siliconindia | | DECEMBER 20199the rural population to avail healthcare facility at an af-fordable cost.Some of the innovative models are:PPP model: Public private partnership is one of the health care delivery models in which we can offer health care to the rural public. There are three categories of partner-ship in this model. Firstly, Infrastructure model in which private hospitals can have tie up with providing infra-structure facilities to the public sector. Secondly Clinical model, in which private sector can aid in terms of provid-ing clinical care such as doctors, nurses and other para medical staffs. The third version is integrated model, in which both infrastructure and clinical care can be taken care by private hospitals.Hub and Spoke design: In this model, one hub can have several spoke centers thatcaters the needs of the ru-ral population. This also acts as a referral and business center for this hub. Through this model, the tertiary pri-vate hospitals can provide service to the rural areas, where accessibility, availability and affordability becomes a challenge. Most of the preventive and primary healthcare needs of the rural public can be addressed by this model. If they require secondary and tertiary care, that can be made available by the structured process of hub hospitals like referrals, transportation facilities, insurance guidance and health education. Task shifting: This is a model in which the business strategy becomes volume based than margin based. In other words, shifting and fixing the tasks after assessing the specific competencies of the workers. For e.g.: A doc-tor who performs surgery can devote his time and plan his tasks only on the clinical aspects(surgery) without wasting his/her time and energy for non-clinical tasks. Simultaneously, the non-clinical works are performed by skilled workers who are trained to do so. This can yield, increased utilization of the facility, optimum utilization of the manpower and ultimately scalability of the services. The hospitals like NH, Arvind eye hospitals has proven these strategies for low-cost health care delivery.Out sourcing models: Non-clinical services like se-curity, housekeeping, Food and Beverage, Drivers are outsourced/contracted. This in turn helps in increasing the focus on clinical service staff and reduction of capi-tal budget expenditure. The continuous supply of the manpower is ensured by the vendor as per terms and conditions which reduces the day to day panic situa-tions of the short supply of manpower resources. This model is also a proven strategy in delivering low-cost healthcare delivery.Telemedicine & Telenursing: With revolutionized use of technology, Telemedicine & Telenursing is grow-ing at a rapid pace. This has increased the accessibility of healthcare to the customers at the finger tips by saving the energy and time in visiting the doctors at their office. Also, this is a strategy in delivering accessiblehealthcare to rural public.Renting-out of medical equipment: Few hospitals whose capital investment is less, are adopting the strat-egy of renting the costly equipment like X-ray machine, CT machine, MRI machine etc. This can reduce the fi-nancial burden and ensuring low-cost healthcare delivery to public.Adoption of public hospitals by Private hospitals: In this model, tertiary private hospitals are adopting local public hospitals in which they are providing healthcare services to the rural public with minimal cost. In India, this is one of the strategic plan of delivering Corporate Social responsibility (CSR).ConclusionThe penetration of healthcare insurance is very minimal in India. There is a drastic need of providing low-cost health care delivery to the public, considering the socio-economic status, geographical landmark, skilled man-power. In this article, the author discussed about various models currently available in India to deliver healthcare at an affordable cost. After the implementation of the gov-ernmental policy (Ayushmaan Bharath) the healthcare be-comes more accessible and affordable to the rural public and this enhances the technological leverage in healthcare as well. Thus, healthcare becomes on the prime priorities in Indian political agenda. With revolutionized use of technology, Telemedicine & Telenursing is growing at a rapid pace
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