High quality surgical care at low cost: the diagnostic camp model of Burrows Memorial Christian Hospital (BMCH)

Abstract

Background: The major problems that patients in rural areas face are related to accessibility, affordability and availability.

Aims of the study: This study aims to evaluate how effectively the Diagnostic Camp Model of the institution meets the surgical needs of rural patients, by examining the logistics, economics and extent of the service provided.

Settings and design: A retrospective study of patients attending the Diagnostic camps run by the staff of BMCH including the follow-up of these patients at the hospital.

Materials and method: The diagnostic camps involve transporting medical personnel and modern diagnostic equipment into the interior villages of various North Eastern states of India. Patients requiring surgical intervention later attend the hospital for surgery with the assistance of a health insurance scheme.

Statistical analysis: The local C3MDS computer software was used to obtain statistical reports from a diagnostic camp held at Saiha, Mizoram. Previous hospital data and the Government of India census were used to estimate the number of men requiring surgical intervention for Benign Prostatic Hyperplasia (BPH).

Results: About three quarters of surgical patients, who attended the surgical camp were unaware of their diagnosis prior to the camp. There was an overall profit despite the expected losses at the Hospital. These camps are a feasible and profitable venture on their own. About 50% of patients estimated to require surgical intervention for BPH in three districts of Mizoram received the necessary interventions.

Conclusion: This model is an attractive, cost effective, efficient way of meeting the surgical needs of patients from a large geographical area.

Keywords: Diagnostic camps; Low cost surgery; Surgical patients.