The traditional Public Healthcare Centers (PHCs) in most developing countries, including India, suffer from inadequate infrastructure, operations, and maintenance. Consequently, rural healthcare delivery suffers, which remains a major concern. To address the shortage of quality healthcare facilities, several countries have resorted to using Mobile Health Units (MHUs) to deliver healthcare services to other remote and rural areas. However, the standard MHUs suffer from their limitations due to inherent inefficiencies resulting from frequent relocations, high operational costs, and makeshift arrangements. As a result, the Rural Healthcare Delivery System (RHDS) suffers inefficiencies over the lifecycle. To address these challenges, and to improve the lifecycle performance and efficiency of the RHDS, this paper presents a novel approach building on the productization and modularity of the PHCs and the MHUs. The proposed solution adopts a systems approach, seeking enhanced resource efficiency at the macro level. The hypothesis posits that minor tweaks in design and operations of these PHCs and MHUs through the concept and modularity and sharing in design can provide greater resource efficiency in the RHDS. An exploratory case study conducted in Southern Bangaluru and literature review. These studies laid the foundation for the proposed RHDS. The study concludes that modularity and sharing in design concepts can be leveraged for a synergistic integration between PHCs and MHUs to create a novel RHDS with enhanced resource efficiency.

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A Proposition to Leverage Productization, Modularity, and Sharing in Design to Improve the Lifecycle Performance of Rural Healthcare Delivery System

  • Renu Tewari,
  • Vishal Singh

摘要

The traditional Public Healthcare Centers (PHCs) in most developing countries, including India, suffer from inadequate infrastructure, operations, and maintenance. Consequently, rural healthcare delivery suffers, which remains a major concern. To address the shortage of quality healthcare facilities, several countries have resorted to using Mobile Health Units (MHUs) to deliver healthcare services to other remote and rural areas. However, the standard MHUs suffer from their limitations due to inherent inefficiencies resulting from frequent relocations, high operational costs, and makeshift arrangements. As a result, the Rural Healthcare Delivery System (RHDS) suffers inefficiencies over the lifecycle. To address these challenges, and to improve the lifecycle performance and efficiency of the RHDS, this paper presents a novel approach building on the productization and modularity of the PHCs and the MHUs. The proposed solution adopts a systems approach, seeking enhanced resource efficiency at the macro level. The hypothesis posits that minor tweaks in design and operations of these PHCs and MHUs through the concept and modularity and sharing in design can provide greater resource efficiency in the RHDS. An exploratory case study conducted in Southern Bangaluru and literature review. These studies laid the foundation for the proposed RHDS. The study concludes that modularity and sharing in design concepts can be leveraged for a synergistic integration between PHCs and MHUs to create a novel RHDS with enhanced resource efficiency.