Strategic planning is done every 1-2 years to determine if goals and objectives are met according to the mission and vision. To improve the health care services begin from assessment of internal and external environment of your health care delivery system or do the environment scanning.  Identify and analyze health care needs and available health care services. Assessment will provide accurate and sufficient data that will serve as basis in the development of  health care services. Formulate parameters to evaluate the implementation of health care services.

Change is constant. Strategic planning will illustrate how your current system is affected and will be affected by change to  improve the health care services and to reach the desired goal.  Strategic planning will illustrate how you will respond to change. Best wishes

I think, we need both soft and hard measures in this regard. 80% percent of our efforts in this regard should be towards meeting the needs and aspirations of the people who deliver these services, solving their problems, creating a better work culture, and devising incentives for the employee buy-in into delivering better services to the people. And, 20 % of our efforts should be better discipline management, supervision, better rules enforcement so as to create and enforce accountability in the minds of those responsible for these services. This needs strategic thinking and transformational leadership for  implementing this model. 

We may collaborate among our selves and share unused/not required but useful health facilities and medicines.

Regards.

a) Approach to modify curricula in health with universities

b) Bringing medical care to the homes of patients to prevent bed occupancy in hospitals.

c) The government should control the price of generic drugs

I guess there is a lot of scope for enhancing healthcare service  in  govt owned healthcare set ups in India (at least). The easiest and cheapest way is to re-engineer the services and the processes those form these serves. Once the inefficient processes within each  services / work flows are weeded out the entire system would show up as an efficient system, relatively. Then the rest can follow (like investing in IS/IT systems etc).

thanks

sanjay  

Improving the quality of health services is difficult as well imp issue in India I think the only way is increasing public private partnership at each level of health care will be helpful .

Nice topic. I see three things in this scenario, first the beneficiary should know what is needed or else he should have an excess to a facility which can guide him what can be done/should be done in the given situation. People should reach the point of care with ease. Here communication and awareness plays a role. Simply saying how well informed the common person is.

At the point of care delivery, like our hospitals, doctors and paramedics should be enough in number, spirits and skill  to attend that load. Logistics need to managed wisely. Hospitals should do their best. We are resource limited hence nothing should be wasted. 

Govt has to make an effort to retain the enough manpower  in its institutions. If people working in hospitals are happy with their job then only they will do their best. The actual situation is altogether different.

Side by side the system has to be transparent and free of external influences to win the faith of masses. To attain this strict do and don'ts with no loop holes are needed.

Take an example of PGIMER Chandigarh one the best institutes of India. It has online registration, 24X7 stroke helpline, and many more things to offer on its site.  All these are functional and people do respond to your call on these numbers but just see how many times people from the periphery call them. Even how many times they are contacted by the treating doctors is negligible. In this case hospital has taken the initiative, things are functional but the beneficiary is unaware.

One more thing lacking in our country is central national database regarding guidelines for different medical problems or issues, which may serve as single best place place to get the authentic information. In other countries they have central agencies which provide information to the general public about the disease, treatment guidelines etc. Such site provide authentic and unbiased information, such initiatives are not here and even today only we visit a doctor suggested by our neighbors and accepts the doctor as healer without getting the actual information. 

These are some issues, but its high time to start contributing from right now, as and where we are. 

Evaluate if current programmes are implemented well and achieve its TRUE objectives. Try cutting down redundancies and overlaps.

Your observation is correct that we are not bringing vivid changes in health care as we  operate as per the paradigms in place in public health. It is essential that the conception of health care should be philosophically addressed. Health care delivery is the duty of everybody. Interventions in public health should aim at instilling this belief  in communities as is being done in Ethiopia currently. Everybody should own and produce Good Health. This can be done both in disease prevention, care and treatment. The duty should no be left to health professionals only. In this sense there is no health provider and receiver. Health professionals primary duty should be to educate people how to be responsible for their health.  The care and treatment that are given at health facilities should be only entry points to enabling people to be responsible for their health. The problem of health care is becoming an issue of power relation between the so called provider and receiver. This has enhanced exploitation of the public by health related  private institutions. If health is perceived as the inalienable right of any human being, the duty should be how to ensure this right and this could be done through empowering the public to assume responsibility and ownership for its health.

In India Public Health care system is marred by negligence and inefficiency. Strict monitoring and robust feedback system can revive the whole system.

We can see a lot of change in overall performance every employed person within health care system starts working as per norms. Monitoring of this all should include active participation of villagers and other stakeholders.

Rewarding good healthcare worker and punishing a poor one is very much needed at the moment. Drastic changes will appear within one year.

Small changes to the system will result in small results,  The changes need to be sustained over a very long period, even after change is detected.  In order to measure change you need to set long-term goals of at least 10 years in order to detect real change.  These changes will not be large but if the system changes are sustained will continue to be maintained and increased over time.

Investing in Education: One of the most important ways to improve health in developing countries is by educating citizens. Educating people enables them to obtain safer jobs, increased health literacy, take preventive healthcare measures, avoid riskier health behaviors and demand better-quality health services.

Yes there should be a strategic planning

Ways to improve the health care system

• Collect Data and Analyze Patient Outcomes.
• Set Goals and Commit to Ongoing Evaluation.Set Goals and Commit to Ongoing Evaluation.
• Improve Access to Care.
• Focus on Patient Engagement.

Requiring each citizen to give annual subscription of say 1 dollar per household.

Dear Mohan Lal . See the following useful link: https://proactive-md.com/5-ways-to-improve-the-quality-of-healthcare/

Kindly see also the following useful link: https://borgenproject.org/improve-health-in-developing-countries/

Also check please the following useful link: https://www.healthworkscollective.com/how-technology-can-change-healthcare-in-developing-countries/

The following link is also very useful: https://www.ncsl.org/Portals/1/Documents/Health/ImprovingHealthSystemsBrief16.pdf

Where there are clear and evident inefficiencies, it is necessary to cancel the management of the system before producing a totally new one: but who does it?