SUMITAMOHAPATRO PANI Vice President & Head, Atharv Ability
22 REDEFINING THE FUTURE OF DIAGNOSTICS
23 ROLE OF DIAGNOSTICS IN PERSONALISED MEDICINE
24 POWER OFPOC DIAGNOSTICS
12
PUBLIC HEALTH
25 ADDRESSING HEALTHCARE DISPARITIES AND IMPROVING HEALTH EQUITY
HOSPITAL INFRASTRUCTURE
26
CHALLENGES OF DESIGNING HEALTHCARE FACILITIES IN RURALAREAS
Regd.With RNI No.MAHENG/2007/22045.Postal Regd.No.MCS/162/2022 - 24.Printed and Published byVaidehi Thakar on behalf of The Indian Express (P) Limited and Printed at The Indian Express Press,Plot No.EL-208,TTC Industrial Area,Mahape,Navi Mumbai-400710 and Published at Mafatlal Centre,7th floor,Ramnath Goenka Marg,Nariman Point,Mumbai 400021.
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Union Budget 2024-25: Will good intentions
Taking cues from the measures announced in the interim Budget 2024, the strong health focus of the Bharatiya Janata's (BJP) 2024 election manifesto (https://www.expresshealthcare.in/ news/bjps-2024-manifesto-promises-expandedhealthcare-initiatives-focus-on-senior-citizens-and-transgender-community/443055/) and from President Droupadi Murmu's address to the joint sitting of Parliament on June 27, it would be safe to say that healthcare is tipped to be one of the sectors to get a major boost in the first full budget of Modi 3.0.
Thus Finance Minister Nirmala Seetharaman will likely have substantial news for the healthcare sector in the forthcoming Union 2024-25 budget due on July 23. The healthcare sector's pre-budget wish list is fairly predictable, restating demands of previous years, leading to the conclusion that either policy makers are not listening or do not have the fiscal means to grant these wishes. At least not to the extent that the sector desires. Let us consider the wish list from different segments of the sector.
On the healthcare delivery side, representing the private hospitals segment, Dr Ashutosh Raghuvanshi, MD and CEO, Fortis Healthcare lists shortage of skilled workforce, indirect taxation issues, and unused Minimum Alternate Tax (MAT) credit as the top challenges faced by the sector.
According to Dr Raghuvanshi, to ensure sustained and accelerated growth, the government must focus on policies conducive to private sector investment. The government should strengthen public-private partnerships (PPPs) by introducing new models and policies to boost the adoption of digital healthcare services and promote medical value travel. This can be achieved by facilitating international insurance recognition for Indian healthcare providers to attract more international patients.
From the diagnostic sector Ameera Shah, Executive Chairperson and Whole Time Director, Metropolis Healthcare also urges investing in training for doctors, nurses, and allied healthcare workers will further elevate the quality of care.
On PPPs, she urges the new government to prioritise optimising PPP models to ensure high-quality, positive, and impactful outcomes, pointing out that increased funding for screening and diagnostic programs targeting Non-Communicable Diseases (NCDs) such as cancer and cardiac ailments is essential.
Shah also points out that implementing a 0 per cent GST on diagnostic services and facilitating refunds for GST paid on input tax credits can reduce costs and improve accessibility. Lowering customs duty on imported diagnostic equipment and adjusting high GST rates on lab supplies will enhance efficiencies and foster R&D investments.
Reading between the lines, this underlines the fact that
Existing policies or PPPmodels are not as conducive to private sector investment and need to be optimised,or scrapped in favour of new policies/models
existing policies or PPP models are not as conducive to private sector investment and need to be optimised, or scrapped in favour of new policies/models.
Coming to the manufacturing backend of the healthcare sector, medtech manufacturers have benefitted from recent budgets in Modi 2.0, which have set aside funds for local manufacturing under the Atmanirbhar Bharat initiative.
While Rahul Cordeiro, CFO, of Wipro GE Healthcare concedes that existing schemes like the National Medical Devices Policy 2023, Production Linked Incentive (PLI) Scheme, Promotion of Research, and Innovation in Pharma MedTech Sector (PRIP) Scheme will help India unlock its full potential, he alludes to “persisting headwinds that have long impacted the sector, import dependence being one.”
He hopes the budget can answer some critical questions such as how can the pace of the Make in India initiative be accelerated by prioritising sourcing domestically manufactured medtech.
The second question Cordeiro poses is, can rebates to private healthcare providers buying local equipment, especially in underserved areas, incentivise wider adoption, and thirdly, how can local R&D be boosted through Innovation Linked Incentive schemes on the lines of PLI for manufacturing.
Similarly, Ganesh P Sabat, CEO, Sahajanand Medical Technologies, urges the government to continue its focus on accelerating medtech infrastructure, R&D, skill development, and sustainability along with higher allocation to healthcare spend that will give a strong impetus to healthtech.
He hopes for a substantial increase in the overall health budget to at least 3 per cent of GDP to address existing gaps that will ensure strengthening of the proposed Ayushman Bharat scheme expansion, timely payouts to hospitals and industry so that patients are not devoid of innovative and latest state-of-the-art medtech devices, bringing to reality not only the ‘AtmanirbharBharat’ clarion call but also the “availability, accessibility and affordability” vision of Prime Minister Modi as we move towards a ‘ViksitBharat’.”
Sabat touches on a very important sore point: the timely payouts to hospitals, which has been one of the key stumbling blocks in PPPs and schemes like the Ayushman Bharat mission. As the BJP’s 2024 manifesto promised an expansion of the Ayushman Bharat scheme, we are sure to see more outlay but will good intentions translate into optimal implementation this time?
Availabilityof trained neuro physiotherapists remains a significant challenge across the country
Sumita Mohapatro Pani ,Vice President & Head,Atharv Ability in an interaction with Kalyani Sharma talks about the rising stroke cases in India,current state of trained neurophysiotherapists in India
What factors do you believe are contributing to the rise in stroke cases in India, and how does this align with the unmet need gap in the neurology space?
Several factors such as unhealthy lifestyle conditions including sedentary habits, poor dietary choices, and elevated stress levels, have become increasingly prevalent among the Indian population, heightening their risk of stroke. Additionally, risk factors such as obesity, high blood pressure, and diabetes are becoming more common in younger age groups, further exacerbating the situation. Every 20 seconds, one Indian suffers a stroke, and approximately 60 per cent of stroke cases lead to disability. The aftermath of stroke often involves moderate to severe disability, including paralysis, aphasia, dysphagia, and cognitive impairments, necessitating multidisciplinary rehabilitation.
Globally, one in three people are living with a health condition that benefits from rehabilitation but in most countries, more than 50 per cent of people do not receive the rehabilitation services they require, and World Health Organization’s Rehabilitation 2030 initiative is a call for action to bridge the gap. In India specifically, the burden of neurological disorders requiring rehabilitation is even more, reflecting the urgent need to address unmet needs in rehabilitation.
In India, metropolitan cities such as New Delhi, Mumbai, etc., have excellent healthcare facilities, specialised doctors, and modern medications available for the treatment of stroke or other neurological conditions. Unfortunately, postdischarge rehabilitation care is
what is profoundly lacking, and the burden of their care falls on immediate family members and close friends. With very few patients receiving comprehensive speech, physical and occupational therapy, neurological outcomes are poor, which adds to the disease burden.
Can you discuss the current state of availability and accessibility of trained neurophysiotherapists in India? What challenges exist in bridging this gap?
In recent years, India has seen a growing recognition of the importance of neuro physiotherapy in the rehabilitation of patients with neurological conditions such as stroke, spinal cord injuries, and Parkinson’s Disease, etc. However, even today, many patients and even some healthcare providers are unaware of the benefits of
neuro physiotherapy, leading to underutilisation of available services. In rural areas where healthcare infrastructure is underdeveloped, patients have limited or no access to neurorehabilitation services. The cost of neuro physiotherapy sessions can also be prohibitive for many patients, especially considering the prolonged treatment required for neurological conditions.
Additionally, the availability and accessibility of trained neuro physiotherapists remain a significant challenge across the country.
The number of trained neuro physiotherapists in India is inadequate compared to the growing demand. According to a report by the Indian Association of Physiotherapists (IAP), as of 2021, there are approximately 12,000 registered physiotherapists in the country, but only a fraction
specialise in neuro physiotherapy. There is a scarcity of specialised training programs in neuro physiotherapy across Indian universities and institutes. This results in fewer qualified professionals entering the field each year. To bridge this gap there is a need for more accredited training programs in neuro physiotherapy to increase the number of qualified professionals. Institutions need to collaborate with healthcare facilities to provide hands-on training opportunities. Strengthening regulatory frameworks to ensure the quality and standardisation of neuro physiotherapy services is crucial. This includes setting guidelines for practice and continuing education requirements. Initiatives to educate the public and healthcare providers about the benefits of neuro physiotherapy could increase demand and support for these services.
