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Enhancing care for urban poor living with chronic conditions : role of local health systems

Upendra Bhojani (UGent)
(2016)
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Abstract
Five-year research in a poor urban neighborhood in South India reveals a high burden of chronic conditions where the majority rely on private health facilities for care. Poverty hinders people from accessing health services and those who seek care get further impoverished. Socially defined roles and positions limit women and elderly in managing care. Fragmented services imply patients having to visit more than one facility for a single episode of care. The limited use of medical records and lack of referral systems hinder continuity of care. Poor regulation of the private sector, lack of platforms for community engagement and corruption mark ineffective governance of the mixed local health system. The government sector fails to provide adequate care, whereas the private sector strives to maximize profits. Care for the poor is at best seen as charity. Our study unravels the complex nature of the local health system wherein implementing positive change requires careful consideration of local dynamics and opportunities.
Keywords
chronic, health services, chronic diseases, urban, poverty, slum, India, health system, hypertension, health care, non communicable diseases, diabetes, local health system

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Citation

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Chicago
Bhojani, Upendra. 2016. “Enhancing Care for Urban Poor Living with Chronic Conditions : Role of Local Health Systems”. Ghent, Belgium: Ghent University. Faculty of Medicine and Health Sciences.
APA
Bhojani, U. (2016). Enhancing care for urban poor living with chronic conditions : role of local health systems. Ghent University. Faculty of Medicine and Health Sciences, Ghent, Belgium.
Vancouver
1.
Bhojani U. Enhancing care for urban poor living with chronic conditions : role of local health systems. [Ghent, Belgium]: Ghent University. Faculty of Medicine and Health Sciences; 2016.
MLA
Bhojani, Upendra. “Enhancing Care for Urban Poor Living with Chronic Conditions : Role of Local Health Systems.” 2016 : n. pag. Print.
@phdthesis{8084058,
  abstract     = {Five-year research in a poor urban neighborhood in South India reveals a high burden of chronic conditions where the majority rely on private health facilities for care. Poverty hinders people from accessing health services and those who seek care get further impoverished. Socially defined roles and positions limit women and elderly in managing care. Fragmented services imply patients having to visit more than one facility for a single episode of care. The limited use of medical records and lack of  referral systems hinder continuity of care. Poor regulation of the private sector, lack of platforms for community engagement and corruption mark ineffective governance of the mixed local health system. The government sector fails to provide adequate care, whereas the private sector strives to maximize profits. Care for the poor is at best seen as charity. Our study unravels the complex nature of the local health system wherein implementing positive change requires careful consideration of local dynamics and opportunities.},
  author       = {Bhojani, Upendra},
  isbn         = {9789078344445},
  keyword      = {chronic,health services,chronic diseases,urban,poverty,slum,India,health system,hypertension,health care,non communicable diseases,diabetes,local health system},
  language     = {eng},
  pages        = {229},
  publisher    = {Ghent University. Faculty of Medicine and Health Sciences},
  school       = {Ghent University},
  title        = {Enhancing care for urban poor living with chronic conditions : role of local health systems},
  year         = {2016},
}