The public health delivery in India is in very bad shape. A large part of blame is laid on the low spending on health infrastructure. This is further aggravated by the fact that service orientation is very low in government hospitals. In fact, the process of measuring service quality does not exist in public hospitals.
There are several reasons for this. Firstly, there is no pressure to perform, either from customer or superiors. Quite often, patients from lower income groups are the only ones who visit government hospitals.
Their expectations are so low that any service as long as it is available is acceptable. Secondly, the administrative staff in government hospitals are not trained in management and do not understand fundamental principles of management in operations, finance, or human resources. The absence of the management knowledge makes it difficult for them to conceive better solutions. Thirdly, government hospitals are yet to introduce the concept of benchmarks. In absence of benchmark and performance management systems, no comparison of services can be done within various wards and departments in a hospital or between various hospitals.
The public health delivery in India is in very bad shape. A large part of blame is laid on the low spending on health infrastructure. This is further aggravated by the fact that service orientation is very low in government hospitals. In fact, the process of measuring service quality does not exist in public hospitals.There are several reasons for this. Firstly, there is no pressure to perform, either from customer or superiors. Quite often, patients from lower income groups are the only ones who visit government hospitals.Their expectations are so low that any service as long as it is available is acceptable. Secondly, the administrative staff in government hospitals are not trained in management and do not understand fundamental principles of management in operations, finance, or human resources. The absence of the management knowledge makes it difficult for them to conceive better solutions. Thirdly, government hospitals are yet to introduce the concept of benchmarks. In absence of benchmark and performance management systems, no comparison of services can be done within various wards and departments in a hospital or between various hospitals.
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