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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Estimating funds required for UHC within Indian States.

Nachiket Mor1, Sudheer Kumar Shukla2

  • 1Banyan Academy of Leadership in Mental Health, India.

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Summary

Indian states can achieve Universal Health Coverage (UHC) with current spending if inefficiencies are addressed. Many states require significant budget increases to reach the estimated 2000 per capita cost for UHC.

Keywords:
FinancingHealth financeHealthcare costsUHC

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Area of Science:

  • Health Economics
  • Public Health Policy
  • Healthcare Financing

Background:

  • Universal Health Coverage (UHC) is a global Sustainable Development Goal.
  • Indian states exhibit significant variation in per capita Government Health Expenditure (GHE).
  • No Indian state currently provides UHC, despite varying spending levels.

Purpose of the Study:

  • To estimate the financial requirements for achieving UHC in Indian states.
  • To compare these estimates with current GHE across states.
  • To identify factors hindering UHC provision in India.

Main Methods:

  • Utilized secondary data to estimate UHC financing needs.
  • Employed four novel approaches: Outside-in, Actuarial, Normative, and Inside-Out.
  • Compared estimated UHC costs with existing state-level GHE.

Main Results:

  • Most methods estimated UHC costs between 1302 and 2703 per capita, with 2000 as a reasonable point estimate.
  • No significant variation in UHC cost estimates was found between states.
  • The Inside-Out approach, assuming current system optimality, yielded different results.

Conclusions:

  • Several Indian states may possess the financial capacity for UHC if waste and inefficiency in current health spending are reduced.
  • Some states may be further from UHC than GHE/GSDP ratios suggest.
  • States like Bihar, Jharkhand, Madhya Pradesh, and Uttar Pradesh may need to more than triple health budgets to achieve UHC.