Public hospital & services offered
PUBLIC HOSPITALS
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Introduction
A government or public hospital is a healthcare facility that is funded & operated solely by the government with the help of the money collected from taxpayers.
Functions
A public hospital has the following functions:
1. It provides effective, affordable health care services (curative including specialist services, preventive and promotive) for a defined population, with their full participation and in co-operation with agencies in the district that have similar concern. It covers both urban population (district head quarter town) and the rural population in the district.
2. Function as a secondary level referral center for the public health institutions below the district level such as Sub-divisional Hospitals, Community Health Centers, Primary Health Centers and Sub-centers.
3. To provide wide ranging technical and administrative support and education and training for primary health care.
Services offered
Services that a Public Hospital
is expected to provide can be grouped
as Essential (Minimum
Assured Services) and Desirable (which we should aspire to achieve).
The services include OPD, indoor and Emergency Services.
Essential |
Desirable |
General Specialties |
General Specialties |
General Medicine General Surgery Obstetrics &
Genecology Services Family Planning services like Counseling, Tubectomy (Both Laparoscopic
and Minilap), NSV, IUCD, OCPs, Condoms, ECPs, Follow up services Pediatrics including Neonatology and Immunization Emergency (Accident & other
emergency) Critical care/Intensive Care
(ICU) Anesthesia Ophthalmology |
Dermatology and Venerology (Skin & VD) Radiotherapy Allergy De-addiction center Physical Medicine and
Rehabilitation services Tobacco Cessation Services Dialysis Services |
Essential |
Desirable |
Otorhinolaryngology (ENT) Orthopedics Radiology including Imaging
Psychiatry Geriatric Services (10 bedded
ward) Health promotion and Counseling Services Dental care District Public
Health Unit DOT centre AYUSH Integrated Counseling and Testing Centre; STI Clinic; ART Centre Blood
Bank Disability Certification Services1 Services under
Other National Health
Programmes Diagnostic and other Para
clinical services regarding Laboratory services including Pathology and Microbiology Designated Microscopy centre X-Ray, Sonography ECG Endoscopy Blood Bank and Transfusion Services Physiotherapy Dental Technology (Dental Hygiene) Drugs and Pharmacy Ancillary and
support services Following ancillary services shall be ensured: |
Post Partum Unit3 with following services in an integrated manner t Post Natal
Services t All Family Planning services i.e Counseling, Tubectomy (Both
Laparoscopic and Minilap), NSV, IUCD, OCPs,
Condoms, ECPs, Follow up services t Safe Abortion Services t Immunization Super Specialties (May be provided depending upon the availability of manpower in State/UT) Cardiology Cardio-thoracic and Vascular Surgery Gastro-enterology Surgical Gastro-enterology Plastic Surgery Electrophysiology Nephrology Urology Neurology Neurosurgery Oncology Endocrinology/Metabolism Medical oncology Surgical oncology Radiation oncology Nuclear medicine Specialist |
Medico-legal/post mortem2 Ambulance services Dietary
services Laundry services Security services Waste management including Biomedical Waste Ware
housing/central store Maintenance and
repair Electric Supply (power
generation and stabilization) Water supply (plumbing) Heating, ventilation and air-conditioning Transport Communication Medical
Social Work Nursing Services CSSD - Sterilization and Disinfection Horticulture (Landscaping)
Refrigeration Hospital Infection Control Referral Services |
Diagnostic and other Para clinical services regarding Blood Bank with
all allied facilities CT Scan MRI EEG NCV EMG VEP (visual evoked
potential) Muscle Biopsy Angiography Echocardiography Occupational therapy |
Essential |
Desirable |
Administrative services (i) Finance4 (ii)
Medical records (Provision should
be made for computerized medical
records with anti-virus facilities whereas alternate records should also
be maintained) (iii) Procurement (iv) Personnel (v) Housekeeping and
Sanitation (vi) Education and training (vii) Inventory Management (viii) Hospital Information System (ix) Grievances redressal Services Services under
various National Health
and Family Welfare Programmes. Epidemic Control and Disaster Preparedness Integrated Disease surveillance, epidemic investigation and
emergency response |
Ancillary and
support services Counseling services for domestic violence, gender violence, adolescents, etc. Gender and socially
sensitive service delivery be assured. Telemedicine 24 ´ 7 ambulance with advance life
support systems Lift
and vertical transport |
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