目前的医疗保健方案仍处于受损状态,无论是缺乏基础设施,医药和人力资源,尤其是在印度农村。此外,由于缺乏意识等几个原因,农村地区的病情恶化,适当的道路,以及缺乏适当的医疗保健模式。德里州政府,印度,建立“Mohalla”诊所,为德里及周边地区的居民提供基本的医疗保健,关注城市贫民。基本卫生服务,比如接种疫苗,计划生育,和咨询,可以在莫哈拉诊所买到,一个医生,一个护士,药剂师,并配备了实验室技术员。尽管起步良好,运营成本低,莫哈拉诊所倡议仍在努力按照设想覆盖所有德里州。这项研究分析了德里的“Mohalla”诊所的运营挑战,并提出了为偏远地区的其他初级医疗保健基础设施服务实施的经验教训。分析基于系统(基础设施,设施,和服务)对55名受访者进行的文献综述和定性访谈的优势和局限性,包括医生,护士,以及使用SUTD-MIT(新加坡科技设计大学-麻省理工学院工业设计中心)的产品服务系统(PSS)访谈模板的11个Mohalla诊所中的患者。结果表明,可以从德里莫哈拉诊所的模式中吸取教训,以供其他州在其初级医疗保健部门实施。为了实现全民健康覆盖(UHC),德里莫哈拉诊所由于几个限制而不足。因此,为了实现UHC,印度的医疗体系需要一种新的医疗服务模式。因此,我们应该根据从研究中获得的见解提出一种新的医疗保健提供模式。所提出的一种这样的递送模型是移动初级健康中心(mPHC)。这个可折叠的系统可以带到遥远的地区,部署了几个小时,运行门诊(OPD),崩溃,回到基地。
The present healthcare scenario is still in its compromised state, whether it is the lack of infrastructure, medicines and human resources, especially in rural India. Moreover, the condition worsens in rural areas due to several reasons like lack of awareness, proper roads to access, and lack of proper delivery of healthcare model. The state government of Delhi, India, set up the \"Mohalla\" Clinics to provide essential healthcare to residents of Delhi and the surrounding areas, focusing on the urban poor. Essential health services, such as vaccinations, family planning, and counselling, are available at the Mohalla Clinics, where a doctor, a nurse, a pharmacist, and a lab technician are staffed. Despite a strong start and low operating costs, the Mohalla Clinic initiative still struggles to cover all Delhi state as envisioned. This study analyses the operational challenges of Delhi\'s \"Mohalla\" Clinics and proposes lessons to be implemented for other primary healthcare infrastructure services for remote areas. The analysis is based on the systems (infrastructure, facilities, and services) strengths and limitations from a literature review and qualitative interview conducted among 55 respondents, including doctors, nurses, and patients among 11 Mohalla Clinics using the SUTD-MIT (Singapore University of Technology and Design-Massachusetts Institute of Technology Industrial Design Centre) interview template for Product Service System (PSS). The results show that there are lessons to learn from the model of Delhi Mohalla Clinics for other states to implement in their primary healthcare sectors. To achieve Universal Health Coverage (UHC), the Delhi Mohalla Clinic falls short due to several limitations. Thus, to achieve UHC, the Indian healthcare system needs a new healthcare delivery model. Hence, we ought to propose a new healthcare delivery model based on the gained insights from the study. One such delivery model proposed is a mobile Primary Health Center (mPHC). This collapsible system can be taken to far-flung regions, deployed for some hours, run the Out-Patient Department (OPD), collapsed, and returned to base.