HealthCare Industry Perspecti ve: Skil l Development Initi ati ve

Dr VAIBHAV BAGARIAMBBS, MS, FCPS, Dip SICOT

ORTHOPAEDIC & JOINT REPLACEMENT SURGEON.ORIGYN health care, Nagpur & NCR DELHI

CARE hospital Nagpur

Back Ground

• As one of the largest industries in 2008, healthcare provided 14.3 million jobs (US data) for wage and salary workers.

• Ten of the 20 fastest growing occupations are healthcare related.

Reference: http://www.bls.gov/oco/cg/cgs035.htm

•Healthcare will generate 3.2 million new wage and salary jobs between 2008 and 2018, more than any other industry, largely in response to rapid growth in the elderly population.

•Most workers have jobs that require less than 4 years of college education, but health diagnosing and treating practitioners are highly skilled and educated.

Indian Perspective• Expected to become a US$ 280 billion industry

by 2020• Grow 14 per cent annually• Emerged as one of the most progressive and

largest service sectors in India with an expected GDP spend of 8% by 2012 from 5.5% in 2009.

• Indian medical technology industry may touch US$ 14 billion by 2020

Growth Potential

• India presently has a bed deficit of approximately 30 lacks as per the WHO recommendation of four beds per 1000 population.

• Considering even a 250 bedded hospital on an average, the country would need 12000 hospitals in the near future.

All Rosy But.....

All Rosy But...

• India faces a shortage of about six lakh doctors, 10 lakh nurses, two lakh dental surgeons and large numbers of paramedical staff. (sadly no figures).#

Dr Prathap Reddy puts it, "the biggest challenge for him and Apollo is filling the void of human resources".

# The Planning Commission Report 2008

Employment in Health Care Industry

1. Professionals2. Service Group3. Community related.4. Admin and Office staff5. Interdisciplinary & Research related.

Professional group

Doctors

• Statistic suggest shortages as usual.• A Pulsus Paradoxus: Not enough work for

trained people and not enough skill available for those in need.

• Two specialities need to be urgently developed:

ER Physician and Family Physician.

Allied Health Professionals

• Speech Language & Swallowing Therapist • Occupational Therapist• Audiologist • Physical Therapist• Psychologist

Nurses

• Indian Health and Family Welfare Minister said around one million more nurses are needed. Who -2.4 Million.

• Specialised Nursing Courses: Lactation support Nurse

Immunisation NurseTransport Nurse

ICU/ Vocational NurseMental health Nurse.

Para Medical Staff

• Nursing aides,• Home health aides,• Building cleaning workers, • Dental assistants, • Medical assistants.• Personal and home care aides• Laundry, kitchen, housekeeping, security

Health technologists and technicians

• Medical records and health information technicians• Diagnostic medical Sonographers• Radiologic technologists • Plaster technician• Dental hygienists• Audiometrist• Optometrist• Special Educators.• ECG technician.

Community Related

• Ambulance Drivers and Paramedics.• Immunisation experts• Mid wives• Preventive Medicine Nurses and Doctors• Epidemiologist• Nutritional Specialists.

Office Staff

• Billing and posting clerks and machine operators

• Receptionists and information clerks• Secretaries and administrative assistants• Administrators - MHA• Considering one skilled and quailed

administrator is required for every 50 employees 50000 Admin

Collaborations...

Interdisciplinary & Research

• IT staff• Biomedical engineers• Medical Transcriptionist• Clinical Research.• Encourage innovation – start interdisciplinary

courses in larger numbers.• Medical /Pharma Representative.

The Deficit

• Only 20 per cent of healthcare delivery provided through public health units yet most of the training is through Govt.

• Many of the specialities simply do not exist.• Majority are un organised.• Lack of awareness about the prospect of

employment in these fields.

SKILL DEVELOPMENT - Way fwd..

Skill development

• Wide variety of people with various educational backgrounds are necessary .

• Majority require less than four years of college.

• Professional degree, bachelor degree, certificate course and apprentice program.

Solution

• Identifying the need• Organising the sector• Provide right Initiative for PPP.• Govt Takes the first step in terms of

Infrastructure development.• Integration and interdisciplinary collaboration.

Suggestions

• National body of Allied health care services – integrate all courses in country, start new courses.

• Get the message across – make it linked to employment.

• Apprentice Program.• Engage Private hospitals.

Thank you

Let’s start working…