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A Critical Examination of Design Issues of the RSBY Through Provider Perspectives in Chhattisgarh, India

Bibliographic Data

ID10939725
AuthorsRajib Dasgupta (0000-0003-0609-9796, Associate Professor, Centre of Social Medicine & Community Health Jawaharlal Nehru University, New Delhi, India., corresponding author), Sulakshana Nandi (0000-0002-4366-4566, Public Health Resource Network, Chhattisgarh, India), Kanica Kanungo (Public Health Resource Network, Chhattisgarh, India), Madhurima Nundy (0000-0003-3986-4431, Public Health Resource Network, New Delhi, India), Ganapathy Murugan (Public Health Resource Network, New Delhi, India), Randeep Neog (Research Scholar, Jawaharlal Nehru University, New Delhi, India)
Year2013
Volume43
Issue2
Pages227-243
Publication date2013-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Change (JOURNAL)
Journal identifiersISSN: 0049-0857 • E-ISSN: 0976-3538
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0049085713493043
OpenAlexW1997660179
LanguageEN
Citations received15
References cited4

The Rashtriya Swasthya Bima Yojana (RSBY) is a state funded health insurance scheme targeted for families below poverty line (BPL) in India providing a coverage of ₹30,000 for a family of five. This qualitative study covered three districts in Chhattisgarh, India, and included empanelled private for-profit, public and not-for-profit institutions. RSBY beneficiaries constituted a miniscule proportion of the total patient load in large multispecialty hospitals, institutions capable of providing treatment for serious illnesses. Small private nursing homes were the biggest gainers. There was evidence of complicated conditions being booked instead of simpler ones. Some government hospitals reported declines in patient loads after the introduction of the RSBY, clearly signalling a shift from the public to the private sector. Community and Primary Health Centres are unable to compete with private providers as the latter have relatively better patient facilities and specialists. Significantly, for the not-for-profit sector, used to functioning on tight price lines, the RSBY is beginning to provide the elusive sustainability

Business · Economic growth · Economics · Government (linguistics · Health care · Health insurance · Poverty · Private insurance · Private sector · Public sector · Socioeconomics · Sustainability · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine

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Unique citing works15
Citations per year1,5
Citation span2016 - 2026 (11)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 14

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