Artha Vijnana: Journal of The Gokhale Institute of Politics and Economics

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Does Healthcare System in Kerala Need a Change? Emerging Patterns of Morbidly and Hospitalisation


Affiliations
1 Francis Institute of Management and Research, Borivali, Mumbai 400103, Maharashtra, India
2 Tata Institute of Social Sciences, Deonar, Mumbai 400088, Maharashtra, India
     

   Subscribe/Renew Journal


Although the ‘Kerala Model’ is often viewed as a rare combination of higherorder human development and not so discernible patterns of consistent exponential economic growth, it appears that in recent times the health system in Kerala has been facing the emerging crisis in public health. This paper assesses the determinants of morbidity and hospitalisation here using NSSO 71st round data. While we compare the results with the extant literature, drawing cues from the results, we explore public policy options that are appropriate to the context of Kerala. Moreover, the paper also examines the disease profile of hospitalized households.
Subscription Login to verify subscription
User
Notifications
Font Size

  • Borah, B.J. (2006), A Mixed Logit Model of Health Care Provider Choice: Analysis of NSS Data for Rural India, Health Economics, 15(9): 915–932.

  • Devadasan, N., B. Criel, W.V. Damme, S. Manoharan, P.S. Sarma and P.V. Stuvft (2010), Community Health Insurance in Gudalur, India, Increases access to Hospital Care, Health Policy and Planning, 25(2): 145-154.

  • Dilip, T.R. (2002), Understanding Levels of Morbidity and Hospitalisation in Kerala, India, Bulletin of the World Health Organisation, 80(9): 746-751.

  • ---------- (2010), Utilization of Inpatient Care from Private Hospitals: Trends Emerging from Kerala, India, Health Policy and Planning, 25(5): 437-446.

  • Duraisamy, P. (1998), Morbidity in Tamil Nadu, Economic and Political Weekly, 33(17): 982-990.

  • Gangolli, L.V., R. Duggal and A. Shukla (Eds) (2005), Review of Healthcare in India, Centre for Enquiry into Health and Allied Themes (Cehat), Mumbai, pp.75-100

  • Garg, C.C. and A.K. Karan (2005), Health and Millennium Development Goal 1: Reducing OutOf-Pocket Payments to Reduce Income Poverty–Evidence from India, EQUITAP (Working paper #15), Rotterdam, Columbo, Erasmus University and IPS.

  • Ghosh, S. and P. Arokiasamy (2010), Emerging Patterns of Reported Morbidity and Hospitalisation in West Bengal, India, Global Public Health, 5(4): 427-440.

  • Gudwani, A., P. Mitra, A. Puri and M. Vaidya (2012), India Healthcare: Inspiring possibilities, Challenging Journey, Confederation of Indian Industry (CII).

  • Gumber, A. and P. Berman (997), Measurement and Pattern of Morbidity and Utilisation of Health Services: Some Emerging Issues from Recent Health Surveys in India, Journal of Health and Population in Developing Countries, 1(1): 16-43.

  • Gumber, A. and V. Kulkarni (2000), Health Insurance in Informal Sector: Case Study of Gujarat, Economic and Political Weekly, 35(40): 3607-3613, September.

  • Gwatkin, D.R. (2005), How Much would Poor People Gain from Faster Progress towards the Millennium Development Goals for Health?, The Lancet, 365: 813–817.

  • Health and Family Welfare Department (2013), Health Policy Kerala, Governmnet of Kerala.

  • Health Index Report (2017), Healthy States, Progressive India, NITI Aayog, Government of India.

  • Kabir, M. (1997), Public Health Activities and Health Transition: Lessons from Kerala, Thiruvanathapuram, Centre for Development Studies (CDS), (Unpublished).

  • Kannan, K.P., K.R. Thankappan, V.R. Kutty and K.P. Aravindan (1991), Health and Development in Rural Kerala: A Study of Linkages between Socioeconomic Status and Health Status, Trivandrum, Kerala, Kerala Sastra Sahitya Parishad.

  • Kutty, V.R. (2000), Historical Analysis of the Development of Healthcare Facilities in Kerala State, India, Health Policy and Planning, 15(1): 103-109.

