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Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
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Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Accountability in Healthcare in India.

Manish Priyadarshi1, Sanjiv Kumar1

  • 1Department of Public Health, International Institute of Health Management Research, New Delhi, India.

Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine
|September 9, 2020
PubMed
Summary

Accountability is crucial for India

Area of Science:

  • Public Health
  • Health Policy
  • Healthcare Management

Background:

  • Health is recognized as a human right in India, with government initiatives aiming for universal healthcare access.
  • Establishing accountability within the public health system is a significant challenge, prompting recent legislative action.
  • Accountability is a cornerstone of healthcare reforms in India, essential for effective service delivery.

Purpose of the Study:

  • To provide a comprehensive understanding of accountability in the Indian healthcare context.
  • To examine the conceptual framework, approaches, and types of accountability (financial, performance, political/democratic).
  • To explore the role of accountability in health planning, governance, and overall health system performance.

Main Methods:

Keywords:
Accountabilityhealth carehealth planhealth policymakershealth system performance

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  • Conceptual analysis of accountability within the Indian healthcare framework.
  • Examination of accountability at Central, State, and District levels, involving various stakeholders.
  • Review of accountability-enhancing strategies: reducing pilferage, ensuring compliance, and learning from experience.

    • Main Results:

    • Accountability is defined by answerability and sanctions, with three distinct types identified.
    • Strategies for enhancing accountability include reducing waste, enforcing standards, and institutional learning.
    • Current accountability mechanisms in Indian healthcare are deemed insufficient, requiring significant improvement.

    Conclusions:

    • Improved accountability is vital for enhancing health system performance and achieving universal healthcare goals.
    • Addressing health mishaps requires robust accountability frameworks to ensure public trust.
    • Substantial enhancements in accountability compliance are necessary to meet the health needs and aspirations of the Indian population.