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India continues to face challenges with its underprioritized, underfunded, and understaffed public health system, resulting in a significant impact on healthcare delivery. The need for qualified public health professionals to lead public health programs is well-established; however, the implementation of this necessary reform has been lacking. The COVID-19 pandemic has brought attention to the fragmented health system and deficiencies in primary healthcare, prompting a search for a definitive solution.
To address these issues, it is crucial to establish a comprehensive public health cadre that can effectively lead preventive and promotive public health initiatives while managing healthcare delivery. Additionally, there is a pressing need to augment primary healthcare infrastructure, and one proposed solution is to incorporate physicians trained in family medicine. This approach would restore community confidence in primary care, increase utilization, and mitigate the issue of over-specialization in healthcare. By ensuring appropriate referrals and prioritizing patient care, family medicine-trained physicians would enhance healthcare quality, particularly in rural communities.
In conclusion, India's public health system requires urgent reform. By instituting a well-structured public health cadre and integrating family medicine-trained physicians into primary healthcare, the country can strengthen community confidence, improve healthcare utilization, address over-specialization, and ensure high-quality healthcare in rural areas. The focus should be on building a resilient and robust public health system in India.
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