  • Lekshmi, S., G.P. Mohanta, K.G. Revikumar and P.K. Manna (2011), Developments and Emerging Issues in Public and Private Health Care Systems of Kerala, International Journal of Pharmacy and Pharmaceutical Sciences, 6(2): 92-98.

  • McKinsey and Company (2010), Management in Healthcare: Why Good Practice Really Matters.

  • Mosley, W.H., J.C. Bobadilla and D.T. Jamison (1993), The Health Transition: Implications for Health Policy in Developing Countries, Disease Control Priorities in Developing Countries, Oxford University Press for The World Bank, New York, pp. 673-99.

  • Nabae, K. (2003), The Health Care System in Kerala–Its Past Accomplishments and New Challenges, Journal of the National Institute of Public Health, 52(2): 140–145.

  • Nicholson, A., M. Bobak, M. Murphy, R. Rose and M. Murmot (2005), Socioeconomic Influences on Self-rated Health in Russian Men and Women: A Life Course Approach, Social Science and Medicine, 61(11): 2345-2354.

  • Njau, D., et. al. (2006), Fever Treatment and Household Wealth: The Challenge Posed for Rolling Out Combination Therapy for Malaria, Tropical Medicine and International Health, 11(3): 299–313.

  • Oman, D. and C.E. Thoresen (2002), Does Religion Cause Health? Differing Interpretations and Diverse Meanings, Journal of Health Psychology, 7(4): 365–380.

  • Panikar, P.G.K. and C.R. Soman (1984), Health Status of Kerala: Paradox of Economic Backwardness and Health Development, Centre for Development Studies, Trivandrum.

  • Peter, J.P., G.A. Churchill and T.J. Brown (1993), Caution in the Use of Difference Scores in Consumer Research, Journal of Consumer Research, 19(4): 655-662.

  • Romer, P.M. (1990), Endogenous Technological Change, Journal of Political Economy, 98(5): S71-S102.

  • Sadanandan, R. (2001), Government Health Services in Kerala: Who Benefits?, Economic and Political Weekly, 36(32): 3071-3077.

  • Sekar, S.P. (1997), Levels of Morbidity in Andhra Pradesh, Economic and Political Weekly, XXXII(13): 663-72.

  • Selvaraju, V. (2003), Heath Care Expenditure in Rural India, Working Paper No. 90, National Council for Applied Economic Research, New Delhi.

  • Srivastava, D. and A. McGuire (2015), The Determinants of Access to Health Care and Medicines in India, Applied Economics, DOI:10.1080/00036846.2015.1105921.

  • Steinhardt, L.C., H. Waters, K.H. Rao, A.J. Naeem and P. Hansen (2009), The Effect of Wealth Status on Care Seeking and Health Expenditure in Afghanistan, Health Policy and Planning, 24(1): 1-17.

  • Thomas, M.B. and K. Rajesh (2001), Decentralization and Interventions in Health Sector: A Critical Inquiry into the Experience of Local Self Governments in Kerala, Working Paper 271, The Institute for Social and Economic Change, Bangalore.

  • World Health Organisation (2013), World Health Organisation Report, National Health Accounts India.


Abstract Views: 680

PDF Views: 1




  • Does Healthcare System in Kerala Need a Change? Emerging Patterns of Morbidly and Hospitalisation

Abstract Views: 680  |  PDF Views: 1

Authors

K. R. Sinimole
Francis Institute of Management and Research, Borivali, Mumbai 400103, Maharashtra, India
G. D. Bino Paul
Tata Institute of Social Sciences, Deonar, Mumbai 400088, Maharashtra, India
M. Sivakami
Tata Institute of Social Sciences, Deonar, Mumbai 400088, Maharashtra, India

Abstract


Although the ‘Kerala Model’ is often viewed as a rare combination of higherorder human development and not so discernible patterns of consistent exponential economic growth, it appears that in recent times the health system in Kerala has been facing the emerging crisis in public health. This paper assesses the determinants of morbidity and hospitalisation here using NSSO 71st round data. While we compare the results with the extant literature, drawing cues from the results, we explore public policy options that are appropriate to the context of Kerala. Moreover, the paper also examines the disease profile of hospitalized households.

References





DOI: https://doi.org/10.21648/arthavij%2F2019%2Fv61%2Fi1%2F180158