Sunday September 22, 2019

Government to launch a scheme that will offer free diagnostic tests

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By NewsGram Staff Writer

The Central government has come up with a scheme that will offer free diagnostic tests to people visiting public health centers.

A bench of experts has prepared a list of diagnostic tests which are regarded as essential for all categories of health facilities. The Health Ministry has also contacted some of the biggest names in the diagnostic sector like Dr. Lal PathLabs, Quest Diagnostics, Mahajan Imaging and Star Imaging.

The scheme would improve the diagnostic infrastructure in government hospitals. Under the scheme, private health service providers will be engaged for the collection of blood samples, analysis and reporting at places where the government infrastructure is lacking. CT scan services will also be developed at district level under public-private partnership.

This action taken by the Centre would not only reduce the health expenditure of the masses but according to a newspaper report, it would also promote the diagnostics and reagents sectors, whose share currently amounts to only 20% in the medical technology market.

However, the initiative has also drawn flak from a lot of people. Sakthivel Selvaraj, a health economist told the Times of India, “With a slashed health budget and no allocation in the budget for the scheme, where will they find additional resources for this? Tamil Nadu and Rajasthan are already providing diagnostic facilities more efficiently without outsourcing. Why not follow that model? Why follow a model of outsourcing that has failed in several states like Bihar and Chhattisgarh? Outsourcing only adds to the cost.”

According to the report, some public health technology experts felt that selective outsourcing has been shown to work in certain other technology intensive areas such as ambulance care. The development of these technologies would not have been possible without the assistance of private sector.

“Experience suggests that measured formula-based centralized outsourcing is recommended only for ancillary services that are technology intensive,” told one such expert to TOI.

Many people have questioned whether the outsourcing would lead to private sectors extorting extravagant charges for their services. A doctor working in a railway hospital told NewsGram, “To prevent private sectors from exploiting people, the government should fix price rates for the diagnostic services. This scheme proposed by the government should follow the same model of Central Government Health Scehme (CGHS) which engages with only those private hospitals which agree to follow the price rate set by it. ”

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Walking, A Key Tool Identify The Specific Type of Dementia

Researchers have found that walking may be a key clinical tool in helping doctors accurately identify the specific type of dementia

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health, dementia, walking, Alzheimer
The suffering that comes as a consequence of this disease is enormous. Pixabay

Researchers have found that walking may be a key clinical tool in helping doctors accurately identify the specific type of dementia a patient has.

Published in the Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, the research have shown that people with Alzheimer’s disease or Lewy body dementia have unique walking patterns that signal subtle differences between the two conditions.

The study also shows that people with Lewy body dementia change their walking steps more – varying step time and length – and are asymmetric when they move, in comparison to those with Alzheimer’s disease.

“The results from this study are exciting as they suggest that walking could be a useful tool to add to the diagnostic toolbox for dementia,” said study lead author Riona McArdle from the Newcastle University in the UK.

“It is a key development as a more accurate diagnosis means that we know that people are getting the right treatment, care and management for the dementia they have,” she added.

For the study, researchers analysed the walk of 110 people, including 29 older adults whose cognition was intact, 36 with Alzheimer’s disease and 45 with Lewy body dementia.

health, dementia, walking, Alzheimer
Dementia is a rapidly growing public health problem throughout the world. VOA

Participants moved along a walkway – a mat with thousands of sensors inside – which captured their footsteps as they walked across it at their normal speed and this revealed their walking patterns.

People with Lewy body dementia had a unique walking pattern in that they changed how long it took to take a step or the length of their steps more frequently than someone with Alzheimer’s disease, whose walking patterns rarely changed.

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When a person has Lewy body dementia, their steps are more irregular and this is associated with increased falls risk.

Their walking is more asymmetric in step time and stride length, meaning their left and right footsteps look different to each other.

The study found that analysing both step length variability and step time asymmetry could accurately identify 60 per cent of all dementia subtypes – which has never been shown before. (IANS)