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Abstract：
Indian healthcare system is in immediate need of a new healthcare delivery model to increase healthcare accessibility and improve the health outcomes of the marginalized. Inaccessibility and underutilization of Primary Health Centers (PHCs) disproportionately affect people living in remote areas. It is thus imperative for the designers, engineers, health professionals, and policymakers to come together with a collaborative mindset to develop innovative interventions that sustainably manage the accessibility of PHCs at large, promote preventive health, and thus improve the health outcomes of hard-to-reach communities. This article examines the available literature on barriers to primary healthcare in Indian context, the reason of failure of PHCs and the way forward. The article further analysis literature on existing Mobile Medical Units (MMUs) as an alternate solution to conventional PHCs and attempt to extract the major lessons to propose a mobile Primary Health Center (mPHC) in contrast to the existing conventional static PHCs. The intention is to find out the research gaps in the existing literature and try to address the same for future researchers, designers, engineers, health professionals and policy makers to think forward to make this idea of a mobile Primary Health Center (mPHC), as the main delivery model to cater basic healthcare services to the underserved communities.
摘要：
印度的医疗保健系统迫切需要一种新的医疗保健提供模式，以增加医疗保健的可及性并改善边缘化人群的健康状况。初级保健中心（PHCs）的难以接近和利用不足对生活在偏远地区的人们造成了不成比例的影响。因此，对于设计师来说，这是当务之急。工程师,卫生专业人员,和政策制定者以协作的心态共同制定创新的干预措施，以可持续地管理整个PHCs的可访问性，促进预防性健康，从而改善难以到达的社区的健康结果。本文研究了印度背景下关于初级医疗保健障碍的现有文献，PHCs失败的原因和前进的方向。本文进一步分析了有关现有移动医疗单位（MMU）作为常规PHC的替代解决方案的文献，并尝试提取与现有的常规静态PHC相比，提出移动初级健康中心（mPHC）的主要经验教训。目的是找出现有文献中的研究空白，并尝试为未来的研究人员解决相同的问题。设计师,工程师,卫生专业人员和政策制定者考虑提出移动初级保健中心(mPHC)的想法，作为向服务不足的社区提供基本医疗服务的主要交付模式。
