Health and Medical Care Services: Claims on National Resources
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HEALTH AND MEDICAL CARE SERVICES: CLAIMS ON NATIONAL RESOURCES Editor C. Subburaman, Ph.D. Department of Economics Annamalai University Annamalainagar-608002 Tamilnadu, India [email protected] A Publication of LANGUAGE IN INDIA www.languageinindia.com ISSN 1930-2940 [email protected] Language in India www.languageinindia.com ISSN 1930-2940 13:4 April 2013 C. Subburaman, Ph.D. (Ed.) Health and Medical Care Services: Claims on National Resources i Contents Editor’s Note C. Subburaman, Ph.D. v =============================================================== 1. Synergy of Health, Poverty and Economic Development (With Reference To Rural Odisha) Anjali Dash [email protected] 1-14 2. The Challenges of Food Habits of Adolescent Children in Chennai City Dr. R. Balasubramaniyan [email protected] & Ms. D. Bhuvaneswari [email protected] 15-29 3. Inclusive Policy and Programme: Inclusive Healthcare Jose Chacko Madhavassery, M.A. Economics, UGC NET [email protected] 30-39 4. A Study on Determinants of Maternal Mortality Rate in Tamil Nadu S. Chandraleka, [email protected] & M. Rajeswari, [email protected] 40-47 5. Health Insurance in India J. Kalaisigamani [email protected] A. Sangameshwaran [email protected] 48-58 6. Economics of Health and Health Care Issues in India V. Kaleeswari, [email protected] Dr. T. Sridhar, [email protected] 59-66 7. Poverty and Malnutrition M. Kaliamoorthi [email protected] 67-78 8. Awareness Level of Health Habits among Working Women in Thanjavur District, Tamilnadu V. Lalitha, M.Com., M.Phil., B.Ed., M.B.A., (Ph.D.) Research Scholar [email protected] D. Bharathidasan, M.Com., M.Phil. [email protected] 79-90 9. Health Insurance… Do You have a Choice? Dr. K. B. Laliytha, [email protected] 91-95 Language in India www.languageinindia.com ISSN 1930-2940 13:4 April 2013 C. Subburaman, Ph.D. (Ed.) Health and Medical Care Services: Claims on National Resources ii 10. Healthcare Expenditure in Mizoram - An Economic Appraisal C. Lalrinmawii, M.A, M.Phil. [email protected] and Dr. A. Duraisamy, M.Sc., M.Phil., Ph.D. [email protected] 96-106 11. Estimation of Cost and Utilisation of Anti-Diabetic Drugs in Geriatric Patients V. P. Maheshkumar, M.Pharm., M.A. (Eco.), MBA, M.Phil. [email protected] Dr. C. K. Dhanapal, M.Pharm., Ph.D. [email protected] 107-122 12. Factors Determining Morbidity in Kerala Nimisha P., M.A., M.Phil., B.Ed. [email protected] 123-135 13. Health Insurance Companies in India – A Comparative Study 136-144 Pranav S., Post-Graduate Student, MBA - Insurance Management [email protected] 14. An Overview of Tourism Industry and Its Impact on the Heath Status in Sikkim State Praveen Rizal [email protected] and R. Asokan [email protected] 145-153 15. A Study on Health Indicators and Their Determination with Reference to India Dr. S. Raja Rajan, M.A., M.Phil., B.Ed., Ph.D. [email protected] 154-169 16. Choice of Curative Healthcare Provider among Urban Households in Tamil Nadu Dr. M. Raju [email protected] 170-177 17. Health Insurance Market in India – The Way Forward Dr. S.A. Senthil Kumar, M.B.A, M.Phil, PGDCA, Ph.D., and R. Ramamoorthy, M.B.A, M.Phil. 178-193 18. Patient Perception and Travel Behaviour Pattern in Primary Health Care Center in Haripad Block - A Micro Geo-Medical Study Dr. V. Saravanabavan [email protected] 194-207 19. An Impact of Stress Management on Employed Women Dr. D. Rajasekhar B. Sasikala, Ph.D. Research Scholar [email protected] 208-220 20. Economic Reforms and Health Sector: Implications for Indian Pharmaceutical Industry 221-233 Satyanarayana Rentala, [email protected] and Dr. Byram Anand, [email protected] 21. Sexual Behaviour in India with High Risk of HIV/AIDS 234-245 T. Kavitha, Ph.D. Research Scholar [email protected] Dr. K. Suriyan [email protected] Language in India www.languageinindia.com ISSN 1930-2940 13:4 April 2013 C. Subburaman, Ph.D. (Ed.) Health and Medical Care Services: Claims on National Resources iii 22. An Economic Analysis of Health Status on Madurai District, Tamilnadu: A Case study of Thirumangalum Taluk S. Sridhar, [email protected] M. Anandan and S. Ramaswamy 246-258 23. Evaluation of Healthcare Services “Why Did We Choose This Hospital?” T. R. Srinivas, [email protected] Dr. Surendra Prasad 259-268 24. Theoretical Insight on the Socio-Emotional State of Adolescents M. Valarselvan [email protected] and Dr. K. Muralidharan [email protected] 269-277 25. Health Insurance in Rural India B. Muthukrishnan [email protected] D. Rama Devi [email protected] Dr. S. A. Senthil Kumar [email protected] 278-286 26. Economic Growth and Public Expenditure: A Case Study of Union Territory of Puducherry L. Annam [email protected] & Suresh Kumar Patra [email protected] 287-304 27. National Rural Health Mission (NRHM) & Health Status of Odisha: An Economic Analysis Suresh Kumar Patra [email protected], L.Annam [email protected] and Prof. M. [email protected] 305-315 28. Service