A Serious Compromise in the Quality of Medical Education in India by Some Recently Established Private Medical Colleges.

Medical colleges have become a business industry nowadays, where rich businessmen in the name of trust and foundations are resorting to making huge profits by collecting heavy amount of capitation fees from students without providing quality education to them. It has been observed especially in some of the recently established medical colleges, that the regulations laid by National Medical Council are flouted, and these medical colleges are run with very little patients in the hospital, poor infrastructure and huge number of "Ghost faculties", who are available only during the time of inspection by the regulatory authorities. The regular faculties who are working are overburdened with teaching work, and are also denied relieving and experience letter if they submit their resignation. There is a great need for the regulatory authorities to have a strict scrutiny on such institutions and implement remedial measures to correct these irregularities.

Novo financiamento para uma nova Atenção Primária à Saúde no Brasil / New funding for a new Brazilian Primary Health Care

Resumo O objetivo desse artigo é apresentar um debate sobre a nova política de financiamento para Atenção Primária à Saúde (APS) no Brasil. Para desenvolvimento do método de pagamento foi realizado consulta da literatura nacional e internacional, além do envolvimento de gestores municipais, estaduais e federais da APS. O modelo final proposto é baseado em Capitação ponderada; Pagamento por desempenho; Incentivo para Ações Estratégicas. A capitação é ponderada por vulnerabilidade socioeconômica, aspectos demográficos e ajuste municipal, o pagamento por desempenho composto por um conjunto total de 21 indicadores e incentivos a ações estratégicas foi possível a partir da manutenção de alguns programas específicos. Os resultados das simulações apontaram para um baixo cadastro (90 milhões de brasileiros) para a cobertura estimada atual (148.674.300 milhões de brasileiros). Além disso, demonstraram um incremento imediato de recursos financeiros para 4.200 municípios brasileiros. Observa-se que a proposta do financiamento traz a APS brasileira para o século XXI, aponta para o fortalecimento dos atributos da APS e torna concreto os princípios de universalidade e equidade do Sistema Único de Saúde.

Abstract This paper aims to present a debate on the new Brazilian Primary Health Care (PHC) funding policy. We consulted the national and international literature, and we involved municipal, state, and federal PHC managers to develop the payment method. The proposed final model is based on weighted capitation, payment-for-performance, and incentive for strategic actions. Capitation is weighted by the socioeconomic vulnerability, demographic aspects, and municipal adjustment, the payment-for-performance consists of an entire set of 21 indicators, and incentives for strategic actions were facilitated from the maintenance of some specific programs. The results of the simulations pointed to low registration (90 million Brazilians) for the currently estimated coverage (148,674,300 Brazilians). Moreover, they showed an immediate increase in financial resources for 4,200 Brazilian municipalities. We observed that the funding proposal brings Brazilian PHC into the 21st century, points to the strengthening of PHC attributes, and materializes the principles of universality and equity of the Unified Health System.

La crisis hospitalaria: análisis de la producción y el pago por servicios individuales de salud en un hospital de primer nivel de atención de la red pública de Bogotá, Colombia / Hospital crisis: analysis of production and payment for individual health care services in a first level public hospital in bogotá

En diversos medios de información generales y especializados se ha vuelto a hablar recientemente de una crisis en la red pública hospitalaria de todo el país que también ha involucrado a los hospitales de Bogotá. Diversas causas se han atribuido a la mencionada crisis, entre las cuales figura la modalidad de contratación y el pago por venta de servicios a los distintos pagadores identificados en el sistema. Se presenta un análisis de la producción y la facturación por servicios individuales en una Empresa Social del Estado de primer nivel de atención durante el tercer trimestre de 2011, comparándola con su facturación si contratara mediante pago por evento según las tarifas del Seguro Obligatorio de Accidentes de Tránsito (SOAT). Se identifica una disminución en la facturación al Fondo Financiero Distrital de Salud y también en la facturación a las EPS cuando se plantea el ejercicio del pago por evento de los servicios producidos y facturados en el periodo analizado.

In various general and expertise media has recently revived talk of a crisis in the public hospital network across the country that has also involved the hospitals in Bogota city. Multiple causes have been attributed to the aforementioned crisis, among which is the type of contract and payment for the sale of services to different payers identified in the system. This case study presents an analysis of production and billing for individual services in a first level State Social Enterprise care, during the third quarter of 2011, compared with its turnover if pay-per-hire by the rates from Mandatory Traffic Accidents Insurance (SOAT). It identifies a lower level of billing to Financial District Health Fund (FFDS) and a lower level too in billing to the Subsidized Health Promoting Enterprises (EPSS) when exercise raises the event of payment for the services produced and billed in the analyzed period.