Introduction The term “basic health care services” is defined by UNICEF and WHO (1965) as a network of coordinated, peripheral and intermediate health care systems that can effectively perform a selected group of functions necessary for the health of the area and ensure that they have competent professional staff to perform these functions. WHO also proclaimed health as a fundamental right of every person and society.
India is a developing country with a large and diverse geographical area and a huge population with many ethnic and cultural differences. It has all sorts of providers of medical services: from qualified doctors of allopathy, homeopathy, ayurveda, registered medical practitioners to unprepared medical workers, herbalists and magico-religious practitioners. The importance of the participation of practitioners in conjunction with various medical systems in the health care system has been noted by various committees and various policy documents relating to health care from time to time. The National Health Policy (2002) advocated expanding the range of medical practitioners to include the cadre of medical practice licensees, practitioners of the Indian system of medicine and homeopathy. He also recommended that different categories of medical personnel be allowed by medical practice after proper training. The National Population Policy (2000) recommended recruiting labor from various health institutions to expand the range of effective health care providers. The Shrivavskaya Committee (1975) recommended primary health care in the community through trained workers in order to maintain health in the hands of the people.
Governments in developing countries cannot provide free medical care as a fundamental right of a citizen on a holistic basis. The availability of a health agency is an important aspect of its availability; therefore, a vital factor influencing treatment, seeking consumer behavior. Providing basic health care for all people is a daunting task for administrators in a country like India. Thus, the removal of geographic barriers and assistance in developing new strategies and services to reach out to consumers. various needs and desires are a big problem. In light of a range of national health strategies; health standards are far behind the standards of developed countries. The quantitative and qualitative demographic transition in the profile of the population and diseases along with the insufficient infrastructure for the provision of medical services is the main problem for the country. In India, the government has from time to time announced the timing of achieving health goals and in various related fields. Currently, in addition to the other temporary goals of the current eleventh five-year plan, some of the important goals to be achieved by the years 2000-2015 are the increased use of public health facilities and the creation of a surveillance system, national health accounts and health statistics.
Moreover, the increased need for health care is not combined with a commensurate increase in resources, and the imbalance is growing. In developed countries, telecontrol applications are available in homes, nursing homes, hospital telemedicine centers, hospices and rehabilitation centers, whereas, according to the Indian scenario, its need for implementation is considered for telemedicine. An evidence-based approach can mobilize the application of knowledge derived from research to meet the needs of consumers. health needs to bridge the gap between what is known and what to do. The Telenursing approach can serve as a new and valuable asset for the use of telecommunications to support the practice of patient care and the provision of professional patient care services, medical staff, and administrators in remote residential or clinical settings. This paper presents evidence-based challenges for the TV targeting approach in an attempt to assess and study the trends in the use of public and private (formal and informal) health care institutions available in different communities of the Union territory, Chandigarh, India.
In addition, an integrated national health program will require an assessment of existing health systems. In addition, there is a nationwide need to search for different aspects of the use of health services in different population groups and geographic areas, which can be useful for finding out some of the reasons why the “health for all” goal was not achieved and the use of public health services was very low. . This will contribute to the further achievement of national health goals. Thus, significant eHealth prospects in addressing issues of quality, efficacy, cost, and access to health care must be placed at the forefront of our national efforts to reform health care.
Research need - with an attempt to discover the connection between the consumer and the health care institutions; This document is intended to study and eliminate the main bottlenecks that may hinder the effective implementation of the approach to the telener. In addition, there was a need for a positive return on investment, focusing on consumers. real needs and the search for aspects that may be useful in finding out some of the reasons for slow or not achieving health goals and low use of public health services.
Methodology — The The study was carried out as part of a cross-sectoral survey of the geographical areas of urban, rural, slums and the rehabilitated sector in the territory of the Union of Chandigarh, India. Data on the use of health services and factors influencing treatment treatment, seeking consumer behavior, were studied through official and unofficial interviews with 600 consumers. Observation visits were made to health facilities and educational institutions.
Results- The study showed that the majority, i.e. 490 (81.7%) of the 600 subjects most often used by the Indian health agency at one time or another. Most of the reasons why indigenous people and major consumers are using health facilities are perceived as causes of diseases by supernatural forces, bad karma / bad nazar (bad luck), kala-jad by evil people to influence their families, medicine was not available in the allopathic system of medicine, illness can be cured through pooja, jhara or animal sacrifice, tying up the holy thread given to a sadhu / babas cures diseases and treatment of ailments through yoga and pranayama.
Indigenous health authorities were almost in the majority, i.e. 59.9% of subjects who included the maximum number of 87.3% of slum subjects. As the indigenous agency is the second most used health care institution; the availability and accessibility of indigenous agencies, along with other factors, probably explains their high level of utilization.
On the other hand, it can be seen that, despite the fact that the Indigenous Health Agency is the closest health agency in the urban and rural sectors (40% and 63.3% respectively), it was not used most often (use was on , 3% of urban and 20% of rural subjects). The use of indigenous institutions was significantly higher among the less educated.
It was found that the most commonly used indigenous health care agencies (53.1% of the responses) were from a group with a low monthly income (Rs 1,000,000,000). They included 93.3% of slums and 100% of rehabilitated objects. A square value of 110.617 and a value of p <0.001 indicates a very significant difference in the use of health facilities in different income groups. Thus, the use of indigenous agencies was significantly higher in the lower-income group. Most people from low-income groups received medical services from informal medical institutions, which also turned out to be the cheapest agency. Thus, from above, it was found that the services of indigenous health care institutions were actively used by them in slums and the rehabilitated sector.
Recommendations- Education and documentation will improve the quality of healthcare services by officially recognizing standardized private medical institutions and medical workers in India, in contrast to dependence on charlatans / faithful healers. Thus, with greater responsibility in telecommuting, telelendering has to go a long way to replace old challenges with new opportunities for weaning consumers from unprepared private health care providers in India and faithful healers from the moment of protecting the interests of consumers. This will not only save people from introducing superstitions and unscientific methods, but will also be consistent with the goals of national health goals in developing countries such as India.
There is a need for collaboration and integration of public health services with private formal and private indigenous (informal) health care providers to achieve national health goals. The right mix of health care professionals can pay particular attention to people’s frequent needs to levels of satisfaction.
Therefore, investment plans should be focused on the immediate needs and problems of today with steady progress towards a long-term vision.
