Indian Healthcare Sector Research Articles

The prospect of an integrated approach to One Nation One Health policy—Cancer treatment as a potential case

Today, every medical system in India is working unconnectedly without associating with one another. Moreover, many lifesaving procedures and medications are not affordable and easily accessible. Hence, the concept of One Nation One Health is a wonderful idea to improve the healthcare sector in India. The present article highlights selective ideas to make the One Nation One Health policy more effective, with a particular focus on cancer treatment. The relevant articles and books based on this theme were reviewed, and their crucial information was included in the present article. In the current scenario, when healthcare facilities are not easily accessible, mainly in rural areas, the One Nation One Health policy should be implemented strongly. The integration of modern and traditional systems of medicine can be more effective in treating diseases, including cancer, because of own strengths of each medical system.

Determination of Lean and Six Sigma perspectives in Indian healthcare sector: a survey

Determination of Lean and Six Sigma perspectives in Indian healthcare sector: a survey

DEVELOPING A UNIQUE MODEL ON BED PER DOCTOR & BED PER NURSE FOR INCREASED PATIENT SATISFACTION IN INDIA POST COVID-19 OUTBREAK

The Indian healthcare sector has gone through huge stress during the COVID-19 outbreak. The COVID-19 outbreak has shown that there is a huge need for a huge number of doctors, nurses, and paramedics, including beds in hospitals, during such a pandemic situation. Though the pandemic is slowly easing, the medical system in India still faces a lot of challenges. With a huge population, climatic conditions, and hygiene problems, India suffers from several vector-borne diseases like malaria, dengue, etc. As space is an issue in urban India and slums are prevalent in major cities, community-borne diseases transmit quickly, adding to the need for hospitalization. The number of hospitals in rural India is not as per requirement, and getting beds and proper healthcare services is a challenge. To add to all this, the cost of treatment is also high, though the central and state governments have several health insurance schemes for the benefit of the population. In this paper, 500 patients across 25 healthcare centers were questioned using a Likert scale to understand their satisfaction level with the prevalent medical system in India. Through factor analysis, the two important factors that played a major role in patient satisfaction (PS) were identified. Through a simple linear regression equation, two models were derived that would increase the PS. It may be noted that two parameters were analyzed in this paper, though there are several other factors that need to be investigated by other researchers.

DEVELOPING A UNIQUE MODEL ON BED PER DOCTOR & BED PER NURSE FOR INCREASED PATIENT SATISFACTION IN INDIA POST COVID-19 OUTBREAK

The Indian healthcare sector has gone through huge stress during the COVID-19 outbreak. The COVID-19 outbreak has shown that there is a huge need for a huge number of doctors, nurses, and paramedics, including beds in hospitals, during such a pandemic situation. Though the pandemic is slowly easing, the medical system in India still faces a lot of challenges. With a huge population, climatic conditions, and hygiene problems, India suffers from several vector-borne diseases like malaria, dengue, etc. As space is an issue in urban India and slums are prevalent in major cities, community-borne diseases transmit quickly, adding to the need for hospitalization. The number of hospitals in rural India is not as per requirement, and getting beds and proper healthcare services is a challenge. To add to all this, the cost of treatment is also high, though the central and state governments have several health insurance schemes for the benefit of the population. In this paper, 500 patients across 25 healthcare centers were questioned using a Likert scale to understand their satisfaction level with the prevalent medical system in India. Through factor analysis, the two important factors that played a major role in patient satisfaction (PS) were identified. Through a simple linear regression equation, two models were derived that would increase the PS. It may be noted that two parameters were analyzed in this paper, though there are several other factors that need to be investigated by other researchers.

