Connect with us

Health/medicine

Urgent need to re-introduce Indian Medical Services to address India's healthcare needs, say medical experts

Published

on

New Delhi, April 18 (IANS) Think Change Forum (TCF), an independent think tank dedicated to generating new ideas and finding solutions for navigating through a new changing world, recently held a panel discussion titled — Is it time for India to resurrect Indian Medical Services? The discussion highlighted the imperative of strengthening the public healthcare system and emphasised the pivotal role that Indian Medical Services (IMS) can play in achieving this objective.

The panel consisted of representatives from medical associations, public-sector health institutions, and the private medical sector. The participants included Dr Sharad Agarwal – National President, the Indian Medical Association (IMA); Dr Varuna Pathak – Former Professor of Gynecology & Obstetrics, Gandhi Medical College, Bhopal; Dr Sita Naik – Professor and Head of the Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences; Dr Vidur Jyoti – Senior Director & Head, Minimal Access & General Surgery, Max Hospital, Gurgaon; Dr Rajesh Gupta – Additional Director, Pulmonology & Critical Care, Fortis Healthcare, Noida; Dr SL Vig – Assistant Professor Community Medicine – ESIC Medical College Faridabad.

Experts urged for the introduction of an elite cadre for medical experts under Indian Medical Services (IMS) akin to Indian Administrative Services (IAS).

IMS will help bring the sheen and trust back to the public health sector which has been lost to the private sector; help stop the brain drain from public medical services by attracting and retaining the best medical talent; allow for superior healthcare outcomes with better-managed facilities and processes, as no longer generalists will be managing the specialists; reduce health crises and reduction in tertiary cases by improved preventive healthcare at primary levels; and last but not the least will enable seamless coordination between states and Centre for healthcare policymaking.

ALSO READ:  S. Korean doctors renew call for scrapping medical school quota hike for dialogue

IMS was present during the British era but was discontinued after India’s Independence. The current government has made commendable efforts in healthcare and has implemented impactful schemes like Ayushman Bharat. However, still, the gap is huge, requiring systemic changes.

Expert panellists have proposed a ‘5-Point Agenda’ for bringing IMS back in India:

The first point emphasizes an excessive reliance on the private sector to meet the healthcare demands of Indian citizens. Overall, the healthcare infrastructure is fractured and falls short of providing quality and effective healthcare at scale. These shortcomings primarily stem from inefficient bureaucratic management rather than a lack of skills among healthcare professionals. An IMS will help bring the sheen and trust back to the public health sector which has been lost to the private sector.

Explaining this, Dr Rajesh Gupta said, “The majority of the Indian public relies on the private sector for healthcare services, with 60 per cent of inpatient admissions (IPDs) and 80 per cent of outpatient visits (OPDs) occurring in private facilities.”

Dr Varuna Pathak, elaborated further, “Most of the time, we observe systemic failures in healthcare, which are not necessarily the fault of healthcare professionals but rather of the administrator who would typically be a generalist bureaucrat.”

Dr Vidur Jyoti said, “During the COVID-19 pandemic, the challenges and bottlenecks encountered in managing contingencies were primarily attributed to bureaucratic hurdles rather than any lack of commitment from healthcare professionals.”

The second point highlighted challenges in staffing the public healthcare system with skilled doctors. The lack of incentives for these highly educated professionals to work under generalist administrators has resulted in a brain drain. To retain quality doctors and ensure health security for the population, there is an urgent need to establish IMS which will help stop brain drain from public medical services by attracting and retaining the best medical talent.

ALSO READ:  Kerala Govt Medical Officers Association protests Thiruvananthapuram Collector's 'diktats'

Dr. Sharad Agarwal said, “The implementation of IMS holds the promise of enhancing service quality through induction of skilled doctors and addressing the persistent doctor shortage, especially in rural areas. Crucial to its success is equipping the cadre with ample facilities and resources comparable to those provided to IAS or IPS officers. This will ensure that doctors are incentivised to join IMS, drawn by a clear career trajectory and motivated to serve communities, even in remote areas.”

