Page 17 - MEDICAL AND HEALTH INSURANCE
P. 17

MEDICAL AND HEALTH INSURANCE


               Although  it  is  affordable  healthcare,  there  is  a  referral  system  for  seeking

               treatment  for  secondary  and  tertiary  care.  Generally,  one  has  to  go  to  the

               primary  care  level  of  the  outpatient  department  and  only  upon  referral  will

               it  be  escalated  to  the  secondary  care  or  tertiary  care  level.  There  is  waiting
               time  due  to  the  long  queue  and  sometimes  those  affected  may  opt  for

               private  healthcare  and  incur  out-of-pocket  expenses  or  private  health

               insurance financing.


               The  private  hospitals  and  clinics  are  mostly  concentrated  in  urban  areas
               due to demand by the affluent community.


               The  services  offered  are  on  a  fee-for-service  basis  from  primary  care  to

               secondary  and  tertiary  care.  However,  the  range  is  not  comprehensive  due

               to  specific  objectives  of  the  setup  of  the  hospitals  or  clinics  in  providing

               only  certain  services.  Generally,  the  services  provided  by  private  hospitals

               are curative and diagnostic health services, which are selective in nature.


               Primary  care  is  provided  by  private  general  practitioners  who  provide  an
               alternative  to  the  general  public  for  consultation  and  treatment  with

               easier  access,  simpler  registration  and  appointments  with  shorter  waiting

               times.


               Similarly,  the  services  offered  by  private  hospitals  are  mostly  concentrated
               on  secondary  and  tertiary  care,  patients  can  have  direct  access  and  waiting

               times are much shorter in the private than in the public system.


               Private  hospitals  are  profit  oriented.  Whilst  they  are  required  by  law  to

               provide  quality  care  to  the  patient,  they  are  financially  independent  from

               the  government.  Hospital  charges  differ  from  hospital  to  hospital  and

               some     prestigious     hospitals    charge    exorbitant     fees.   Even    though     the
               professional  fees  of  doctors  are  regulated,  the  other  hospital  charges  are

               not.


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