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The Health care consists of:

primary, secondary and tertiary care institutions, managed by medical and paramedical persons

Primary Health Care


health care that is provided by a health care professional in the first contact of a patient with the health care system. Primary health care is also known as general health care. It is when you get an exam by your regular doctor. Eg. RMP,MBBS.

The government funded primary health care institutions include: According to 1990-2002
-Subcentral 137271 (1/ 4579 population) -Primary Health centres 22975 (1/27364 population) -Community Health centres 2935 (1/214000 population)

Major players primary healthcare treatment services, offers doctor consultations, diagnostic services, minor surgical procedures and products from an in-house dispensary. Price will be starts from 50 rs to 1000 + depends up on the treatment they Take including doctor fee.

Sub-Centre
The Sub-centre(SC) is the most peripheral health institution available to the rural population. Sub divisional/Taluk hospitals/speciality hospitals (estimated to be about2000) 5435 rural family welfare centres, 871 urban health posts, 1083 urban family welfare centres, 550 district post partum centres and 1012 sub district ,22,104 dispensaries, 2862 hospitals under the urban health services provided by municipalities.

Primary Health Centres (PHCs)


PHC is a referral unit for six sub-centres. All PHCs provide outpatient services, a majority has four to six in-patient beds. According to the norms they have one medical officer, 14 Para-medical and other supporting staff. At the national level there are more than an adequate number of PHCs and doctors posted at PHCs but the distribution across states is uneven there are no functional PHCs in many remote areas where there is a need of health care. For every 30000 population in the plains and 20,000 persons in hilly, tribal and backward areas.

Community Health Centres/First Referral Units


Community Health Centre(CHC) is the first referral unit ( FRU) for four PHCs offering specialist care. According to the norms each CHC should have at least 30 beds, one operation theatre, X-ray machine, laboratory facilities and is to be staffed at least by four specialists i.e. a surgeon, a physician, a gynaecologist and a paediatrician supported by 21 Para-medical and other staff.

Tribal Health
In order to ensure adequate access to healthcare services for the tribal population, 20,769 SCs, 3286 PHCs, 541 CHCs, 142 hospitals, 78 mobile clinics and 2305 dispensaries have been established in tribal areas. In addition, 16845 SCs, 5987 PHCs, 373 CHCs and 2750 dispensaries are located in villages with 20 per cent or more scheduled caste population.

secondary health care:


General health services available in hospitals. Secondary care is the health care services provided by medical specialists and other health professionals who generally do not have first contact with patients, for example, cardiologists and dermatologists It includes acute care necessary treatment for a short period of time for a brief but serious illness, injury or other health condition, such as in hospital emergency department. It also includes skilled attendance during childbirth, intensive care, and medical imaging services

Tertiary health care


Tertiary care is specialized consultative health care, usually for inpatients and on referral from a primary or secondary health professional, in a facility that has personnel and facilities for advanced medical investigation and treatment, such as a tertiary referral hospital. Examples of tertiary care services cancer management, neurosurgery, cardiac surgery, plastic surgery, treatment for severe burns, advanced neonatology services, palliative, and other complex medical and surgical interventions.

With over 7500 beds across 43 hospitals Secondary Hospitals including teaching hospitals 12,190. Tertiary hospitals 2939. Price: for secondary hospital treatment charges will be on 1000+ i.e. 1200rs to 50,000+. for Tertiary hospitals it will be in laks.

By, P.Sravan Kumar

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