From UPSC perspective, the following things are important :
Prelims level : Ayushman Bharat Digital Mission
Mains level : Ayushman Bharat Digital Mission
The Ayushman Bharat Digital Mission (ABDM), was recently launched by the PM.
About Ayushman Bharat Digital Mission
- The pilot project of the National Digital Health Mission was announced by PM Modi during his Independence Day speech from the Red Fort on August 15, 2020.
- The mission will enable access and exchange of longitudinal health records of citizens with their consent.
- This will ensure ease of doing business for doctors and hospitals and healthcare service providers.
The key components of the project include
- Health ID for every citizen that will also work as their health account, to which personal health records can be linked and viewed with the help of a mobile application,
- Healthcare Professionals Registry (HPR)
- Healthcare Facilities Registries (HFR) that will act as a repository of all healthcare providers across both modern and traditional systems of medicine
How will it work?
- In order to be a part of the ABDM, citizens will have to create a unique health ID – a randomly generated 14-digit identification number.
- The ID will give the user unique identification, authentication and will be a repository of all health records of a person.
- The ID can also be made by self-registration on the portal, downloading the ABMD Health Records app on one’s mobile or at a participating health facility.
- The beneficiary will also set up a Personal Health Records (PHR) address for the issue of consent, and for future sharing of health records.
Major privacy issues involved
- Informed Consent: The citizen’s consent is vital for all access. A beneficiary’s consent is vital to ensure that information is released.
- Data leakages issue: Personalised data collected at multiple levels are a “sitting gold mine” for insurance companies, international researchers, and pharma companies.
- Digital divide: Other experts add that lack of access to technology, poverty, and lack of understanding of the language in a vast and diverse country like India are problems that need to be looked into.
- Data Migration: The data migration and inter-State transfer are still faced with multiple errors and shortcomings in addition to concerns of data security.
- Existing digitalization is yet incomplete: India has been unable to standardise the coverage and quality of the existing digital cards like One Nation One Ration card, PM-JAY card, Aadhaar card, etc., for accessibility of services and entitlements.
- Lack of healthcare facilities: The defence of data security by expressed informed consent doesn’t work in a country that is plagued by the acute shortage of healthcare professionals to inform the client fully.
- Lack of finance: With the minuscule spending of 1.3% of the GDP on the healthcare sector, India will be unable to ensure the quality and uniform access to healthcare that it hoped to bring about.