavian countries? more  
Mr. Ammar, Can you be more elaborate as to what is open in the countries you named in the post. more  
There Healthcare is provided by the Govt. Free of Cost. My relative stay in Canada and there till the patient is cured utmost care is taken by the doctors that too selflessly as they are salaried there and they do not have targets to achive. more  
Post a Comment

Related Posts

    • Courier Services Standards

      This is really the need of hour. The earlier it is done better it is. Some of my important documents have have lost or got not-delivered, due to callousness of the courier companies. There was no r...

      By Bansi Lal Bhan
    • Counterfeit in electronic products

      yesterday an example of jbl bluetooth speaker was shared by a member in consumer circle. it seemed like china made cheap fake product had JBL written on it. My question is do...

      By Sandhya Agarwal
    • Super Bug Crisis - How can standards help

      This is an important discussion, probably thousands of Indians die each year because of super bug.

      By Nikita Merchant
    • Penalty Standards for Couriers

      I see the Government has requested we share our ratings of courier services. I think its about time we rely on citizen ratings and experience to change laws. During Rakhi time many siste...

      By Anil Mehta
    • Is the Prime Minister a member of these communities

      Seems like the PM or some one very close to him is a member of the localcircles communities and reading various posts and comments. Yesterday in his speech he talked about pesticides, en...

      By Nikita Merchant
    • Apps must have standards

      Many apps in India are giving tv ads and are still a nightmare to use for consumer. Can BIS please set standards for apps. Like ecommerce apps must disclose (XYZ) and flow in certain manner. Social...

      By Vinay Sen
    • Imported Product Standards

      In the interest of National safety, anyone can express & submit their views to anybody peacefully without hurting. If things doesn't change, no need to worry as there may be some reasons which ...

      By Mahesh Borate
    • Imported Product Standards

      I shared this issue about Chinese Ethepon being widely used across India to artificially ripen fruits in food circle. see picture FSSAI doesnt seem to have answers. Can BIS advise if the...

      By Sudesh Rai
    • Philips LED light chokes keep failing

      Philips LED light chokes (attached) keep failing though they claim to be IS 15885 compliant. BIS may please investigate this on priority. The lights are under warranty but defunct becaus...

      By Sachin Taparia
    • complete ban on bore well in individual houses.

      The scarcity of water is a burning issue and the GOI has taken it very seriously. One thing that we every one see around us in colonies and societies that several people have individual bore well...

      By Rk Agarwal
    • Water Standards needed

      We have been discussing saving water in the other circles. I want to call upon BIS to come forward and set mandatory standards for ground water extraction for individual homes, residenti...

      By Vinita Agrawal
Share To
Enter your email & mobile number and we will send you the instructions

Note - The email can sometime gets delivered to the spam folder, so the instruction will be send to your mobile as well

Please select a Circle that you want people to invite to.
Invite to
(Maximum 500 email ids allowed.)