Today, "the need to make health systems sustainable by making them more effective, accessible and resilient has been duly recognized by policy-makers at the national and international levels" and soon, policy actions will be needed to ensure long-term population health and care systems given the setbacks caused by the Covid 19 pandemic.
Healthcare systems aim to meet populations' health needs by providing services to satisfy the people's right to health. They help to preserve and restore good health, and enable people to live independently by providing social care services, to the extent feasible.
There are several types of healthcare systems worldwide, but they are all facing radical changes and common challenges.
Firstly, the health care sector is moving toward defragmentation, pushed by increasing and emerging financial cuts to cope with massive budget deficits in public spending. This is leading to merging individual hospitals to increase cost-efficiency and exploit economies of scale while offering broader services. New technologies play a key role in this new trend by optimizing treatment procedures and enhancing the digital connection between hospitals and physicians. The need for keeping health costs down is also leading to increased transparency into care quality, results, and expenditure, due to mandatory or voluntary monitoring.
Secondly, healthcare has to face new health needs and find new and efficient ways to meet them.
The population is aging quickly, and by 2050 the number of persons over 60 years is expected to double, from 901 million to nearly 2.1 billion (United Nations, 2017). The share of older persons, those aged 60 years or above, in India's population, is projected to increase to nearly 20 percent in 2050, and equipping people in earlier age cohorts will help them to remain in good health and to get involved in the community throughout the aging process.
Population aging puts pressure on health systems, increasing the demand for care, services, and technologies to prevent and treat noncommunicable diseases and chronic conditions associated with old age. Overall, there is a shift toward chronic care: chronic non-communicable diseases are responsible for 68 % of the world's deaths (WHO, 2014) and account for over 70 % of healthcare spending in the US and European Union. Overall, the healthcare sector plays a significant economic role by accounting for 10 % of GDP and 8% of the total workforce in the European Union. Public expenditure on healthcare and long-term care is expected to increase. This will be driven by high levels of public expenditure and debt in most countries, demographic pressures, and technological advances.
A population-based approach to healthcare goes beyond the traditional biomedical model and addresses the importance of cross-sectoral collaboration in promoting the health of communities. The key component of the Transformative Public Health driven approach to population health, family health, and individual health is Building Permanent Relationships, Deep Connection, and Community.
AIMS2Health, at its heart, is a transformative movement. It recognizes that everything gets done through relationships and nothing gets done without them. At its heart, any sustainable movement is about people, and cultures are about people and our relationships to each other and the earth. Through deep listening, breakthrough conversations, and cultivating radical connections, universal healthcare movements are capable of making leaps previously unthinkable. These creative and innovative leaps are essential to overcoming the unforeseen and unexpected challenges posed by the Covid-19 pandemic worldwide.
AIMS2Health believes in equitable partnerships based on immutable principles and interests. It is open to join forces with all kinds of organizations (Media, Governments-Central and State/UTs, Private Sector, Public Sector, Civil Society Organizations, both national and international) to set up and provide high-quality preventive, promotive, curative, and palliative health care programs and service offerings on mutually acceptable, fair and equitable terms and conditions. Around 60% of primary and secondary health care services are provided across the country by solo medical practitioners and/or by small nursing homes/hospitals; we are ready to join forces with all of them as equal partners for providing high-quality second opinion services when needed.
These partnerships are designed to seamlessly connect any and every patient with even a mere 2G phone in any remote, rural community through the health IT platform to a competent and technologically and functionally integrated, sets of teams of General Practitioners, Family Physicians, Specialists, and Super-specialist doctors educated and/or trained at AIIMS, New Delhi, in particular, but in any of the newer AIIMS countrywide, in general.