Ethical dilemma of health camps by private hospitals

| Updated: 02 December, 2024 12:05 pm IST

The recent revelations about private hospitals using health camps as a tool to increase inpatient occupancy have sparked a significant ethical debate. The tragic incident in Ahmedabad, where four patients died following unnecessary angioplasty procedures, has brought this issue into sharp focus. While these camps are often marketed as charitable or Corporate Social Responsibility (CSR) activities, industry insiders reveal that they are, in reality, strategic marketing efforts aimed at boosting hospital occupancy rates.

 

The average occupancy in most hospital groups hovers around 60-70%, prompting marketing departments to closely monitor footfalls at these camps and calculate the conversion rate of attendees to inpatients. This practice raises several ethical concerns, particularly when the primary motive shifts from providing genuine healthcare to maximizing profits.

 

Health camps are typically organized in regions with inadequate tertiary care facilities, often advertised as opportunities for consultations with “eminent doctors” who are “flying in” to provide “world-class healthcare”. The bait is usually free health check-ups, a few free medicines, or free consultations. However, these camps often lead to recommendations for specialized treatments or surgeries, costing patients thousands to lakhs of rupees. The lack of external audits to verify the necessity and appropriateness of these procedures further exacerbates the problem.

 

The ethical dilemma here is multifaceted. On one hand, these camps do provide access to healthcare services in underserved areas, potentially identifying health issues that might otherwise go unnoticed. On the other hand, the primary intent behind these camps appears to be profit-driven, with hospitals using them as a means to increase their patient base and revenue. This duality raises questions about the integrity of the healthcare system and the true motivations behind such initiatives.

 

Moreover, the aggressive marketing tactics these hospitals employ, including follow-up reminders via emails, messages, and calls, highlight the commercial nature of these camps. The focus on converting camp attendees into inpatients, with even a 15-20% conversion rate considered decent, underscores the profit-oriented approach. This practice not only undermines the trust between healthcare providers and patients but also risks exploiting vulnerable populations who may not have the means to seek second opinions or alternative treatments.

 

To address these concerns, several measures need to be implemented. Firstly, there should be stringent regulations and oversight to ensure that health camps genuinely serve the community’s healthcare needs rather than the financial interests of private hospitals. Independent audits should be conducted to verify the necessity and appropriateness of the procedures recommended at these camps. Additionally, transparency in the marketing and operational practices of these camps is crucial to maintaining public trust.

 

Secondly, there should be a clear distinction between genuine charitable activities and profit-driven marketing efforts. Hospitals must be held accountable for their CSR activities, ensuring that they are genuinely aimed at improving community health rather than merely serving as a facade for profit generation.

 

Lastly, public awareness campaigns are essential to educate people about their rights as patients and the importance of seeking second opinions before undergoing major medical procedures. Empowering patients with knowledge and resources can help them make informed decisions about their healthcare.

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