Dr. SL Vig said, “For fresh medical graduates, the IMS can serve as a promising career path, commencing with postings at district or block levels. Advancement of opportunities within the cadre should be structured, allowing progression based on experience, from community health centre (CSC) to district, state and eventually ministry levels.”

The third point underscored the necessity of superior health outcomes for the citizens with better-managed facilities and processes, which will happen when no longer generalists will be managing the specialists. Integrated Health Leadership, with leaders having both clinical capabilities and management capabilities, is what a country like India uniquely needs, to efficiently manage healthcare systems ranging from grassroots to the tertiary levels.

Dr Sharad Agarwal explained, “We are advocating for the reinstatement of IMS because healthcare requires a unique approach distinct from other fields. The case for an IMS becomes even more apparent when observing successful private healthcare setups, wherein medical professionals adeptly balance both clinical expertise and administrative skills.”

ALSO READ:  New paper-based device to make on-spot glucose testing using smartphone

Dr Sita Naik also suggested that “There is a need to transform the Central Government Health Scheme (CGHS) into an all-India service in the form of IMS.”

The fourth point focuses on an urgent need to avert growing incidences of health crises and reduction in tertiary cases which can happen by improving preventive healthcare and delivery at primary healthcare levels. An effective IMS will enable this, which in turn reduces the cost of health for all stakeholders.

Explaining this, Dr Vidur Jyoti said, “The need for change in medical services in India lies in the fact that the essentials of healthcare are being overlooked. We are essentially moving into disease management and are neglecting health management which has put immense pressure on the tertiary system. In healthcare, the essentials are knowledge acquisition, deployment and application which require constant updating, unlearning and relearning. To effectively manage these complexities, it is necessary to have dedicated medical service officers in the country.”

Dr SL Vig said, “Along with primary care, we need to offer primordial prevention and primary prevention also.”

The fifth point highlights that an IMS will be able to enable seamless coordination and cooperation between the central and state health departments, for improved national healthcare policies for the country.

Dr SL Vig elaborated on this, “Respecting the constitutional framework, let’s preserve health as a state subject while introducing the IMS. Similar to other central services, the IMS cadre can serve as a force multiplier to implement central healthcare policies and schemes, customising them to meet the unique healthcare requirements at the state and community levels.”

–IANS

nat/san/uk

Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Health/medicine

PM Modi hails Sudha Murty's maiden Rajya Sabha speech on women’s health

Published

on

By

New Delhi, July 3 (IANS) Prime Minister Narendra Modi on Wednesday commended author and philanthropist Sudha Murty — newly elected to the Rajya Sabha — for her impactful maiden speech during the discussion on motion of thanks to the President’s Address in the Upper House of the Parliament.

Speaking about women’s health, she cited her father’s poignant remark – when a mother dies it is counted as one death in the hospital, but for the family, a mother is lost forever.

PM Modi expressed gratitude to Sudha Murty for her comprehensive discussion on women’s health, acknowledging her as she stood up and greeted him.

“I want to thank Sudha Murty for speaking in detail about women’s health,” PM Modi said.

While discussing Sudha Murty’s emotional remarks about mothers, the Prime Minister emphasised that over the past decade, his government has prioritised women’s health and sanitation as a crucial sector.

“Our country’s women have benefited from the toilets we have made,” PM Modi said while replying to a debate on a motion thanking President Droupadi Murmu for her address to the joint sitting of Parliament last week.

ALSO READ:  Bengaluru doctors treat 63-year-old woman with over 10 cm large hernia

PM Modi also highlighted that his government has distributed sanitary pads and launched a vaccination program for pregnant women.

Sudha Murty advocated for a government-backed vaccination programme aimed at combatting cervical cancer.

“There is a vaccination which is given to girls, between the age of nine and 14, known as a cervical vaccination. If the girls take that, it (cancer) can be avoided… we should promote vaccination for the benefit of our girls because prevention is better than cure,” she said in her first speech in Rajya Sabha.