While there is growing recognition of the role of neuro physiotherapy in improving patient outcomes, significant challenges remain in ensuring its availability and accessibility across India. Addressing these challenges requires a concerted effort from healthcare providers, educators, policymakers, and the community to bridge the gap and provide equitable access to quality neuro physiotherapy services.
How does the discrepancy between the need for wellequipped rehabilitation centers and their actual availability impact patient outcomes post-stroke?
Stroke remains a significant public health concern globally, including India, where the
burden of stroke-related disabilities is substantial. The effectiveness of rehabilitation in stroke recovery depends heavily on access to wellequipped rehabilitation centers. However, the current state in India reveals a notable gap between the need for such facilities and their actual availability, which significantly impacts patient outcomes.
Rehabilitation centers in India are scanty and vary widely in terms of equipment, staffing, expertise and comprehensiveness. The lack of nearby rehabilitation centers often results in delayed initiation of rehabilitation services following a stroke. Effective stroke rehabilitation requires access to specialised equipment such as robotic devices for gait training, functional electrical stimulation, and virtual reality systems, among others. These technologies aid in targeted rehabilitation exercises that improve motor function and independence. India faces a shortage of trained rehabilitation professionals, including physiotherapists, occupational therapists, and speech therapists. This shortage limits the intensity and quality of rehabilitation services provided, impacting long-term recovery outcomes.
Addressing this gap requires a multifaceted approach involving infrastructure development, workforce training, and innovative healthcare delivery models. By improving access to timely and comprehensive rehabilitation services, India can enhance stroke recovery outcomes and reduce the longterm burden of stroke-related disabilities.
Lupin’s Atharv Ability neurorehabilitation center
aims to enhance stroke recovery outcomes by delivering comprehensive rehabilitation services tailored to individual needs delivered by trained rehab experts. We recognize the importance of holistic care and strive to offer a one-stop solution for stroke survivors, ensuring they receive the quality therapy they need to regain function and enhance their quality of life.
What led to the decision to establish Atharv Ability, and how does it address the unmet needs of stroke patients in terms of quality therapy and affordability?
Lupin recognised the critical gap in neurorehabilitation services and saw it as an opportunity to make a meaningful impact on patient health outcomes. Atharv Ability was launched as a world-class neurological rehabilitation care committed to improving the quality of life for post-stroke patients and other patients with neuro disabilities.
Through comprehensive rehabilitation programs, Atharv Ability addresses the diverse needs of patients with traumatic brain injury, spinal cord injury and pediatric neurological disorders. Located in Mumbai's Bandra Kurla Complex, Atharv Ability spans 12,000 square feet, with a team of 25 trained doctors and physiotherapists. The center strives to offer the best clinical practice and care, ensuring convenience and accessibility for patients.
Key differentiators such as end effector technology, dedicated home environment simulation space, aqua therapy, paediatric sensory room, and pneumatic gym, among others, set Atharv Ability apart as a state-of-the-art neurorehabilitation center. By providing quality therapy and innovative solutions at an affordable price, Atharv Ability aims to empower patients to regain their independence and reintegrate into daily life with confidence and dignity.
Within a year of its launch team Atharv Ability has conducted almost 30,000 neurotherapy sessions, helping
EXPRESS HEALTHCARE
patients resume their lives.
Could you elaborate on how Atharv Ability fits into Lupin's broader vision of becoming an integrated healthcare provider focused on improving patient health outcomes?
Atharv Ability embodies
Lupin's vision of becoming an integrated healthcare provider focused on enhancing patient health outcomes. Our multidisciplinary approach, coupled with well-structured rehabilitation programs and a team of qualified experts, ensures that patients receive the highest quality of care
under one roof.
Through empathy and a patient-centric approach, Atharv Ability aligns perfectly with Lupin's broader mission of transforming lives through innovative healthcare solutions.
Ever since the launch of Atharv Ability’s first center in BKC, Mumbai; it has touched
lives of over 5000 patients. In the coming months, we will also be launching a center at Hyderabad, followed by Delhi. Our mission is Atharv Ability must be accessible to every patient with neuro disability!
Leaders and innovators come together to discuss strategies and best practices for achieving positive transformation in Indian healthcare
Welcome Address
Express Healthcare recently organised the first edition of the GenNext Hospital Summit 2024. This series of event aim to facilitate the creation of next gen hospitals geared to deal with the evolving healthcare landscape and patient needs. The first edition of the series was successfully concluded in Nashik on 31st May 2024.
The overarching theme for this year is, “Building a future-ready healthcare ecosystem”.
It brought together leaders, experts and decision makers to delve into emerging trends, challenges, and opportunities faced by new-age hospitals. The event also received support from Gold Partners-Getinge and Allied Medical Ltd and knowledge partner HOSPACCX.
GenNext Hospital Summit
2024 featured distinguished speakers offering insights into digital acceleration in hospitals and future of healthcare
Special address
At the GenNext Hospital Summit 2024 (Nashik edition), Dr Kapil Aher, Deputy Director-Health Nashik, Government of Maharashtra, delivered a special address, offering valuable insights on the evolving public health system.
Dr Aher emphasised that the pandemic acted as a catalyst for digitisation within the government sector, significantly transforming public health processes. He provided several examples illustrating the benefits of this digital shift.
He explained that previously managed manually, mother and child health programs now leverages software solutions to automate and streamline processes. This digitisation has facilitated easier access to comprehensive
delivery and the rapidly transforming expectations of the next generation. It commenced with a Welcome Ad-
dress by Express Healthcare who welcomed the delegates and explained the vision of GenNext Hospital Summit
2024 series. A
lighting ceremony followed the welcome address and provided an auspicious start to the event.
Dr Kapil Aher,DeputyDirector-Health Nashik,Government of Maharashtra
data on mother and child health parameters. Similarly, the implementation of apps and software has simplified the tracking of child immunisations, ensuring better coverage and monitoring. Digitisation has also enhanced the ability to track and screen for Non-Communicable Diseases (NCDs) in both urban and rural areas, improving public health outcomes.
He also discussed various government initiatives aimed at strengthening public health infrastructure in both rural and urban areas.
Dr Aher also expressed his enthusiasm for the first edition of the GenNext Hospital Summit series being held in Nashik, highlighting the importance of such events in fostering inn ovat ion and advancement in healthcare.
lamp
L-R: Sameer Tuljapurkar,General Manager,Namco Hospital; Dr Tarun Katiyar,MD,HospaccxHealthcare Business consultancy; Dr Rahul Gosavi,Centre head,HCG Manvata Cancer centre; Dr Kapil Aher,DeputyDirector-Health Nashik,Government of Maharashtra; Sachin Borse,COO,SMBTHospital
CXO Panel: Building a future-readyhealthcare ecosystem
The healthcare landscape is undergoing rapid transformation, driven by advancements intechnology, shifting demographics, and evolving patient expectations.
Therefore, the CXO panel at GenNext Hospital Summit 2024 was on an interesting and pertinent topic, "Building a future-ready healthcare ecosystem”.
The esteemed panel of experts for this session were Sachin Borse, COO, SMBT Hospital; Dr Tarun Katiyar, MD, Hospaccx Healthcare Business consultancy; Dr Rahul Gosavi, Centre head, HCG Manvata Cancer centre-
As healthcare continues to evolve with technological advancements ,ensuring data security and privacy remains crucial
and Sameer Tuljapurkar, General Manager, Namco Hospital.
The experts on the panel deliberated on how technology can be leveraged for enhanced healthcare and why the private healthcare sector must recognise both the advantages and challenges of technology to significantly improve operational efficiency and elevate patient care standards.
The panel also highligted that as healthcare continues to evolve with technological advancements, ensuring data security and privacy remains crucial. Developing a robust
KEYHIGHLIGHTS
◆ Private healthcare sector should understand pros and cons of technology and use it effectively to improve operational efficiency and offer highest levels of patient care.
◆ As healthcare evolves with technology,it is key to ensure data security and privacy.Charting a robust strategy for data security is a prime goal for all hospitals.
◆ Telemedicine is transforming healthcare delivery,especially in tier II and III cities.Setting up the right systems,skilling the workforce and streamlining operations will help leverage telemedicine's true potential.
◆ Building a future ready healthcare ecosystem involves advanced technologies, meaningful collaborations,robust infrastructure,skilled workforce and patientcentred care.
◆ Hospital design is witnessing a major shift.New age hospitals should be more efficient,accessible,sustainable and patient-centric.
data security strategy is a primary goal for all hospitals to protect patient information.
Discussing about the transformative impact of telemedicine, the experts emphasised
on how telemedicine is revolutionising healthcare delivery, particularly in tier II and III
cities and establishing appropriate systems, training the workforce, and streamlining operations are essential steps to harness the full potential of telemedicine.
