The health care delivery system has been changing rapidly in India due to the progressive implementation of managed systems of care and competitive medical practice. But no systematic effort has been made to define the element of physician supply and requirements at the micro level. With private players coming in a big way in the health care sector the methodology for assessment of physician requirement has changed, but it is yet to make a significant impact on the state governments, which continue to be guided by the old bureaucratic doctrine. 

This is quite visible in Goa. The survey conducted by the department of planning, statistics and evaluation in the year 2006 observed that the number of doctors in the private hospitals and clinics has risen from 82 to 123, since 1987-88 while the government hospitals saw rise of only one doctor in them, during the same period. While in 1987-88 the patient-doctor ratio was 882 in the year 2006 it has improved to 586; a ratio, which is of international standard. But undeniably this owes to the expansion of the private health care sector in Goa.

Full Report: http://navhindtimes.in/opinions/694-missing-links-in-health-care