医療システムと政策研究

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Health Care Reform Fixes Instead Of a Long-Term Strategy In 2014

Kishan Gupta

The Health Minister began implementing legislative amendments that both directly and indirectly influence primary healthcare towards the end of 2013. Many organisations of medical professionals, notably family medicine doctors, strongly opposed the revisions. The latter mainly criticised the formal inclusion of specialists in paediatrics and internal diseases into PHC within the statutory health care system, which in practise meant that these two groups of specialists were no longer required to specialise in family medicine from to enter into contracts with the public payer and would be able to set up solo PHC practices something over which family medicine physicians used to have a monopoly. They contended that internists and paediatricians lacked the qualifications to serve as PHC doctors.

Keywords

Primary health care; Health care legislation; Health care reform; Family medicine