The dicussion also deliberated on building new age hospitals and mentions that new-age hospitals need to be more efficient, accessible, sustainable, and patient-centric to meet modern healthcare demands.
The experts in the panel suggested that in order to build a future-ready healthcare, creating a healthcare ecosystem that is prepared for the future requires the integration of advanced technologies, meaningful collaborations, robust infrastructure, a skilled workforce, and patient-centered care.
L-R: Tarun Katiyar,MD,HospaccxHealthcare Business consultancy(Moderator); Sachin Borse,COO,SMBTHospital; Dr Rahul Gosavi,Centre head, HCG Manvata Cancer centre; Sameer Tuljapurkar,General Manager,Namco Hospital Nashik
Bhalerao, Product Manager-Digital Health Solutions, Getinge provided valuable insights into creating a future-ready healthcare system and highlighted that a future ready healthcare should excel in clinical technology; establish healthcare nodes beyond urban centres; foster patient-centred healthcare; nurture an agile workforce and work; leverage technology for effciency transformation and build sustainable and modular infrastructure.
Bhalerao also highlighted important factors to consider when selecting or moving towards digital transformation in
healthcare. It has to be userfriendly, state-of-art, comprehensive, modular and cost-effective, inter-operable, scalable, safe and secure.
Bhalerao identified key areas driving digitisation within hospitals and mentions that surgical suites and operation theaters including robotic operating rooms and transplant theaters, are significant revenue drivers and areas where digitisation is rapidly advancing.
She also shares that sterlie supply department and surgical instruments are two areas where hospitals are seeking greater efficiency.
Sharing her experiences, Bhalerao explained that hospi-
tals aim to increase surgical operations while minimising the use of instruments and maintaining stringent tracking between departments. She noted that by focusing on digitising the sterile supply department and surgical instruments, hospitals can save approximately 15-20 per cent of their costs for beginning digitisation.
Summarising her presentation, Bhalerao highlighted that transfering business intelligence, artificial intelligence, connected healthcare and automation to patient, OR and sterile workflow will lead to greater patient experience, better resource utilisation and staff satisfaction.
Roadmap to successul career ahead in healthcare
Dr Swapnanjali Avhad, MD and Practicing ObGyn, Dr Avhad Maternity Home Nashik gave a very interseting presentation on a roadmap to successul career ahead in healthcare.
She shared fifteen golden rules to achieve the same:
◆ Commitment to lifelong learning: Medicine is an everevolving field. Continuously update your knowledge and skills by attending conferences, workshops, and staying updated with the latest research and medical advancements.
◆ Strong educational foundation: Excel in your academic pursuits. Aim for a strong foundation by doing well in medical school and seeking further specialisation or certifications in your area of interest.
◆ Seek mentorship: Find experienced mentors who can offer guidance, support, and wisdom based on their own
experiences. A mentor can provide valuable insights and advice.
◆ Skilled workforce: It is essential for improved patient care, lesser complications, enhanced effciency, patient satisfaction and better outcome.
◆ Tech-savy workforce:
Awareness – have a communication plan with consistent message, Get involved – Provide digital transformation training for teams to get involved, Automation & AI Ecosystem – Train on a suite of new technologies.
◆ Develop interpersonal
skills: Communication is at the heart of medicine. Cultivate strong interpersonal skills to build rapport with patients, colleagues, and staff. Empathy, active listening, and effective communication are crucial.
◆ Adaptability: The medical field can be unpredictable. Be adaptable and resilient in the face of challenges, whether in patient care, administrative issues, or unexpected situations.
◆ Building resilience in a workplace
◆ Ethical practice: Uphold the highest ethical standards. Patients trust their doctors with their health; ensure your practice is guided by strong moral and ethical principles.
◆ Networking and collaboration: Build professional relationships within and outside your field. Collaboration and networking can open up opportunities, provide valuable insights, and even lead to research collaborations.
◆ Stay organised and effi-
cient: Develop good organisational skills to manage your time effectively. Efficiently juggle patient care, administrative tasks, and personal development.
◆ Take risk and embrace challenges: Don't shy away from taking calculated risks or facing challenges. They often lead to personal and professional growth.
◆ Continous self-reflection: Regularly assess your performance, decisions, and goals. Self-reflection helps in identifying areas for improvement and personal growth.
◆ Embrace technology: Keep up with technological advancements in the medical field. Utilise digital tools and technologies to enhance patient care, administrative efficiency, and your own learning.
◆ Stay updated on legal and regulatory challenges: Laws and regulations in healthcare often change. Stay informed and updated to ensure compliance and highquality care.
Shabnoor Hirani Bhalerao,Product Manager-Digital Health Solutions, Getinge
Dr Swapnanjali Avhad,MD and Practicing ObGyn,Dr Avhad Maternity Home Nashik
Challenges faced while transporting the patient on a ventilator
Ankit Arora, Product Manager, Allied Medical gave a presentation on transporting the patient on a ventilator. He began with an insightful overview of Allied Medical, emphasising its role in providing critical care solutions.
He listed out some of the challenges faced while transporting the patient on a ventilator like no time for intubation need long battery backup, no provision for air source in the ambulance, no or limited provision of high-pressure oxygen, hassle free shifting to the ICU intuitive user interface that can be easily operated by paramedical staff and after shifting to the ICU the change of the ventilator that leads to asynchrony.
He mentioned that Allied
Meditec 1700 is a multipurpose ventilator which can be used for any of the setups starting from an ambulance to the emergency department or the ICU.It has 6 hours long battery backup and additional 12 hours with an upgradable battery
Medical is providing a solution to overcome these challenges which is their Allied Medical Ltd Meditec 1700 Ventilator. It is a multipurpose ventilator which can be used for any of the setups starting from an ambulance to the emergency department or the ICU. Meditec 1700 by Allied Medical has 6 hours long battery backup and additional 12 hours with an upgradable battery.
Fortifying critical care: Infra,technologyand systems
Col Dr Sunilkumar M Rao, Group COO and Director medical services, Sahayadri Hospitals shared insights into 'Fortifying critical care: Infra, technology and systems'
Explaining about how different levels of ICU have different requirements, he mentioned about three levels where level I is recommended for hospitals including nursing homes with up to 50 beds, district hospitals/community health centers up to 100 Beds and should be able to perform cardiopulmonary resuscitation including intubation, shortterm cardiorespiratory support including, non-invasive ventilation, and defibrillation. Level II which is recommended for larger general hospitals up to 100 to 150 beds and
Dr Sunil Rao,Chief Operating Officer,Sahyadri Hospitals
Adetailed and robust strategy involving intelligent systems, advanced technology and well designed infrastructure is vital
level III for tertiary care hospitals >150 beds including medical colleges and corporate hospitals. Level III is further sub-classified into A and B on the basis of provision of extreme care services. Level IIIB provides extracorporeal therapies in addition to facili-
ties available in Level IIIA. He emphasised on why fortifying critical care is a key need and mentioned that a detailed and robust strategy involving intelligent systems, advanced technology and well designed infrastructure is vital.
Ankit Arora,Product Manager,Allied Medical Ltd,Gurgaon
GenNext patients and challenges in medication management
Dr Suresh R. Saravdekar, Honorary Consultant Institute of Medical Sciences, Banaras Hindu University (IMS-BHU) gave very insightful talk on gennext patients and challenges in medication management.
He highlighted that after the pandemic, self care has become a buzzword. Modern technology has caused total disruption in the concept of health care with easy & uncontrolled availability of information and digital apps for monitoring self care has led to accelerated awareness & use of digital healthcare. This ultimately leading us to headlong to technology pandemic.
Dr Suresh R.Saravdekar,HonoraryConsultant,Institute of Medical Sciences,Banaras Hindu University(IMS-BHU)
Digital healthcare is experiencing an immense,positive transformation.As a result, patients are interacting more frequently with technology instead of a care provider
Dr Saravdekar also shared that digital healthcare is experiencing an immense, positive transformation. As a result, patients are interacting more frequently with technology instead of a care provider.
However, dealing with dashboards is reducing the human touch in healthcare. We need to educate and empowers patient to be selective and cautious while making choices about their health.
Panel discussion:Digital acceleration in hospitals: Opportunities,challenges and impact
Apanel of experts convened at the GenNext Hospital Summit 2024 to explore the transformative potential of technology in healthcare.
Excellent connectivity, quality care at affordable prices,and increased investments have contributed to Nashik's emergence as a major healthcare center
The discussion, titled "Digital Acceleration in Hospitals: Opportunities, Challenges, and Impact," featured the panelists Dr Suresh R. Saravdekar, Honorary Consultant, Institute of Medical Sciences, Banaras Hindu University (IMS-BHU); Dr Vishal Gunjal, Past President, IMA Nashik; Dr Chetan Patil, Operations Head, Sahyadri Hospitals; Ashish Singh, AGM-Regional Operations, Medicover Hospital; Dr Ramakant Patil, President, Hospital Owner Association of Nashik (HOAN).