She suggested that since the government successfully managed a significant vaccination drive during Covid-19, providing cervical vaccination to girls aged 9-14 years should not be very challenging.

Sudha Murty, nominated to the Upper House of the Parliament by President Droupadi Murmu on the eve of International Women’s Day, noted that the cervical vaccination, developed in the West, has been in use for the past 20 years.

“It worked very well. It is not expensive. Today, it is Rs 1,400 for people like me who are in the field. If the government intervenes and negotiates… you can bring it to Rs 700-800. We have such a large population. It will be beneficial for our girls in the future,” she said during her 13-minute address.

ALSO READ:  Surgical AR/VR poised for widespread adoption with Apple's Vision Pro launch: Report

–IANS

brt/pgh

Continue Reading

Health/medicine

India backs global standards for spices, vegetable oils at international food trade meet

Published

on

By

New Delhi, July 3 (IANS) India has backed global standards for spices and vegetable oils at the 86th session of the Executive Committee (CCEXEC) of the Codex Alimentarius Commission (CAC), the Ministry of Health and Family Welfare (MoHFW) said on Wednesday.

The CCEXEC, ongoing at Food and Agriculture Organization (FAO) headquarters in Rome from July 1-5, plays a critical role in reviewing proposals for new work and monitoring the progress of standards development.

The CAC, an international body established by the FAO and the World Health Organisation (WHO), aims to protect consumer health and promote fair practices in food trade.

During the session, India, represented by G. Kamala Vardhana Rao, CEO of the Food Safety and Standards Authority of India (FSSAI), strongly supported the advancement of standards development for various spices, including small cardamom, turmeric, and vanilla, the ministry said.

“This initiative is particularly significant for India, being a major producer and exporter of these spices, as it would facilitate smoother international trade,” it added.

ALSO READ:  New immunotherapy to fight cancer, keep healthy cells safe

India also “backed the progression of standards for named vegetable oils, guidelines for the control of Shiga toxin-producing Escherichia coli”.

It also called for the safe use and reuse of water in food production and processing and championed the proposal for developing Codex guidance on food safety considerations related to the use of recycled materials in food packaging.

It is “crucial in addressing global challenges such as climate change, environmental protection, and sustainability,” the ministry said.

Further, at the session, India shared its experience with the FSSAI guidelines on recycling post-consumer PET for food contact applications. “India’s participation, as a member, in the High-level Executive Committee (CCEXEC) underscores its dedication to establishing robust food safety standards and promoting fair practices in the global food trade, reflecting its pivotal role in the international food industry,” the ministry noted.

–IANS

rvt/vd

Continue Reading

Health/medicine

New AI model to boost patient response to cancer therapy

Published

on

By

New Delhi, July 3 (IANS) Australian researchers have developed a new artificial intelligence (AI) tool that can help to select the most suitable treatment for cancer patients.

The new tool DeepPT, developed by researchers at The Australian National University (ANU), predicts a patient’s messenger RNA (mRNA) profile.

This mRNA — essential for protein production — is also the key molecular information for personalised cancer medicine.

When combined with another tool called ENLIGHT, DeepPT was found to successfully predict a patient’s response to cancer therapies across multiple types of cancer, said lead author Dr Danh-Tai Hoang from ANU.

Dr Hoang said, “DeepPT was trained on over 5,500 patients across 16 prevalent cancer types, including breast, lung, head and neck, cervical and pancreatic cancers”.

The tool, detailed in the journal Nature Cancer, showed an improvement in patient response rate. The AI tool draws on microscopic pictures of patient tissue called histopathology images, also providing another key benefit for patients.

ALSO READ:  Bengaluru doctors treat 63-year-old woman with over 10 cm large hernia

“This cuts down on delays in processing complex molecular data, which can take weeks,” Dr Hoang said, as any delay can affect patients with high-grade tumours who might require immediate treatment.