Determination of Lean and Six Sigma’s perspectives in Indian healthcare sector: a survey

Determination of Lean and Six Sigma’s perspectives in Indian healthcare sector: a survey

Influence of E-governance and digitalisation in empowering Indian healthcare sector: A comprehensive review

In the subsequent years of COVID-19, the healthcare sector has seen a significant innovation and advancement. It has grown leaps and bounds and seen a lot of changes. Due to its financial strength and competent management, the private sector of the Indian economy is playing a significant influence in this regard. The development of coalition networks from the bottom up is considered to have been fostered by the many forces of globalisation and ICT, particularly the internet, which connected the global and local processes and effectively muddled the traditional roles assigned to the actors in the network. The usage of Information and Communication Technology (ICT) in the public sector to improve its services and operations. It is considered as a solution to a plethora of problems in serving the constituencies in a faster and efficient manner. Furthermore, ICT offers an opportunity for improvement in public service delivery and most administrative best practices build upon the process redesign and convergence which is brought about by ICT. It enables transformational changes rather than a technical change. ICT enabled e-governance enables integration of government processes and communication with a real time status tracking feature. The research paper's comprehensive evidence collection is gathered from secondary sources, which were collected by reviewing, government department’s websites and several research articles from journals, magazines and books. Further, attempts have been made to identify the various E-governance initiates of Government of India in healthcare sector and its benefits to the stack holders. The main objectives of the study is to. Ascertain the influence of E-Governance Initiatives in Heath Care Sector in India, study the various E-Governance Initiatives of government in healthcare sector and also to identify the challenges of E-Governance by Healthcare sector. The present research paper tries to give few suggestions to the stack holders like, To address the issues associated to digital usages, the authorities can create strategic alliances among various groups and also Applications for e-government may be used by central health agencies Government agencies can encourage collaborations between the public and corporate sectors, as well as between donors and civil society.

Impact of the COVID-19 outbreak on stock returns of Indian healthcare and tourism sectors

The rapid spread of the novel coronavirus pandemic (COVID-19) has adversely impacted global economies and stock markets. This study employs an event study methodology to assess the impact of COVID-19 on stock returns in the healthcare (66 stocks) and tourism (39 stocks) sectors in Indian markets surrounding two events: a) the first COVID-19 case reported in India and b) the announcement of a nationwide lockdown. The findings indicate that investors’ reactions to both events were distinct and asymmetric in healthcare and tourism sectors. The tourism sector stocks react more negatively to the second event than the first, with –2.46% vs. –0.59% event day abnormal returns, respectively. The corresponding figures for healthcare sector stocks are –0.68% and –0.16%, respectively. As expected, pandemic events had a minor negative impact on the healthcare sector. Surprisingly, the tourism industry did not react negatively to the first event. Investors in the tourism industry underreacted to the first reported case; they could not predict the potential consequences and then overreacted to the lockdown announcement. The findings support the behavioral finance theory of underreaction and overreaction, particularly in stressful situations. The study has implications for investors and money managers looking for profitable investment opportunities due to temporary dislocations in stock prices caused by investors’ irrational reactions to certain black swan events.

Effect of motivating language on employee performance: mediating role of organisational citizenship behaviour and employee engagement in the healthcare sector

Purpose This study aims to examine the effect of motivating language on employee performance and assesses the mediating roles of organisational citizenship behaviour and employee engagement between motivating language and employee performance in the Indian health-care sector, which is a highly demanding work environment, wherein employee burnout is high. Design/methodology/approach The study was in the context of COVID-19 pandemic set for health-care workers in India. To collect data and test the proposed research model, 328 questionnaires were respondent by multi-level health-care professionals from private and government hospitals in North India. Findings The findings suggest that leader’s motivating language is crucial for health-care leaders, inducing employee’s performance in context to patientcare, safety and satisfaction. Underpinning theory of leader member exchange substantiates that the role of leader is pivotal in daily interaction with the stakeholders. Self-determination theory of motivation is determined by psychological needs satisfaction inducing employee engagement and organisational citizenship behaviour, amplified through the leader’s motivating language, resulting into improved patientcare and patient safety. The findings state that leader’s motivating language impacts the high culture context like health-care professionals, as observed in the Indian health-care sector during COVID-19. The findings are indicative of developing non-cognitive personality traits for managerial skills. Practical implications The study substantiates the pivotal role of the leader’s communication with stakeholders such as patients/attendants and health-care staff. The findings, which are an indicator of patientcare, as an outcome of patient compliance, will be indicative of developing the non-cognitive skills in the personality traits of managerial skills, inducing patients’ trust in their health-care providers, using motivating language. Therefore, the health-care professionals must be trained in the application of motivating language with stakeholders, namely, patients/attendants and staff. Originality/value The findings state that leader’s motivating language impacts on employees of high culture context like health-care professionals, as observed in the Indian health-care sector during the recent global medical emergency of COVID-19, whereas the earlier studies posited leader’s motivating language to be effective on employees with low-cultural context. The role of leader is pivotal in daily interaction with the stakeholders, namely, patients/attendants and health-care staff.