L-R: Dr Suresh R.Saravdekar,HonoraryConsultant Institute of Medical Sciences,Banaras Hindu University(IMS-BHU); Ashish Singh,AGM-Regional Operations,Medicover Hospital; Dr Vishal Gunjal,President,IMANashik; Dr Chetan Patil,Operations head,Sahyadri Hospitals; Ramakant Patil, President,Hospital Owner Association of Nashik(HOAN)
KEYHIGHLIGHTS
◆ Great connectivity,quality care at affordable prices and growing investments in healthcare has led to Nashik's rise as a major healthcare centre
◆ Digitalisation in Nashik's healthcare sector is still at a nascent stage,but is witnessing growth.Hospitals investing in the right technologies and systems will gain a competitive edge.
◆ There is an urgent need for strong and effective regulations as use of digital technologies in healthcare grows.
◆ Effective strategies and systems to generate,procure,document,store, safeguard and analyse data will be pivotal in the age of digital healthcare.
The experts discussed how excellent connectivity, quality care at affordable prices, and increased investments have contributed to Nashik's emergence as a major healthcare center. The panelists also noted that while digitalisation in Nashik's healthcare sector is
◆ Strategic adoption of digital technologies can translate into significantly improved health outcomes.
still in its early stages, it is growing. Hospitals that invest
in the right technologies and systems are poised to gain a competitive advantage.
The discussion highlighted the urgent need for robust and effective regulations as digital technologies become more prevalent in healthcare. Developing effective strategies and systems for generating, procuring, documenting, storing, safeguarding, and analysing data will be crucial in the digital healthcare era.
The panel emphasised that the strategic adoption of digital technologies can lead to significantly improved health outcomes.
DIAGNOSTIC
Redefining the future of diagnostics
Aryaman Tandon,Managing Partner-Healthcare,Praxis Global Alliance talks about the key trends that are poised to shape the trajectory of the diagnostic industry
The Indian diagnostics sector, an integral part of the nation’s healthcare system, is undergoing a remarkable transformation. It is characterised by its wide range of service providers and the varied quality of services offered. Valued at over US$ 15B in the fiscal year 2024, it represents around 6 per cent of India’s overall healthcare market. The demand for diagnostics services is rising due to an aging population, a growing middle class with higher disposable incomes, and an increasing burden of chronic diseases. Additionally, the COVID-19 pandemic has underscored the importance of timely and accurate diagnostics, further accelerating growth. With a projected CAGR of 14 per cent over the next five years, this sector is poised for significant expansion. The sector is also seeing a significant influx of investments, both from domestic and international players, eager to tap into the vast potential of this growing market.
The Indian diagnostics market is dominated by pathology, contributing about 60 per cent of the sector’s revenue. This includes a wide range of tests, from clinical chemistry and immunology to hematology and specialised diagnostics. Pathology services are crucial for disease diagnosis, monitoring, and management, making them a cornerstone of the diagnostics industry.
Radiology constitutes over 40 per cent of the diagnostics market, encompassing imaging techniques such as X-rays, CT scans, MRI, ultrasound, and nuclear imaging. Radiology plays a vital role in diagnosing a variety of conditions, from fractures and tumors to cardiovascular diseases and neurological disorders. The growth of the radiology segment is driven by technologi-
cal advancements and growing disease complexity, enhancing diagnostic accuracy and efficiency. Additionally, the increasing p revalence of chronic diseases and a rising demand for early and accurate diagnosis are fueling the expansion of both pathology and radiology markets.
Keytrends shaping the industry
As the Indian diagnostics sector continues to evolve, several key themes are set to define its future. These themes are poised to shape the trajectory of the industry, enhancing accessibility and ensuring that diagnostics services meet the ever-changing needs of the population. The digital rev olution is a significant driver of growth in the Indian diagnostics land-
scape. The integration of digital solutions, such as tele-diagnostics and remote image reading, enhances the utilisation of expert resources and improves customer experiences through online booking systems and automated support. Digital transformation is streamlining operations, making diagnostic services more accessible and efficient. Alongside this, innovations in supply chain management, such as improved logistics and better inventory management, are reducing costs and enhancing service delivery. Streamlined operations ensure timely and accurate test results, which are essential for maintaining competitiveness and meeting growing demand.
Innovative business models are also transforming the
diagnostics sector. Services such as home collection, subscription-based health packages, and direct-to-consumer testing are becoming increasingly popular. These models offer convenience and affordability, making it easier for patients to access diagnostic services.
The fragmented nature of the diagnostics market also presents ample opportunities for consolidation. Strategic mergers and acquisitions enable companies to scale up operations, enhance capabilities, and improve quality standards. The average EBITDA-multiple of these recent acquisitions have been in the range of 7x to 29x. Operating on a larger scale allows these chains to achieve cost savings, gain better negotiation power with suppliers, and invest in advanced technologies. This trend toward consolidation is expected to continue as companies strive to build stronger, more integrated networks.
The emergence of new clinical needs is driving the development of advanced diagnostic tests. I nnovations in molecular diagnostics, genetic testing, and personalised medicine are addressing these emerging clinical needs. As new clinical needs emerge, the diagnostics sector continues to evolve, offering more sophisticated and targeted testing solutions. Additionally, health insurance penetration in India is underpenetrated as compared to developed countries. A rise in health insurance penetration can reduce the financial burden on patients and promote a proactive approach to health management.
Patient expectations are also evolving, with a growing demand for home collection services. These services cater to the patient’s need for convenience and efficiency, enhancing the overall patient
experience. There is also significant growth potential in tier 2 and tier 3 cities, as well as rural areas, driven by rising healthcare awareness, improved infrastructure, and growing disposable incomes. Expanding into these regions allows diagnostics companies to tap into a large and underserved market, offering essential health services to a broader population. The industry is responding by offering faster turnaround times, home sample collection, and comprehensive wellness packages.
Finally, government initiatives and regulatory frameworks are playing a crucial role in shaping the diagnostics sector. Policies aimed at improving healthcare access, quality standards, and affordability are driving growth and ensuring compliance across the industry. Regulatory measures help maintain high service standards and ensure that diagnostic centers operate ethically and efficiently. Government labs are expected to grow at a CAGR of 12 per cent between 2023 and 2027, indicating significant opportunities, primarily through PPP models. The government’s support for the healthcare sector is essential for the continued growth and development of the diagnostics industry.
In conclusion, the Indian diagnostics sector is on an upward growth trajectory, supported by technological advancements, strategic consolidation, and evolving market dynamics. As the industry continues to innovate and expand, it is poised to play an increasingly vital role in the country’s healthcare ecosystem. The future of diagnostics in India looks promising, with the potential to significantly enhance the quality of healthcare and improve health outcomes for people across the country.
Role of diagnostics in personalised medicine
Dr Avinash Phadke
,President & Mentor,Agilus
Diagnostics highlights that as technological advancements continue to accelerate,the role of diagnostics in personalised medicine will only grow in significance
In the landscape of modern medicine, a profound shift is occurring, transforming the way we approach healthcare. Personalised medicine, also known as precision medicine, has emerged as a ground-breaking paradigm that customises medical treatment to the individual characteristics of each patient. At the heart of this revolution lies diagnostics, playing a pivotal role in unlocking the full potential of personalised medicine. Here we delve into the significance of diagnostics in personalised medicine, exploring its impact on healthcare outcomes, patient wellbeing, and the future of medical practice.
Understanding personalised medicine
Personalised medicine represents a significant shift from the traditional one-size-fits-all approach to targeted therapy. Personalised medicine acknowledges that individuals differ in their genetic makeup, environmental exposures, lifestyle choices, and other factors influencing health and disease. By harnessing advances in genomics, proteomics, metabolomics, and other fields, personalised medicine seeks to tailor prevention, diagnosis, and treatment strategies to the unique characteristics of each patient.
The role of diagnostics
Diagnostics serve as the cornerstone of personalised medicine, enabling healthcare providers to obtain precise information about a patient's health status, disease susceptibility, and treatment response. From early detection of diseases to guiding therapeutic decisions, diagnostics empower clinicians with actionable insights that enhance patient care and outcomes. One of the key advantages
Personalised medicine represents a significant shift from the traditional one-size-fits-all approach to targeted therapy
of personalised medicine is its focus on early detection and prevention. Diagnostics play a crucial role in this aspect by identifying biomarkers, genetic variants, and other indicators of disease risk long before symptoms manifest. Through techniques such as genomic sequencing, imaging modalities, and blood-based tests, healthcare providers can screen individuals for predispositions to certain conditions, allowing for targeted interventions and proactive management strategies.
Genomics which forms the foundation of personalised medicine is already transforming diagnosis of cancer, reproductive disorders and rare disorders.
