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Reimagining Health System – how India is Innovating to Improve Access to Care

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September 17, 2020

An online panel discussion by Global Health Strategies and ThePrint on ‘Reimagining India’s Health System’ focused on how to take healthcare forward using technology.

Lata S. (name changed) had been experiencing breathlessness and a persistent cough for a few days. With Covid-19 high on everyone’s mind, she decided to take action. After speaking to a physician through a teleconsultation, she received a prescription on her mobile phone, suggesting an RT-PCR test and symptomatic medication which she could, again, order online.

Lata booked her test online with an approved designated laboratory, and her sample was collected at home the following day. Two days later, she received her results via email (which, to her relief, were negative). All of this, while never once having to step outside.

The healthcare sector and everybody associated with it, has been under tremendous pressure to adapt, to deliver, despite the odds, to ensure fellow citizens remain safe and healthy. There has been a marked shift — public and private health programmes have pivoted to reinvent service delivery and revise policy, collaborating across sectors to introduce innovative approaches that ensure access to care during these pressing times. What seemed the most unprecedented challenge of the last few years has become an opportunity to bring healthcare closer to people’s doorsteps.

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Digital technology, of course, has played a central role, and will continue to push the envelope on how individuals are diagnosed and treated, and how the health system functions as a whole. Last month’s launch of the National Digital Health Mission may usher in a digital revolution for the health sector in India.

The online panel discussion last week (organised by Global Health Strategies and ThePrint) on “Reimagining India’s Health System” touched on many of these areas and panelists presented a range of action points.

Technology, the force multiplier

Technology will connect the dots in the health system, and bridge the gap between the public and private sector to function with a singular vision of better public health management. The creation of an ecosystem inclusive of an electronic health record system and linked health ID will make access to our medical history (including diagnostic reports and prescriptions) far simpler, and connect us remotely through teleconsults with doctors, e-pharmacies and labs for doorstep delivery of services. Patients can thereby rid themselves of the complex and circuitous care-seeking pathway they must navigate at present.

This ecosystem has a critical analytical role to play as well — integrated geographic information systems (GIS) can triangulate prevalence and genomics data to provide information on disease transmission and geospatial coverage, allowing public health experts to judge the patterns and speed of transmission almost in real time, and accordingly suggest the deployment of focused disease-control efforts.

Prescription data from doctors using the platform could be used to analyse variance in prescription patterns, to ascertain if they are aligned (or not) with standard protocols issued by relevant medical authorities. AI or machine learning platforms can be assimilated within digital diagnostics to help screen and triage patients. This could be a game-changer, especially in low resource settings, with the potential to improve efficiency and accuracy of test results.

Admittedly, this will require a clear policy framework and supportive regulations on data, with adequate investments in systems, to ensure privacy and data security.

Source: The Print

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