A moderated-mediation model of the relationship between responsible leadership, citizenship behavior and patient satisfaction

PurposeBased on the theory of planned behavior (TPB) and stakeholder theory, the model proposes that responsible leadership (RL) is mediated by affective commitment (AC) on both outcome variables (organizational citizenship behavior [OCB] and patient satisfaction [PS]) while distributive justice (DJ) moderates the relationship among RL, OCB and PS through the mediator of AC.Design/methodology/approachOverall, data collected from 275 employees and patients in India’s healthcare sector support this model both in online and offline mode. SPSS 25, AMOS 22 and PROCESS macro were used to analyze the data.FindingsThe influence of RL, OCB and PS was seen insignificant in the Indian healthcare sector. This study examines the role of AC as a mediator which does not affect extra-role behavior and PS. The findings also show that the moderation-mediation effect of DJ through AC strengthened the link between RL and OCB, but not PS. Commitment does not affect extra-role behavior and PS.Originality/valueUntil now, there has been no research in the Indian context that has tested the effect of RL on extra-role behaviors and PS, as mediated by AC, according to researchers’ knowledge. Since RL and outcome variables are related through AC, the current study aims to understand how DJ acts as a moderator to that relationship.

Can circular healthcare economy be achieved through implementation of sustainable healthcare supply chain practices? Empirical evidence from Indian healthcare sector

PurposeIdea of circular economy defies the classical “make-use-dispose” approach of linear economic model. In the context of health-care industry, it relies heavily on the supply chain practices implemented by industry stakeholders. The purpose of this study is to explore such relationships, study their structure and put it across for attaining sustainability at large.Design/methodology/approachThis study is an empirical research conducted on 145 health-care firms. The collected data is analysed to develop structural and measurement model. The five constructed hypotheses are examined and tested through structural equation modelling.FindingsThe study illustrates the latent relationships that exist among the stakeholders involvement, sustainable supply chain practices, sustainable performance and circular economy for health-care industry. It is found that the adoption of sustainable supply chain practices improves health-care performance, which, in turn, have positive influence on circular economy.Research limitations/implicationsThe structural and measurement model is developed in the context of circular health-care economy. It can be validated or improvised by conducting similar research in other industry using different methods. This research work fulfils the long existing gap in research by offering a linkage between various constructs to achieve health-care circular economy. Based on the research results, future researchers can build theories of circular economy and sustainability for health-care industry.Originality/valueThe study attempts to study the supply chain ways to achieve circular economy for Indian health-care sector. It considered latent relationships among the set of constructs, which are needed for theory building at later stage.

Post-vaccination COVID-19 infection among health care workers in a medical college hospital.

The world witnessed the pandemic of coronavirus disease (COVID)-19, caused by the virus Severe acute respiratory syndrome coronavirus 2, wreaking havoc on all our lives. The healthcare sector in India was faced with numerous challenges and struggles. The health care workers of this developing country risked everything against this pandemic, which put them at a higher risk of transmission of this infection. The risk of contracting Covid infection was not nullified, even though vaccination was introduced and was made available to these healthcare workers at the earliest. Hence this study aimed to understand the severity of COVID-19 infection, post covid vaccination. A cross-sectional study was conducted among 95 health care workers of Father Muller Medical College hospital who were infected with COVID-19, post their vaccination. A validated preformed questionnaire was used to collect the data from the participants. Data were analyzed using IBM SPSS 21st version. Descriptive statistics were used. A value of P < 0.05 was considered significant. In our study, 34.7% of health care workers required hospital admission for COVID-19 treatment. The mean duration is taken by health care workers to return to work after COVID was 12.59 days (SD-4.43). The severity of COVID-19 infection was significantly higher among females, the younger population, and the nursing cadre. The severity of COVID-19 infection among health care workers and long COVID can be reduced by timely vaccination.