Genomics is changing how we diagnose and treat cancer. Genome research is paving the way for methods to identify cancer based on blood samples. One of the most sig-
nificant advances in this area is our ability to detect circulating tumor DNA rather than sampling the tumor itself. Sequencing ctDNA is known as "liquid biopsy" and is now commonly employed for many solid cancers. Liquid biopsies allow for real-time cancer assessment and represent the dynamic disease picture. ctDNA tests will become increasingly frequent as the technology progresses rapidly.
Genomic screening techniques for inherited malignancies are becoming more common. We already have screening tests for hereditary colon and breast cancers. As scientists learn and analyse the genomic mutations that predispose a person to cancer, we will see newer screening tests. This can help those with a family history of cancer better recognise their personal risk.
Prenatal genetic diagnostics required pregnant women to endure invasive procedures in order to get a fetal DNA sample. Amniocentesis and chorionic villus sampling are tests that have associated pregnancy risks. With DNA sequencing, it is now possible to examine the pregnant woman's blood for genetic variations in her unborn child. NIPT (Non Invasive Prenatal Testing), or cell-free fetal DNA testing, is increasingly widely used to detect Down syndrome. With significant breakthroughs in genomics, we may be able to detect additional genetic disorders much earlier.
The ability to understand genomes rapidly and inexpensively has resulted in advancements in the diagnosis of rare disorders, enabling families to complete their diagnostic odyssey. While substantial improvements have been made
in rare conditions, many more may still be identified. Largescale, population-specific research studies would be required to understand the pattern of such diseases. This can bring great solace to families with people suffering from such conditions while also educating them about the risk to future generations. More than 250 similar ailments have been recognised. Extensive genetic testing can help individuals with rare disorders get a diagnosis and therapy choices faster. Collaborations between public health organisations and private institutions, as well as campaigning for mandated newborn screening.
On the treatment and management side, diagnostics enable the customization of therapies based on individual patient characteristics. Pharmacogenomic testing, for example, helps predict how a patient will respond to specific medications, allowing healthcare providers to prescribe the most effective and safest treatments while minimising adverse reactions. Additionally, molecular profiling of tumors informs oncologists about the unique genetic alterations driving cancer growth, facilitating the selection of targeted therapies that exploit vulnerabilities in cancer cells.
Monitoring and follow-up
Diagnostics continue to play a vital role throughout the patient journey by enabling realtime monitoring of disease progression and treatment response. Biomarker assays, wearable devices, and remote monitoring technologies enable real-time assessment of disease progression, treatment response, and physiological parameters. This dynamic feedback loop empowers clinicians to make informed decisions, adjusting treatment
DIAGNOSTIC
regimens in response to evolving patient needs and emerging clinical insights. Whether tracking disease biomarkers, monitoring medication levels, or assessing physiological parameters, diagnostics provide the critical data needed to optimize patient care, minimise complications, and maximise quality of life.
Challenges and opportunities
While diagnostics hold immense promise for person-
alised medicine, several challenges must be addressed to realise its full potential. These include ensuring equitable access to advanced diagnostic technologies, addressing privacy and data security concerns, and integrating diagnostic information into clinical workflows effectively. Additionally, ongoing research is needed to identify new biomarkers, improve diagnostic accuracy, and expand the applicability of personalised medicine across
diverse patient populations and disease states.
Looking ahead
As technological advancements continue to accelerate, the role of diagnostics in personalised medicine will only grow in significance. Innovations such as artificial intelligence, machine learning, and single-cell analysis promise to further enhance the precision and predictive power of diagnostics, rev olutionising the way we approach healthcare
Power of POC diagnostics
Vinay
delivery. Moreover, collaborative efforts among clinicians, researchers, industry stakeholders, and regulatory bodies are essential to drive innovation, establish best practices, and ensure the ethical and responsible implementation of personalised medicine.
Conclusion
In conclusion, diagnostics are indispensable tools in the era of personalised medicine, empowering healthcare providers to de-
liver tailored and effective care to individual patients. By leveraging diagnostic insights, we can shift the paradigm from reactive treatment to proactive prevention, ultimately improving patient outcomes and revolutionising the practice of medicine. As we continue to unlock the secrets of the human genome and unravel the complexities of disease, diagnostics will remain at the forefront of personalised medicine, driving innovation, and transforming healthcare for generations to come.
KMayer,Director - Market Research & Consulting,Asia Research Partners shares his anlalysis on POC diagnostics market in India
India's healthcare landscape is rapidly evolving, with innovations in pointof-care (POC) diagnostics playing a pivotal role in this transformation. The Indian POC diagnostics market is on the cusp of a significant surge, poised to grow at a CAGR of approximately 19 per cent.
Power of POC diagnostics
POC diagnostics promise faster results and wider accessibility, particularly beneficial in remote and underserved areas. Rapid Diagnostic Tests (RDTs) for diseases like COVID-19, malaria, dengue, and HIV provide critical insights, alleviating stress with minimal expenditure both monetarily and as a time factor. Moreover, portable devices for blood glucose monitoring and smartphone-based diagnostics are revolutionising healthcare delivery, empowering healthcare providers and patients.
Government initiatives and collaborations
India's healthcare landscape is bolstered by government initiatives like the Ayushman Bharat Scheme and the National Health Mission (NHM), which prioritize the deployment of POC diagnostics in rural and urban areas. The 'Make in In-
The future of POC diagnostics in India is promising and teeming with possibilities.Integrating POC diagnostics with telemedicine and electronic health records holds immense potential in creating a cohesive healthcare ecosystem
dia' initiative also fosters domestic manufacturing, reducing costs and resolving warehousing and logistical testing-related challenges, ulti-
mately enhancing accessibility.
Challenges and opportunities
Despite their immense poten-
tial, challenges persist in integrating POC testing into existing healthcare systems and ensuring accuracy across diverse settings. Quality control, staffing, training, infrastructure limitations, and affordability hurdles pose formidable obstacles. However, these challenges also present opportunities for innovation, collaboration, and regulatory frameworks.
Common applications of POC diagnostics
POC diagnostics have a wide range of applications across healthcare. They are crucial for diagnosing infectious diseases such as malaria, HIV, tuberculosis, and influenza and managing chronic conditions like diabetes through blood glucose monitoring and assessing cholesterol and blood pressure levels. In maternal and child health, POC diagnostics screen for anemia, gestational diabetes, and infectious diseases during pregnancy, ensuring optimal health outcomes. Additionally, they play a vital role in identifying markers of cardiovascular diseases and aiding in emergency care by rapidly diagnosing acute conditions such as heart attacks, stroke, and sepsis.
Future prospects & technological advancements
The future of POC diagnostics in India is promising and teeming with possibilities. Integrating POC diagnostics with telemedicine and electronic health records holds immense potential in creating a cohesive healthcare ecosystem. Since the rise of predictive medicine and the insurance sector being on board with the idea of providing high-budget coverage for diagnostics and detection to prevent higher claims in treatment. The POC market has especially received a push since it is a mindset change in the Indian context, which was earlier foreign. These efforts have skyrocketed. The efforts in infrastructure development and training of sample collection agents are building the diagnostic industry from the ground up.
Continuous research and development efforts are not just driving innovations in POC diagnostic tests but are paving the way for a future where POC diagnostics could revolutionise healthcare delivery. At the same time, advancements in artificial intelligence and machine learning are poised to revolutionise diagnostic accuracy and personalized healthcare delivery.
PUBLIC HEALTH
Addressing healthcare disparities and improving health equity
Paul Abraham,President,Hinduja Foundation emphasises that India boasts a robust healthcare system,yet significant disparities persist in access and quality of care
The disparitygap: Rural vs urban and beyond
The urban-rural divide remains a stark reality. Remote villages lack medical facilities, specialists, and essential equipment. A study in Kashmir [reference health inequalities research in India: a review of trends and themes in the literature since the 1990s] revealed a significant shortage of doctors in rural areas compared to urban centres. This distance translates to delayed diagnosis, reduced treatment adherence, and poorer health outcomes. Marginalised communities face another layer of disadvantage. A 2021 Oxfam India report [reference India's SocioEconomic Inequalities Visible in Health] highlighted how Scheduled Castes (SCs) and Scheduled Tribes (STs) have lower healthcare utilisation compared to higher castes. Gender disparity also plays a role. Women in rural areas often prioritise the health needs of their families over their own, leading to neglected conditions.
Innovation for inclusion: Telemedicine and mobile clinics
Technology offers promising solutions. Telemedicine allows consultations with specialists remotely, bridging the physical distance between rural areas and quality care. Across the country, numerous telemedicine initiatives are connecting rural patients with established urban healthcare providers. While not the best solution to bridge the demand-supply gap of healthcare workers, such initiatives, often supported by philanthropies and CSR initiatives are increasingly becoming an important tool that is assisting in early detection and also for offering crucial support for complex cases.
