Relevance: mains: G.S paper II: Health
Introduction
- The national health policy 2017 had defined the vision of health and well-being for all at ages.
- Continuum of Care is a concept strongly advocated by the policy.
- Citizen –centricity qualities of care, better access, universal health coverage, and inclusiveness are some if the key principle on which the policy is founded the realization of all these aspiration can be facilities by leveraging the power of the digital technologies.
Ecosystem not System
- A committee constituted by the Ministry of Health and Family Welfare, in November 2018, to take forward the concept of National Health Stack designed under the aegis of NITI Aayog, recognized the need for creating a framework for the evolution of a National Digital Health Ecosystem (NDHE).
- The result is the National Digital Health Blueprint (NDHB), which is more than an architecture document, as it provides specific guidance in its implementation as well.
- The objectives of NDHB are aligned to the vision of NHP 2017 and the SDG’s relating to the health sector. These include:
- Establishing and managing the core digital health data and the infrastructure required for its seamless exchange,
- Promoting the adoption of open standard by all the actors in the National Digital Health Ecosystem for developing several digital health systems that span across the sector from wellness to disease management,
- Creating a system of personal health records, based on international standard, and easily accessible to the citizen and to the service provides based on citizen –consent.
- Following the best principle of co-operative federalism while working with the state and union territories for the realization of the vision;
- Promoting Health Data Analytic and Medical Research ;
- Enhancing the efficiency and effectiveness of governance at all levels
- Ensuring Quality of Healthcare.
- Leveraging the information system already existing in health sector.
Realizing outcomes
- Digital health is but a small lever in the evolution of the overall national health ecosystem. A substantial impact in the health sector is possible only through a posse of reforms and enhancements in the sectors.
- These include improving the ratios like Doctor: Pollution, Specialist: Doctor, Bed: Population; enhancing the spread and quality of health infrastructure and improving knowledge and skills among the health professional and workers.
Payment and Settlement System-RBI Vision Document
- RBI, under power from the Payment and Settlement System Act,2007 has endeavoured to ensure that India has state of the art payment and settlement system that are not just sage and secure but are also efficient fast and affordable. RBI Vision document outlines the road map for the three year period spanning from 2019 to 2021.
Highlight of payment system vision-2021
- Empower every Indian with access to a bouquet of e-payment option that is safe, convenient quick and affordable.
- While the pursuit towards a less cash society continues ,accompanied by the ambition to have a less-card India as well, the endeavor is to also ensure increased efficiency, uninterrupted availability of safe, and affordable payment system as also to serve segment of the population which are hitherto untouched by the payment system.
- The decade to follow will witness a revolutionary shift in the way Indian citizen use digital payment option and will also empower them with an e-payment experience that will be exceptionally safe, secure and truly world class.
- The vision envisages four goal-posts (4 Cs) – Competition, Cost Convince and Confidence.
- For enhancement of competition in the payments system landscape, specific area like creating regulatory sandbox, authorizing new player etc. have been incorporated.