Private hospitals across the country accounted for 55 per cent of the in-patient hospitalisation cases for availing treatment while the share for public hospitals was 42 per cent, indicating higher reliance of private healthcare services, according to findings of nation-wide survey on ‘Household Social Consumption related to Health during the period July 2017 to June 2018.’
The remaining 3 per cent of the surveyed household were treated by medical charitable trusts. The survey was conducted by the National Statistical Office (NSO), Ministry of Statistics and Programme Implementation, as a part of 75th round of National Sample Survey (NSS).
According to the survey report released on Saturday, health insurance coverage in the country remains low, as only 14 per cent of the rural population and 19 per cent of the urban population reported they had health expenditure coverage. Among the insured public, 13 per cent of rural and 9 per cent of urban population were covered by government sponsored health insurance. While about 6 per cent of urban population were covered by health insurance arranged by employers, around 4 per cent of urban population were covered by health insurance arranged by the households with insurance companies.
The nation-wide survey collected data from 1,13,823 households (64,552 in rural areas and 49,271 in urban areas), covering a total of 5,55,115 persons (3,25,883 in rural areas and 2,29,232 in urban areas). The survey gathered data on key issues including profile of ailments and their treatment, role of government and private facilities in providing healthcare, expenditure on medicines, hospitalisation and expenditure thereon maternity and childbirth, among others.
With regard to treatment of ailments, private sector again accounted for major chunk, as private hospitals treated 23 per cent of ailments and private doctors/clinics treated 43 per cent of the ailments. Government hospitals provided treatment of ailments in 30 per cent of the cases (33 per cent in rural, 26% in per cent). In both rural and urban India, 95 per cent of ailments were treated by allopathy.
Average medical expenditure per hospitalisation case (excluding childbirth) in rural India about Rs 16,676 and Rs 26,475 in urban India, as per the Survey. Healthcare costs in private hospitals were nearly 8 times that in government-owned hospitals. In government/public hospitals the expenditure was about Rs 4,452, while in private hospitals the expenditure was about Rs 31,845.
In rural areas about 90 per cent childbirths were institutional (in government/private hospitals), while in urban areas it was about 96 per cent. Surgery was done in about 28 per cent of hospital childbirths in India — with the government hospitals having 17 per cent childbirths surgery cases and private hospitals reporting about 55 per cent of childbirths surgery cases.
For government hospitals, the average expenditure per hospital childbirth was about Rs 2,404 in rural and Rs 3,106 in urban areas. For private hospitals, the same was about Rs 20,788 in rural areas and Rs 29,105 in urban areas.
The government has conducted three such surveys before, in 1995-96 (52nd round of NSS), 2004 (60th round of NSS) and 2014 (71st round of NSS).