Out-of-pocket expenses for healthcare can push families into deeper financial hardship, deterring them from seeking care.Government initiatives like Ayushman Bharat aim to address this by providing health insurance to low-income families
Mobile clinics are another innovative approach. These equipped vehicles travel to remote villages, providing preventive care, screenings, and basic treatments. Non-profits and CSR initiatives support such clinics in underserved areas, bringing healthcare directly to the doorsteps of those who need it most. Many startups are also attempting to
foray into this space trying to create impact by bringing state-of-the-art facilities nearer to rural areas, thus expanding the ambit of available services and facilities.
The Hinduja Foundation is starting as scanning initiative to try and detect diseases early to prevent morbidity and reduce the burden of healthcare costs on the poor.
Breaking socio-economic barriers: Empowerment and targeted interventions
Poverty remains a major hurdle. Out-of-pocket expenses for healthcare can push families into deeper financial hardship, deterring them from seeking care. Government initiatives like Ayushman Bharat aim to address this by providing health insurance to low-income families. However, awareness and accessibility of such programs due to poor uptake by healthcare providers remain crucial challenges for Ayushman Bharat Scheme.
Building a skilled workforce: The backbone of a strong system
A skilled healthcare workforce is essential for equitable access to quality care. While COVID did provide an impetus to skilling of healthcare workers, a lot more needs to be done to ensure service providers have the right and updated skillsets to improve outcomes. Like the rest of the world, medical professionals in India prefer to live in urban areas, rural areas often face a shortage of trained professionals. Incentives like scholarships and loan repayment programs can attract medical graduates to rural postings. Additionally, creating career development opportunities in rural areas can encourage them to stay long-term. Also, layering the support system with local paramedics in healthcare delivery will certainly help.
Collaboration is key: Achieving Universal Health Coverage (UHC)
UHC ensures all individuals have access to essential healthcare services without financial
hardship. Achieving UHC in India requires a collaborative effort from various stakeholders. The government plays a pivotal role in policy formulation, resource allocation, and infrastructure development. The private sector can contribute by establishing hospitals and clinics in underserved areas and by participating in publicprivate partnerships.
Civil Society organizations (CSOs) play a crucial role in raising awareness, mobilising communities, and delivering healthcare services in remote areas. Partnering with CSOs leverages their expertise and strengthens the reach of government programs.
Looking forward: A healthier India for all
Addressing healthcare disparities demands a multi-pronged approach. By leveraging innovation, tackling social determinants of health, and fostering collaboration, India must embark on a path that can achieve health equity for all. Improved healthcare infrastructure, widely accessible health insurance solutions and strong governance will enable a more equitable healthcare ecosystem. A healthy population not only leads to improved quality of life but also fuels national development. Investing in accessible, affordable, and high-quality healthcare is not just a social imperative, but a wise economic decision – paving the way for a brighter, healthier future for India.
We must also try and take a broader view of our healthcare construct by supporting early life nutrition and physical wellbeing through sports which keeps our population healthy and not fall prey to illnesses resulting from poor physical health.
HOSPITAL INFRASTRUCTURE
Challenges of designing healthcare facilities in rural areas
Sarika Shetty,Partner,SJKArchitects stresses that the availability of human resources, infrastructure,water,and power in the region,accessibility of the location,and timely allocation of funds are some of the major factors that impact the development of hospitals in rural areas
The urban-rural divide in India’s healthcare ecosystem
India’s rural communities face a significant shortage of healthcare facilities. Less than 25 per cent of the country’s healthcare facilities are concentrated in rural areas where 64 per cent of the population resides. This gap has led to significant disparities in important health indicators in rural vs urban areas. For instance, on average, people living in India’s rural regions can die up to 5 years earlier than urbanites.
Despite the rise of urbanisation, more than half of India’s population is projected to be rural by 2050. The rural economy constitutes 46 per cent of national income, a huge contributor to India’s economy. It is of utmost importance to bridge the healthcare gap through sensitive design that respects the climate and culture of the region; allows qualitative, affordable and inclusive access for the most vulnerable and impoverished populations; encourages sustenance through equitable development and human resource augmentation; and allows scalability of holistically comprehensive and compassionate Community Healthcare Centres (CHCs).
The rural-urban divide is considerable when it comes to healthcare access. Attempts to correct these systemic deficiencies through the National Rural Health Mission and the National Health Policy have largely resulted in improving overall mortality rates over the past few years especially with the maternal mortality rates reduced by 77 per cent as compared to the global 44 per cent ensuring
The planning model should be committed to dignifying design that creates a transformative impact and inculcates a sense of compassion,empathy,inclusion, and acceptance for all users
target goals of the United Nations’ 2030 SDG 3: Good Health & Well Being for All.
According to Rural Health Statistics (2020), there is an average shortfall of 38 per cent in CHCs. This number highlights the opportunity and need to create a healthcare blueprint that is an antithesis to the typical fear-inducing, white, sterile spaces that hospitals are infamous for.
Responding to systemic building challenges in rural areas through an architecture that can heal
Hospitals are complex, multifaceted entities where various stakeholders closely work together to create an integrated, service-infused facility. The availability of human resources, infrastructure, water, and power in the region, accessibility of the location, and timely allocation of funds are some of the major factors that impact the development of hospitals in rural areas.
The planning model should be committed to dignifying design that creates a transformative impact and inculcates a sense of compassion, empathy, inclusion, and acceptance for all users. Additionally, in rural areas, hospitals should also facilitate the region’s economic and infrastructural growth. Prioritising local capacity building and sustainable practices in healthcare infrastructure can help us achieve this goal, shaping elegant, inn ovative, and cost-effective solutions.
The design must focus on creating a calm healing environment that enables easy recuperation and nurtures the holistic well-being of all users,
both physical and emotional. Enhancing the connection with nature, integrating art into the premises, and creating spaces that support healthy social interactions are some ways of doing this. Efficient planning that ensures ease of external and internal navigation at various levels, supporting the streamlined movement of varied user groups, is also critical.
Spatial programming to ensure local needs
Demographics can often define regional healthcare’s functional and programmatic needs.
The clubbing of maternal and child care schemes in the National Health Policy is aimed at creating better resource synergies and hopefully better outcomes. Mother and Child Care departments with labour and waiting rooms, delivery rooms, and neonatal intensive care units fulfil a critical demand pertinent to rural healthcare. Designing the Mother and Child Care unit prototype sensitively in harmony wih nature can transform the experience of “waiting” for childbirth into an empowering act.
One of the most successful model case studies is the 150bed Butaro District Hospital in Rwanda, Africa. It is developed to provide both in- and outpatient services, with a particular emphasis on maternal health. Creating a model of high-quality infrastructure that can be easily adapted to the context and needs of the individual project can have a transformative effect on the way health infrastructure is developed globally.
Zoning to ensure efficient circulation
Efficient planning is important for ensuring that patients and visitors feel non-intimidated and can easily navigate through critical clinical and non-clinical spaces. In healthcare facility design, 'Liminal Gaps,' referring to transitional spaces like waiting areas, corridors, entryways, staircases, and balconies, play a crucial role in shaping the overall experience, influencing movement and interaction within the immediate environment. Thoughtful design of these transitional spaces enhances the sense of arrival, provides opportunities for rest and reflection, and facilitates wayfinding for patients and visitors.
One way to ease wayfind-
ing is to implement a consistent colour scheme in the flooring throughout all nonclinical circulation corridors. This can provide a clearly perceivable pathway to guide user movement across the building’s various zones.
Fostering belonging and facilitating connection for emotional well-being through climate resiliencyand cultural sensitivity
Climate and culture can be strong collaborators in defining the design ethos for a rural healthcare facility and ensuring it meets the needs of the community it serves. One can strive to design environments that harness sunlight and channel wind not only for thermal comfort but
also to reduce the rate of spread of infections and nurture people’s relationship with nature for comfort and wellbeing. Building orientation is key to indoor comfort. Building alignment should enable maximum north-facing critical and non-critical patient areas with ample glare-free natural light. Through thoughtful design, such as planning for non-clinical and non-critical clinical spaces to be naturally ventilated, air conditioning can be limited to critical clinical spaces only—ensuring physical well-being through passive design while also saving on energy bills.
Additionally, embracing cultural influences such as verandas, balconies with deep overhangs, or stepped-back terraces can foster a healthy
environment for healing and recovery by furthering the penetration of light and wind. Balconies along patient rooms and wards can also promote the smooth and calm recuperation of patients, enabling their path to recovery through safe engagements, including movements like walking and sitting.
Integrating art and landscape for safe and inclusive healing processes
Incorporating local art into the healthcare facility can alleviate anger, fear, and stress, while enhancing feelings of pleasantness. Similarly, integrating indigenous vegetation that attracts birds and butterflies fosters a biodiverse microclimate, contributing to natural healing and patient recovery.
