Published Paper Details:

This study investigates the impact of the Ayushman Bharat health scheme on dialysis patients in Kashmir, a region characterized by tough terrain and hilly landscapes. Dialysis, a crucial treatment for patients with end-stage renal disease (ESRD), poses significant challenges in regions with limited healthcare infrastructure and economic constraints. The Ayushman Bharat scheme, introduced in 2018, aims to provide financial protection and improve healthcare access for economically vulnerable populations in India. This research examines how the scheme has influenced the accessibility and affordability of dialysis services, the financial burden on patients, and their overall health outcomes. A mixed-methods approach was employed, combining quantitative data from structured surveys with qualitative insights from semi-structured interviews. The study sample comprised 150 dialysis patients from various healthcare facilities in Kashmir, including government hospitals, private clinics, and specialized dialysis centers. Data analysis involved statistical evaluation of survey responses and thematic analysis of interview transcripts. The results indicate a significant improvement in the accessibility of dialysis services post-Ayushman Bharat implementation. Patients reported fewer logistical and financial barriers to receiving regular dialysis treatments. The financial burden on patients has notably decreased, with many reporting substantial reductions in out-of-pocket expenses due to the scheme's coverage. Improved financial access has translated into better health outcomes, with patients experiencing fewer complications and a higher quality of life. Despite these positive findings, certain challenges persist. Some patients continue to face difficulties in navigating the scheme's administrative processes, and logistical challenges related to the region's geography still impact healthcare access. The study underscores the importance of addressing these issues to fully realize the scheme's potential benefits. In conclusion, the Ayushman Bharat scheme has had a profound positive impact on dialysis patients in Kashmir, enhancing access to essential medical services and alleviating financial strain. The findings highlight the critical role of comprehensive health coverage programs in improving healthcare outcomes in challenging environments. Policymakers are encouraged to consider these insights for future healthcare initiatives aimed at vulnerable populations in similar regions.