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Sinimole, K. R.
- Does Healthcare System in Kerala Need a Change? Emerging Patterns of Morbidly and Hospitalisation
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1 Francis Institute of Management and Research, Borivali, Mumbai 400103, Maharashtra, IN
2 Tata Institute of Social Sciences, Deonar, Mumbai 400088, Maharashtra, IN
1 Francis Institute of Management and Research, Borivali, Mumbai 400103, Maharashtra, IN
2 Tata Institute of Social Sciences, Deonar, Mumbai 400088, Maharashtra, IN
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Artha Vijnana: Journal of The Gokhale Institute of Politics and Economics, Vol 61, No 1 (2019), Pagination: 1-21Abstract
Although the ‘Kerala Model’ is often viewed as a rare combination of higherorder human development and not so discernible patterns of consistent exponential economic growth, it appears that in recent times the health system in Kerala has been facing the emerging crisis in public health. This paper assesses the determinants of morbidity and hospitalisation here using NSSO 71st round data. While we compare the results with the extant literature, drawing cues from the results, we explore public policy options that are appropriate to the context of Kerala. Moreover, the paper also examines the disease profile of hospitalized households.
References
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Authors
Affiliations
1 St. Francis Institute of Management and Research, Borivali, Mumbai 400103, Maharashtra, IN
1 St. Francis Institute of Management and Research, Borivali, Mumbai 400103, Maharashtra, IN
Source
Artha Vijnana: Journal of The Gokhale Institute of Politics and Economics, Vol 61, No 2 (2019), Pagination: 175-188Abstract
Health being a state subject in India, it depends much on the ability of the state to allocate higher budgetary support to health sector. Hence, an analysis of public expenditure on health by states assumes significance. Simply increasing the expenditure on health may not significantly improve the health outputs and outcomes if it is not effective. This paper examines the relative efficiency of the states in handling the health expenditure and health inputs to increase the coverage of health service.
Applying an output oriented DEA model to a sample of states, it examines health expenditure efficiency in India in terms of health service coverage. Out of 29 states which are considered for analysis, 20 (70 per cent) are found to be technically efficient with a technical efficiency score of 100 per cent. The overall scale efficiency average is 0.935 and the standard deviation is 0.131. The findings suggest that not all states are successful in managing the health inputs to achieve optimal output. It is necessary for the inefficient states to benchmark with peers and learn from them. This paper provides evidence of the health expenditure efficiency of the states. The analysis of public expenditure on health by states assumes greater significance because improving the efficiency of public expenditure on health is a priority across them.
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