Agatsa Software: entrepreneurial opportunity generation and exploitation

Learning outcomes This case study outlined the strategic and organizational issues faced by an entrepreneurial firm operating in an emerging economy. While the traditional view is “more for more” and “less for less” with respect to quality and price, the medical devices sector demands “more for less” in an emerging economy such as India, i.e. the market demands quality products at affordable prices. This case was written to equip students with the knowledge of how entrepreneurs can overcome certain barriers and use technology to recognize and exploit an opportunity, using the Indian health-care industry as an example. The key learning outcomes for the case include the following: • Entrepreneurs define their own market, come up with innovations and create a completely new market with suitable customer value proposition. • Entrepreneurial opportunity recognition comes from being prepared, having prior knowledge of customers and the market and having a strong network. • An entrepreneurial preference for error of omission or commission is the determining factor when deciding whether to exploit a recognized opportunity or not. • Entrepreneurs exploit an opportunity by giving special emphasis on their entry and risk reduction strategy. • A technology-based product with a combination of services that will create its own product ecosystem with data is the primary goal. Case overview/synopsis The Indian health-care sector is one of the largest sectors in India and incorporates the medical devices sector, and the heart monitor segment especially represents a huge untapped opportunity. India has the highest number of deaths because of heart disease in the world, yet there is no mechanism for affordable heart monitoring, which results in large number of deaths. As existing products are either B2B or unaffordable, there is an opportunity to leverage technology to come up with cgiq products similar to blood pressure and sugar monitors. However, there are certain challenges unique to the market and product. The case described how two young entrepreneurs founded a company called Agatsa and overcame certain challenges to create a credit card-sized ECG device and the importance of building an ecosystem in a new market. Some specific issues that the case posed included the following: will it be possible for Agatsa to come up with an ecosystem to monitor heart functioning and will that be accepted by the stakeholders in an emerging market such as India? Should Agatsa have a product-driven strategy or a data-driven strategy? Will Agatsa be able to find the right business model to create and capture value? Complexity academic level MBA in courses such as entrepreneurship development, new venture creation and entrepreneurship in emerging markets. Supplementary materials Teaching notes are available for educators only. Subject code CSS 3: Entrepreneurship.

Intelligent Technologies for Excellency in Sustainable Operational Performance in the Healthcare Sector

Recent years witnessed lots of advancements in internet of medical things (IoMT), innovations in artificial intelligence (AI), big data analytics, and fog computing-based healthcare practices. Adoption of these intelligent technology-based solutions could help healthcare establishments to improve their sustainable operational performance. However, success of implementation of smart technology-enabled Health 4.0 practices depends upon the coordinated efforts from all the stakeholders including patients, physicians, healthcare workers, healthcare administrators, policy makers, and technology service providers towards its adoption. In this regard, this research has been conducted to investigate the current status of Health 4.0 implementation in India and readiness of the Indian healthcare sector towards its adoption. This paper further employs the SWOT analysis to identify the current areas that need immediate improvement to facilitate Health 4.0 adoption.

Impact of COVID 19 on the Healthcare Sector in India: An Economic Overview

Covid-19, one of the major catastrophes of this century, also known as the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2,) struck the world and created havoc with its rapid spread. Started as a mere local transmission from the city of Wuhan, China in 2019 and spread throughout the world. The present study is solely based on secondary data and is conceptual in nature. This paper aims to understand various aspects of the economic challenges facing the Indian healthcare system and possible measures undertaken to overcome the impact of the Covid-19 pandemic in India. The purpose of this paper is to analyze the short-term and potential long-term effects of this pandemic on the Indian healthcare sector. The whole India was surprised and countries did not have time to carefully prepare to fight this pandemic. This study provided a comprehensive analysis of the outbreak of Covid-19 in India and its impact on the healthcare sector the epicenter of the challenge.

A Serial Mediation Model for Investigating the Impact of e-CRM Services on Customer Loyalty in the Indian Healthcare Industry

The aim of this study is to examine the relationship between e-CRM and consumer loyalty in the Indian private healthcare sector with customer trust (CT), customer value (CV), customer satisfaction (CS), and switching costs (SCs) as mediators. As per the findings, mentioned variables in this analysis (with the exception of the relationship between e-CRM and customer loyalty (CL) as this relationship is accepted at p = 0.05 significance level and not at p = 0.001 significance level) have a direct significant positive association with one another. In addition, CT and CV are the partial mediator in the relationship between e-CRM and CS, whereas the relationship of CS with CL is fully mediated through SC. Above all, there is an existence of serial mediation in the relationship of e-CRM with CL having CS and SC as mediators.

