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Hospitals charging money from patients under PM-JAY to face stern action

This survey was carried out before the Ayushman Bharat scheme took root in India. Hence, its impact be revealed. Although it showed that the available schemes at the central and state level have made little to no difference.

  • The survey was conducted from July 2017 to June 2018.
  • Data was collected from 5,55,114 households spread over every district of the country.
  • The rural households belonged to 8,077 randomly selected villages and the urban households to 6,181 randomly selected urban blocks.

Around 97 per cent of expenses on hospitalisation is undertaken by people using their own income or savings. While sale of assets and private sector, barring charitable or NGO-run hospitals, accounts for over 55% of hospitalisation expenses. This does not include admission for childbirth.

These figures were revealed by a National Statistical Office (NSO) survey conducted from July 2017 to June 2018 covering almost 1.14 lakh households across India.

Rural people spending on healthcare services

  • Household/saving 79 per cent
  • Borrowing 13.4 per cent
  • Loans from friends and relatives 3.4 per cent

Urban people spending on healthcare services  

  • Household/saving 83.7 per cent
  • Borrowing 8.5 per cent
  • Loans from friends and relatives 3.8 per cent

Medicines made up for 50% of expenditure in case of hospitalisation in government or civic-run hospitals. 18% of the money is spent on diagnostic services. While just 4% is spent on doctor’s or surgeon fees. In public facilities ‘package components’ constituted 12.5% of expenditure.

Package components accounted for the biggest chunk of expenditure in private hospitals at 32%. This is followed by money spent on medicines at 22%. Doctor’s or surgeon’s fees constituted 18% of expenditure. Bed charges accounted for 11.6% expenditure in private hospitals and just 3% in government or civic-run hospitals.

Overall money spent on:

  • Expenses on medicine 70 per cent
  • Diagnostic tests 12.6 per cent
  • Doctor’s fees 13.3 per cent

In rural areas – 45.7 per cent cases in rural hospital and 51.9 in private hospitals

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