Doctors Need to Be Public Health Administrators, Says Indian Medical Service – ZMR Blog
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Doctors Need to Be Public Health Administrators, Says Indian Medical Service

Doctors Need to Be Public Health Administrators, Says Indian Medical Service

The Indian union government has shown an eagerness for making an Indian Medical Service beside the lines of the Indian Police Services and Indian Administrative Service. The Ministry of health in recent times sent propaganda to all the states requesting their perspectives on such move.

An Indian Medical Service exists since the pre-Independence India. Long back in 1763–1764, medical services was first established in the cities such as Madras, Bombay, and Bengal organizations to a great extent to enlist and send a comparatively modest figure of doctors and their assistants to be concerned with the health of military officials and soldiers that are posted on the border lines. In 1857, post Independence war, the British government acquired the charge of these three medical administrations and merged all the three into a solitary Indian Medical Service.

Public health management implies not just nursing promotive and preventive measures of the health, but also includes sorting out of essential, auxiliary and tertiary human services. This, for sure, needs proficiency in all major health system segments such as health informatics, governance and management, the organization of healthcare services, community participation, technology choice in terms of health, and funding of health care. It mandatorily needs a sound knowledge of medical care and deep comprehension of disease transmission.

Public Health

Officers of the Indian Administrative Service, even those with degrees, are not prepared to comprehend and systematize inclusive nationwide healthcare. This requires recognized qualification or training in public health management, and hands on experience of managing a health system at district and state levels. And for senior positions in an Indian Medical Service should have experience in policy-making organization at the national and international stage.

Making an Indian Medical Service will equally require new outlines of administration and information management. Medicinal services institutions should re-evaluate how they organize, how they oversee information, how their interior structures and work culture are characterized, and how the equilibrium amid accountability and autonomy is accomplished.

At present, the cadre of medical officers is divided as general duty medical officer, non-teaching specialist, teaching specialist, and public health officer. The total count of the cadre is over 3,000, out of which only 50 members have some kind of link with the public health experience. A majority of them have worked in government dispensaries that provide basic ambulatory care to government employees. This requires a very low level of administrative and clinical skills. Others are expertise working at central government operated hospitals but with restrained areas of expertise and less administrative experience.

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