Anti-competitive practices and healthcare sector in India

Health is the basic human right and an important indicator of the nations’ commitment towards the health of its citizen and hence every country strives to increase the health standard and provide basic medical facility to all. This right to health is an outcome of various legal sanctions, both internationally and of countries specific. The right to health is enshrined as a basic human right internationally. The right to health is an inclusive right, extending not only to timely and appropriate health care, but also to the underlying determinants of health as per (Report of Committee on Economic, Social and Cultural Rights). Though the Constitution of India does not expressly recognize the Right to Health as a fundamental right under Part III of the Constitution (Fundamental Rights), it is considered as an inseparable part of the Right to Life. Article 23. As a result, the child labour and human trafficking are prohibited in India. This article aims to analyse the impact of fast-changing lifestyle, habits, stress, COVID-19 pandemic and other factors on public health in India. It is more sensitized since last two years.

Busting the myth

Busting the myth

Private Sector Presence in Healthcare in India: Econometric Analysis of Patterns and Consequences

The presence of private providers in the Indian healthcare sector remains one of the most debated issues. This article attempts to contribute to this debate from the angle of the ultimate goal of healthcare provision—a healthy population. We explore whether private sector presence (PSP) has improved the general health status of the people. We develop a theoretical argument to hypothesize that PSP in India would lead to better health status through the route of competition-driven quality, which in turn could lead to adverse economic consequences. We use district-level secondary data from government sources to confirm our hypotheses using robust tools of applied econometrics, correcting for serious problems of endogeneity. Constructing a district-level index of PSP, we identify distinct spatial/geographical clusters, explained by socio-economic prosperity as well as demonstration effect. We also find a robust positive association between PSP and general health outcomes, accompanied by an adverse economic consequence of rising catastrophic out-of-pocket expenditure. In terms of policy, the article concludes that rather than restricting the growth of the private sector, the government must strengthen the quality of the existing public healthcare delivery system and ensure effective monitoring and regulation. JEL Codes: 110, 111, 112, 115

Cultural intelligence and innovative work behavior: examining multiple mediation paths in the healthcare sector in India

PurposeThe purpose of this study is to look at numerous mediating factors that influence innovative work behavior through cultural intelligence (CQ). The author specifically examines affective commitment, interpersonal trust and psychological well-being as three mediating pathways through which CQ predicts innovative work behavior (IWB).Design/methodology/approachData was collected from 355 employees working in the health-care sector of India through convenience sampling.FindingsAffective commitment, interpersonal trust and psychological well-being mediated the relationship between CQ and innovative work behavior. In addition, CQ positively relates to affective commitment (AC), interpersonal trust and psychological well-being and IWB.Practical implicationsManagers and human resource (HR) professionals can potentially stimulate employee innovation by developing cultural awareness programs for their employees. An organization must seek to provide a sense of attachment, a trustworthy environment and a favorable perception of psychological well-being to its employees. This could stimulate innovation in the health-care sector.Originality/valueAlthough understanding the mechanism or processes by which CQ supports IWB is critical, research in this area is limited. This study theorizes and empirically examines affective commitment, interpersonal trust and psychological well-being as novel mechanisms through which CQ promotes innovative behavior in health-care organizations. Furthermore, the author presume that the intervening mediators guide the direction of social exchange.

In search of happiness quotient : An empirical evidence of work life balance in the Indian health care sector

This research is intended to assess the repercussion of work-life balance on the happiness quotient of professional trained employees of health care sectors who continually undergo work-family conflict (WFC) and family-work conflict (FWC).In order to analyze the same a questionnaire based survey was designed on 7 point likert scale for evaluating the aforementioned relationship based on dataset of 206 clinical doctors from the health care sector. The data set was analyzed with the help of using SPSS and AMOS and the results indicate that WFC and FWC are related and cause a rise in stress levels among clinical doctors, whereas coming to the part of Subjective Happiness(SH), it is examined that majority of the employees were satisfied with their current situation. Hence, it is concluded that achieving a work-life balance is considered as a predominant aspect of a doctor’s life as health care professionals have found that their duties are increasingly onerous, causing an increase in stress levels.