“In contrast, histopathology images are routinely available, cost-effective, and timely,” Hoang added.

–IANS

rvt/uk

Continue Reading

Health/medicine

Limit ghee, coconut oil if you have fatty liver disease: Expert

Published

on

By

New Delhi, July 3 (IANS) As fatty liver disease is increasing in India, a noted hepatologist on Wednesday advised limiting consumption of saturated fats like ghee and coconut oil.

Fatty liver disease is related to obesity and diabetes. Consuming excessive carbohydrates can raise insulin levels, and chronic high insulin levels lead to insulin resistance. This disrupts metabolism and converts excess glucose into fatty acids, which are stored in the liver.

It can be classified into two main types: alcoholic fatty liver disease (AFLD) and non-alcoholic fatty liver disease (NAFLD/MASLD) — linked to liver inflammation and damage, eventually leading to fibrosis, cirrhosis, or liver cancer.

“In the Indian context, if you have metabolic-disorder-associated fatty liver disease (previously NAFLD), remember to limit saturated fat sources in your diet,” said Dr Abby Phillips, popularly known as LiverDoc, on the social media platform X.com.

“This means limiting foods containing Ghee, clarified butter (north India), Coconut oil (south India), and Palm oil (processed/ ultra-processed foods),” he explained, adding that “saturated fats increase liver triglycerides and hence liver fat and inflammation.”

ALSO READ:  World No Tobacco Day: Mothers pledge to protect children from promotion of new-age gateway devices

While ghee is traditionally considered healthy, the doctor noted that it “is not a superfood. It is a super danger. It is almost all fat, and more than 60 per cent is saturated (unhealthy) fat.”

He stressed the need to replace it with “healthier (vegetable) seed oils that have low saturated fat and trans-fat content.”

Dr Abby also recommended using a diverse range of seed oils in daily cooking. Instead of frying food items, he suggested “bake, boil, broil, grill, or steaming foods.”

He also called out to “increase portions of plant-based protein in daily meals and to add daily fresh cut fruit portions (instead of fruit juicing).”

“This is far more important than limiting meat (including lean meat more than red meat), fish, and eggs — all of which can be consumed in their recommended daily/weekly intake,” the doctor said.

–IANS

rvt/sd/kvd

Continue Reading

Health/medicine

Aspirin can prevent complications in pregnancy caused by flu infections: Study

Published

on

By

New Delhi, July 3 (IANS) Taking low-dose aspirin may treat flu-induced blood vessel inflammation, creating better blood flow to the placenta during pregnancy, according to the world-first study conducted in mice.

Low-dose aspirin is commonly taken to prevent preeclampsia — high blood pressure condition in pregnancy — as it stops the body from creating chemicals that cause inflammation.

The study, led by an international team from RMIT University in Australia in collaboration with a team from Trinity College Dublin, Ireland, examined whether the treatment for preeclampsia could be applied to flu infections.

They found very promising results in animal studies — mice treated daily with low-dose aspirin had less inflammation and improved foetal development and offspring survival.

On the contrary, foetuses and placenta from mice with influenza A were smaller than those from uninfected mice. They also found the foetuses with low blood oxygen and poor blood vessel development.

Flu infections during pregnancy can resemble preeclampsia, a pregnancy complication that causes inflammation to the aorta and blood vessels, said lead researcher Dr Stella Liong, a post-doctoral research student at RMIT University in Melbourne.

ALSO READ:  New paper-based device to make on-spot glucose testing using smartphone

She explained: “When the vascular system gets inflamed, it leads to poor blood flow and affects the aorta’s function.”

“This is especially a problem during pregnancy where good blood flow to the placenta is crucial to the development of the foetus.”

While the research still awaits human clinical trials, Liong said low-dose aspirin is already recognised as safe to take during pregnancy.

However, pregnant people must seek medical advice before taking new medications, the research team said.

–IANS

rvt/sd/kvd

Continue Reading

Trending