The challenges outlined above underscore the urgent need for significant improvements in rural healthcare infrastructure. Many healthcare experts are advocating for the sector to be granted infrastructure status, along with a substantial boost in funding in the upcoming July budget. This investment is crucial to address the infrastructure deficit currently observed in rural healthcare. By prioritising sensitive design that respects the climate, culture, and local needs, while also integrating efficient spatial programming and zoning, and fostering physical and emotional well-being, rural healthcare facilities can be transformed into inclusive, accessible, and healing spaces for all.
Introducing Anesthesia IntroducingAnesthesia and Ventilator Machines andVentilatorMachines
Sysmex analysers are known around the world for their reliability, accuracy and quality. Since we were founded nearly half a century ago, we have been driven by the desire to innovate so that both you and we can do our jobs better. To improve the analysis capabilities of our devices so clinicians can help people more effectively. In those fifty years it is fair to say we have changed the haematological analysis landscape. And nowadays we are the global leader in the haematology market. This is largely due to our focus on knowledge and technologybacked up by service and solution-based thinking.
Modern automated blood cell counters use various technologies to determine the parameters of a full blood count. When EDTA blood samples are aspirated by the analyser, blood is aliquoted (separated into small portions before being used in the various channels) and treated with various reagents to support the cellspecific properties. Next the analyser uses a range of technologies to investigate the content of the sample. Modern additions to the workflow include automatic smear-making, staining and digital imaging. Sysmex literally covers all the bases of the haematology laboratory. It offers laboratories a full range of haematology platforms with a depth of clinical focused haematological parameters. These comprehensive solutions provide powerful productivity and efficiency, ensuring the accurate delivery of relevant information to clinicians.
Although the first automated hematology analyzers were launched in the 1950s, the adoption rate of these analyzers was insignificant. The
adoption was slow because of the high operational cost as well as capital expenditure. At that point in time, peripheral smears (PS) were the preferred choice for99 percent of laboratories in India. However, this method was time-consuming, and the results too were not reliable.
Over the years, there has also been an increasing demand for compact, powerful, and affordable analyzers to provide accurate and reliable differential analysis of blood counts. Common requirements include high throughput, simplified testing process, broad parameter ranges, smaller footprint, minimum blood volumes to cater to pediatric and point-of-care applications, reduce manual work and further increase the efficacy and productivity of laboratories.
Moreover, the first analyzers launched and currently available 3-part differential analyzers too are based on electrical impedance technology. In the 1980s, this technology was supplemented with optical flow cytometry to allow differentiation of the white blood cells (WBCs) into their five subgroups (neutrophils, lymphocytes, monocytes, eosinophils, and basophils) in an automated manner.
Sysmex XN-Series use fluorescence flow cytometry as the prime detection method for white blood cells (WBC), WBC differential, Immature Granulocytes (IG) Reticulocytes (RET), Reticulocytes-Haemoglobin (Ret-He), Immature Platelet Fractions (IPF) and much more.
Sysmex“CORE”
Technologies
a. Fluorescence Flow Cytometry (FFC)
Fluorescence flow cytometry is used to analyse physiological and chemical properties of cells. In flow cytometry, cells are examined while they are flowing through a very narrow flow cell. XN Series utilises the the proven and reliable laser flow cytometry - to count and analyse cells. After the cells are irradiated by the laser beam, the forward scattered light (FSC), side scattered light (SSC) and side fluorescent light (SFL) of the cells are analysed. The three signals are used to differentiate and count cells with the help of unique digital technology and algorithms. Cells with similar physical and chemical properties form a cluster in a graph known as a scattergram.
b. Hydrodynamic DC sheath flow detection
India
Pvt Ltd gives an overview of
Sysmex analysers use the DC sheath flow detection method to count red blood cells and platelets. The method reduces interference errors and the possibility of abnormal cell pulse detection, which could be caused by cells passing through the transducer off-centre. As soon as the cells have passed the orifice, they are seized by another, inverse flow and immediately led to the drain. This prevents renewed circulation and a change in the platelet count.
With Sysmex’s technology advancement in XN- Series analyzers with Fluorescence Flow Cytometry (FFC) method, it allowed the labs to access more cellular information than was ever available before through routine CBC with differential.
XN Series enumerate advanced clinical parameters like Ret, Ret-He, IPF which are of additional clinical relevance for hospitals with multispeciality functionalities like oncology, nephrology etc. Ret-He, IRF along with reticulocyte count is helpful for anaemia management, IG for infections, IPF for screening and monitoring of thrombocytopenic disorders.
SysmexXN-1500: Integrated haematology solution
As an additional option to the highly varied XN-Series configurations, the new XN-1500 offers scalable benefits of a Sysmex integrated solution within a smaller footprint. The XN1500 is a unique synergistic solution, consisting of a Haematology analyser and slide maker. With this integration, automated sample analysis and slide preparation improves the workflow of haematology section in the laboratory.
Reflex testing occurs within the same loop, and so does the
smear preparation when it is needed. Like extended measurements, smears are only initiated if they offer additional diagnostic value based on the customisable rule setting as per laboratory protocols and requirements. The analysis profile is extended automatically to include smear-making and staining, but one may also order this up front, for instance with known special samples. Consistent smears with a beautiful cell monolayer that make further microscopic diagnostics as easy and powerful as possible.
Count.Smear.Stain.Allin-one Haematology
◆ Fully integrated Cell counter and slide maker and stainer with small footprint.
◆ Reduces manual intervention through auto rerun and reflex capability.
◆ Fully Automated Haematology cell counting with 6-part differential analysis using Sysmex Core Technology- fluorescence flow cytometry.
◆ Corrected WBC with direct measurement of NRBC for every CBC analysis
◆ Added value with Immature Granulocyte count for every sample and optional Low WBC analysis mode.
◆ Additional applications of RET, IPF and Body Fluid can be activated.
◆ Micro R, Macro R and fragmented RBC (FRC) are also reportable parameters.
◆ Consistent smears with a beautiful cell monolayer with throughput up to 75 slides per hour
◆ Integration further results in shorter turnaround time
◆ Integrating a digital cell imaging solution, Sysmex DI-60, complements and completes the whole CBC analysis by automating microscopy.
HEALTHCARE TRACKER
HSILexpands criticare division with advanced anesthesia and ventilator machines
The introduction of anesthesia and ventilator machines marks a new milestone in the company’s journey.These machines are designed to meet the highest standards of safety,reliability,and performance,ensuring optimal patient care during critical medical procedures
Hemant Surgical Industries ltd. (HSIL), a trailblazer in the healthcare industry, is thrilled to announce the expansion of its criticare division with the addition of advanced anesthesia and ventilator Machines. This significant development reflects the company’s unwavering commitment to enhancing patient care and supporting healthcare professionals with state-of-the-art medical technology.
Alegacyof excellence
With over 35 years of vast experience in the healthcare market, HSIL has established itself as a trusted leader in the medical device sector. Known for its quality products and services, the company has consistently delivered innovative solutions that meet the evolving needs of the healthcare industry.
HSILis dedicated to continuous improvement and innovation.The expanded criticare division is a testament to the company’s mission to advance healthcare and provide medical professionals with the tools they need to deliver exceptional care
Newadditions to the criticare division
The introduction of anesthesia and ventilator machines marks a new milestone in the company’s journey. These machines are designed to meet the highest standards of safety, reliability, and performance, ensuring optimal patient care during critical medical procedures.
Advanced anesthesia machines: These machines ensure precise delivery of anesthetic agents, combining efficiency with maximum patient safety.
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They are built to support complex surgeries and provide robust monitoring capabilities. Innovative ventilator machines: These ventilators are essential for providing superior respiratory support in critical care and emergency situations. They are equipped with advanced features to deliver consistent and reliable ventilation to patients with varying needs.
Commitment to quality and innovation
HSIL is dedicated to continu-
and business related discussions.
ous improvement and innovation. The expanded criticare division is a testament to the company’s mission to advance healthcare and provide medical professionals with the tools they need to deliver exceptional care.
Continuous improvement: The company is dedicated to ongoing advancements in medical technology, ensuring that its products are always at the forefront of innovation. Quality products and services: Hemant Surgical is committed to delivering the high-
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est standards of quality in all its offerings, ensuring that healthcare professionals can rely on their products.
Competitive prices: Offering value without compromising on quality, Hemant Surgical ensures that its advanced medical equipment is accessible to a wide range of healthcare providers.
Empowering healthcare, enhancing lives
HSIL’s addition of anesthesia and ventilator machines to its criticare division underscores its commitment to empowering healthcare professionals and enhancing patient lives. As the company continues to innovate and expand, it remains steadfast in its mission to deliver quality, reliability, and exceptional care.
