Modular OT (operating theatre) in India

The healthcare ecosystem in India is at an inflection point. While the outlook for the healthcare industry is optimistic, there is a need to move towards an integrated healthcare delivery system, which leverages technology and has the patient at its centre.

The Indian healthcare industry is all set to grow to over USD 280 billion by 2020, which is a growth of over ten times from 2005. This growth has been driven by several factors, including demographics, increase in awareness levels and availability of medical care in India.

Changing with the times

Conducive demographics: While the population growth rate for India has steadily gone down, it is still at over 1.3 percent and is not expected to go below one percent in near future. Also, it is interesting to note that our population aged above 60 years is projected to grow to around 193 million, compared with over 96 million in 2010. This change in the population pyramid is expected to fuel the demand for healthcare in general, particularly lifestyle diseases.

Rising affordability: In the past decade, India has witnessed a rapid increase in levels of wealth and disposable incomes. Coupled with a better standard of living and health awareness, this has led to an increase in spending on healthcare and wellness.

Increase in lifestyle diseases: Lifestyle-related diseases comprised 13 percent of total ailments in India, according to a 2008 data, and this number is expected to increase to 20 percent by 2018. This is expected to trigger an additional demand for specialised treatment, which in turn, will lead to increased margins for hospitals since these diseases lie at the high margin end of the spectrum.

Health insurance and medical tourism: While out-of-pocket spending remains the mainstay of healthcare expenditure, health insurance is gaining momentum in India. The increasing penetration of health insurance is expected to significantly increase the affordability of healthcare services, driving up the demand for preventive healthcare and curative services. Medical tourism is also driving the healthcare market in India.

The fact that the treatment for major surgeries in India costs approximately 20 percent of that in developed countries; coupled with the high quality of care in Indian tertiary and specialty hospitals makes medical tourism attractive for patients from developed as well as emerging economies.

Challenges to growth

Despite such strong factors working in the industry’s favour, there are several systemic challenges that also need to be addressed.

Dual disease burden: Even as the incidence of lifestyle diseases is steadily on the rise, a clear majority of rural and poor patients still suffer from infectious and acute diseases.

Low penetration of insurance and other payer mechanisms: The overall quantum of health insurance may have increased, but it is largely limited to urban areas. In other areas, especially rural, people continue to spend from their own pockets.

Low levels of healthcare spend: The per capita spend on healthcare (both public and private), as well as the healthcare spend as a portion of the comparable economies, and way below global averages.

Inequity in infrastructure: While the urban India is witnessing a mushrooming of world-class medical facilities, the rural areas are devoid of even basic healthcare facilities. This has resulted in severe inequities between the urban and rural areas across all
major health indicators.

Health infrastructure is an important indicator for understanding the health care policy and welfare mechanism in a country. It signifies the investment priority with regards to the creation of health care facilities. India has one of the largest populations in the world; coupled with this wide spread poverty becomes a serious problem in India. The country is geographically challenged; this is due to its tropical climate which acts both as a boon and a bane, a Sub Tropical Climate is conducive to agriculture however it also provides a ground for germination of diseases. Due to a cumulative effect of poverty, population load and climatic factors India’s population is seriously susceptible to diseases. Infrastructure has been described as the basic support for the delivery of public health activities. When we talk about health infrastructure we are not merely talking about the outcomes of health policy of a country, but the focus is upon material capacity building in the arena of public health delivery mechanisms.

Modular Operation Theatre-

An operation theatre complex is the "heart" of any major surgical hospital. An operating theatre, operating room, surgery suite or a surgery centre is a room within a hospital within which surgical and other operations are carried out.

The patient is the centre point of a functioning OT complex. He / she is in isolation for varying times, away from his near and dear ones and is physically sick. Efforts are directed to maintain vital functions, prevent infections / promote healing with safety, comfort and economy.

The establishment and working of the operation the­atre (O.T.) needs specialised planning and execution and is not a simple civil engineering work. A "civil-mechanical-elec­trical-electronic- bio medical" combo effort driven and co­ordinated by the needs, preferences and safety of the medi­cal/ surgical team forms the basis for starting and maintain­ing an operation theatre. Anaesthesiologists, by virtue of their knowledge of the intricacies of physiology, physics and bio­medical aspects of medicine and constant proximity to the operation theatre should preferably be involved from the early stages of planning of operating theatres.

On an average, operation theatres cater to 50% of the needs of total healthcare seekers. Anaesthesia-con­trolled time typically represents a small fraction (10-20%) of the total case time, the remainder (> 80%) being sur­geon and nurse-controlled.

OT complexes are designed and built to carry out investigative, diagnostic, therapeutic and palliative proce­dures of varying degrees of invasiveness. Many such set ups are customized to the requirements based on size of hospital, patient turnover and may be speciality specific. The aim is to provide the maximum benefit for maximum number of patients arriving to the operation theatre. Both the present as well as future needs are kept in mind while planning.

Modular OT (MOT) is a much-needed amenity in a medical environment like hospitals. Needless to say, it should be well-equipped, germfree, and of the best grade.

Why Workspace?

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It has it branch offices across all metro cities in India.

It is equipped with most modern European technology and can thus understands the design and engineering of Modular Operations Theatre.