Quality Measurement in Healthcare Sector in India N. Ratna Kishor, MBA., M.Com., MHRM., M.Phil., Ph. D. Candidate [email protected] K. Hari Babu, Ph.D. Full Time Scholar [email protected] 316-329 29. Cerebral Palsy Children: An Effective Home Care C. K. V. Bhuvaneswari [email protected] 330-337 30. Trends and Patterns of Health Expenditure in India J. V. Arun [email protected] and Dr. D. Kumar 338-350 Language in India www.languageinindia.com ISSN 1930-2940 13:4 April 2013 C. Subburaman, Ph.D. (Ed.) Health and Medical Care Services: Claims on National Resources iv Editor’s Note This volume contains several of the articles presented and discussed in the UGC Sponsored National Seminar on HEALTH AND MEDICAL CARE SERVICES: CLAIMS ON NATIONAL RESOURCES conducted by the Department of Economics, Annamalai University on 20th & 21st December 2012 in Annamalainagar, Tamilnadu, India. A wide variety of issues relating to healthcare in India is dealt with in the articles presented here: Health, Poverty and Economic Development, Inclusive Policy and Programme, Inclusive Healthcare, Health Insurance in India, Poverty and Malnutrition, Stress Management, the Challenges of Food Habits, Awareness Level of Health Habits among Working Women, Determinants of Maternal Mortality Rate, Health issues and insurance in some selected states of India, diabetic and geriatric patient care, and Health Insurance Companies in India, etc. Even as the Economics of Health and Health Care Issues in India dominated our discussions and presentation of academic research, scholars always focused on how adequate and effective healthcare can be provided to all those who do not have access to such care. C. Subburaman, Ph.D. Department of Economics Annamalai University [email protected] Language in India www.languageinindia.com ISSN 1930-2940 13:4 April 2013 C. Subburaman, Ph.D. (Ed.) Health and Medical Care Services: Claims on National Resources v Synergy of Health, Poverty and Economic Development (With Reference To Rural Odisha) Anjali Dash =================================================================== Language in India www.languageinindia.com ISSN 1930-2940 Vol. 13:4 April 2013 =================================================================== Abstract Improvements in health result in improvements in national income, poverty could decline on account of both the standard ‘trickle-down’ effects and an increased financial capacity of nations to set up safety nets. Poverty can have an adverse impact on health because of malnutrition and also due to poor sanitation; unsafe drinking water supply etc. Odisha is an eastern state of India. Health infrastructures of Odisha are far from requirements and the outcomes of health are far from satisfactory. This is because of, both, inadequate and unequal health care facilities to the population as well as due to insufficient affordable capacity of majority of the people. There is a heavy burden of diseases prevalent in Odisha. This is a micro level study base on rural Odisha. Main objective of this paper is to analyse the relationship between health, poverty and economic development on rural masses and to understand the cause of unequal health outcomes. The study also strives to analyse allocation of resources for health care system as well as people’s financing pattern on health care which affect to their livelihood situation. Health related expenditure increases debt position of the poor household and they are again in poverty trap. Key Words: Health, Poverty, Development, Indebtness. Introduction The role of health in influencing economic outcomes has been well understood at the micro level. Healthier workers are likely to be able to work longer, be generally more productive than their relatively less healthy counterparts, and consequently able to secure higher earnings than the latter, all else being the same; illness and disease shorten the working lives of people, thereby reducing their lifetime earnings. Better health also has a positive effect on the learning abilities of children, and Language in India www.languageinindia.com ISSN 1930-2940 13:4 April 2013 C. Subburaman, Ph.D. (Ed.) Health and Medical Care Services: Claims on National Resources Anjali Dash Synergy of Health, Poverty and Economic Development (With Reference To Rural Odisha) 1 leads to better educational outcomes (school completion rates, higher mean years of schooling, achievements) and increases the efficiency of human capital formation by individuals and households (Strauss and Thomas 1998; Schultz 1999). Health has a positive and statistically significant effect on the rate of growth of GDP per capita. Higher incomes potentially permit individuals (and societies) to afford better nutrition, better health care and, presumably, achieve better health. Improvements in health result in improvements in national income, poverty could decline on account of both the standard ‘trickle-down’ effects and an increased financial capacity of nations to set up safety nets.