For more information, visit hemantsurgical.com.
Email your contribution to: viveka.r@expressindia.com viveka.roy3@gmail.com
Editor, Express Healthcare
HEALTHCARE TRACKER
Bridging the gap: Howtechnologyis revolutionising Indian healthcare
Advancements in digital solutions are rapidly transforming the healthcare landscape in India, aligning with Axonic Health's vision of Affordability,Accessibility,and Availability
India, a nation brimming with vibrancy and a billionstrong population, faces a paradox in its healthcare system. Despite significant advancements, the system struggles to bridge the gap between the vast demand for quality medical services and their accessibility, particularly for the most vulnerable populations. Challenges like uneven distribution of resources, financial constraints, and limitations in infrastructure create roadblocks to achieving optimal healthcare delivery. However, amidst these complexities, a beacon of hope emerges – technology. Advancements in digital solutions are rapidly transforming the healthcare landscape in India, aligning with Axonic Health's vision of Affordability, Accessibility, and Availability.
One of the most critical problems plaguing Indian healthcare is the skewed distribution of resources. The National Medical Commission (NMC) data from June 2022 reveals a critical doctor-population ratio of 1:834 in India, highlighting the urgent need to improve healthcare accessibility. [1]
This translates to a stark reality – a scarcity of qualified medical professionals, particularly specialists. The brunt of this shortage is borne by rural areas, where nearly 70 per cent of the Indian population resides .[2]
Financial constraints pose another major hurdle in India's healthcare journey. A 2018 World Bank report revealed a sobering statistic –out-of-pocket expenditures account for over 60 per cent of total healthcare spending in India. [3]
This burden disproportionately impacts low-income families, often forcing them to
Axonic Health recognises the challenges and echoes the vision of a future where quality healthcare is a right,not a privilege.The company's mission to merge medicine with technology aligns perfectly with India's ongoing digital healthcare transformation
choose between essential healthcare needs and other basic necessities.
Technology can play a pivotal role in addressing these challenges and fulfilling Axonic Health's vision. Here's how:
◆ Integrated remote health checks: Platforms enabling remote consultations between patients in remote locations and specialists in urban centers. These consultations offer crucial preliminary diagnoses, guidance, and follow-up support, significantly improving access to healthcare for geographically isolated populations, promoting accessibility. [4]
◆ Digital health applications: Empower patients by
allowing them to monitor their own health vitals, manage chronic conditions through self-care tools, and access information on affordable healthcare options. This promotes informed decision-making and potentially reduces reliance on expensive in-person consultations, contributing to affordability. [5]
◆ Electronic Medical Records (EMRs): Revolutionise data management within the healthcare ecosystem. These digital repositories consolidate a patient's medical history in one easily accessible location, facilitating well-informed diagnoses and potentially reducing unnecessary tests, impacting affordability. [6]
Axonic Health and
the road ahead
Axonic Health recognises the challenges and echoes the vision of a future where quality healthcare is a right, not a privilege. The company's mission to merge medicine with technology aligns perfectly with India's ongoing digital healthcare transformation. Here's how Axonic Health can contribute further:
Focus on rural areas: Develop and implement integrated remote health check solutions specifically tailored to address the needs of rural populations with limited internet connectivity. This focus ensures Accessibility reaches those who need it most.
AI-powered affordability tools: Leverage AI to analyse healthcare costs and identify areas for optimisation. This data can be used to develop cost-effective treatment plans and connect patients with affordable healthcare options, furthering Axonic's vision of Affordability.
Data security and privacy: Champion robust data security protocols within digital healthcare systems to ensure patient trust and encourage wider adoption of technologydriven solutions.
The digital transformation of Indian healthcare is not without its challenges. Bridging the digital divide in rural areas and ensuring robust data privacy remain priorities. However, by fostering collaboration between government, healthcare providers, technology developers like Axonic Health, and civil society organisations, India can harness the power of technology to bridge the gap in healthcare access, affordability, and quality. This collaborative effort has the potential to unlock a future where quality healthcare is a
reality for all, aligning perfectly with Axonic Health's vision of a world where everyone has access to the healthcare they deserve.
In conclusion, India's healthcare system faces significant challenges, but technology offers a beacon of hope. Advancements in digital solutions, championed by companies like Axonic Health, are transforming the way healthcare is delivered. By addressing existing challenges and fostering a collaborative approach, India can leverage technology to create a future where quality healthcare is a reality for all its citizens, fulfilling Axonic Health's vision of Affordability, Accessibility, and Availability for all.
Sources: 1. Update on Ratio Of Patients And Doctors Nurses. https://pib.gov.in/PressReleaseIframePage.aspx?PRID=1985423
2. NITI Aayog. (2018, March). Composite Medical Services Index 2018. https://social.niti.gov.in/health-index
3. Census of India. (2011). https://www.censusindia.gov.in/
4. World Bank. (2018, September 12). Health in India. https://www.worldbank.org/en/news/press-release/2023/03/03/world-bank-signsa-1-billion-program-to-support-india -s-health-sector-for-pandemic-preparedness-and-enhanced-healthserv
5. How Technology Is Changing Health Care in India https://knowledge.wharton.upenn.edu/article/tech nology-changing-health-care-india/
6. The Rise of Health Tech Startups: Bridging Gaps in Indian Healthcare https://www.ibef.org/blogs/the-riseof-health-tech-startups-bridginggaps-in-indian-healthcare
HEALTHCARE TRACKER
APINION X-CUBE 60: Setting new benchmarks in healthcare provision
Alpinion X-Cube 60 by BPLtechnology not only offers superior diagnostic tools to healthcare providers but also creates a comfortable and efficient medical environment.Confident diagnoses through high resolution imaging at the core of X-Cube 60,it has a high-resolution image platform supported by X+ Architecture
APINION X-CUBE 60 is an advanced ultrasound system which is aimed at setting new benchmarks in healthcare provision. By combining innovative technology with ergonomic design, X-CUBE 60 not only offers superior diagnostic tools to healthcare providers but also creates a comfortable and efficient medical environment. Confident diagnoses through high resolution imaging at the core of X-Cube 60, it has a high-resolution image platform supported by X+ Architecture. With this state-ofthe-art imaging technology, the image clarity and details are unmatched allowing health care professionals to diagnose different diseases and conditions with confidence. The X-CUBE 60 ensures that routine examinations or complex diagnostic procedures are captured in detail for effective patient care.
Improving workflow efficiency, X-CUBE 60 was designed with busy healthcare practitioners in mind to streamline workflows and improve efficiency. The system comes equipped with several auto-measurement tools that provide quick results with high accuracy levels. This ensures diagnoses that are accurate as well as easy-to-use features such as bigger touch screens coupled with a newly customised control panel. The ease of navigation reduces learning curves and allows health workers to focus more on patients than the machine’s operation.
User Comfort through ergonomic design healthcare practitioners usually undergo long shifts involving strenu-
Improving workflow efficiency,X-CUBE 60 was designed with busy healthcare practitioners in mind to streamline workflows and improve efficiency.The system comes equipped with several automeasurement tools that provide quick results with high accuracy levels
ous activities often resulting in fatigue or even injury. Its ergonomic design aimed at reducing user fatigue and risk of injuries addresses these issues of concern faced by medical personnel participating in health care delivery especially when using the X-Cube 60.
The practical layout of this system makes it easier for users due to its adjustable parts thus ensuring proper working postures during prolonged usage without strain occurring on them hence ensuring their welfare remains intact so they can offer better
services towards their patients’ wellbeing.
Constricted spaces demand compactness and versatility space is often limited in many healthcare settings. The X-CUBE 60’s small size makes it perfect for environments with limited space. Yet, this
does not imply that the system’s performance has been compromised; on the contrary, it still operates efficiently and effectively.
It fits nicely in tight scanning areas thus being an allround option for different medical facilities ranging from huge hospitals to small clinics. This adaptability helps ensure availability of quality imaging regardless of the location without need for large spaces or costly renovations.
In conclusion, APINION XCUBE 60 is a major milestone in medical imaging technology because it combines highresolution imaging, workflowenhancing features, ergonomic design and compact form factor, providing healthcare professionals with an efficient tool for diagnosing accurately.
The machine offers a range of imaging modes, including B-mode, M-mode, Color doppler, and power doppler, which provide comprehensive diagnostic capabilities.
The machine supports a wide range of clinical applications, including abdominal, obstetric, gynecologic, cardiac, and vascular imaging. Its comprehensive suite of features includes Doppler imaging, 3D/4D imaging, & elastography, offering clinicians a robust platform to address diverse diagnostic needs. Its high-frequency linear probe is particularly effective for musculoskeletal and small parts imaging, making it a versatile tool for various medical specialties.
For more information visit & Enquiry at: Website: bplmedicaltechnologies.com for enquiry: sales.medical@bpl.in
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