Progress:

Private hospitals and private medical practitioners play a significant

part in delivering health care services in India. As the demand for
health care has increased, institutions in this sector have expanded
widely in both urban and rural areas. The relationship between
patient and private practitioner considerably influences the
perceived and actual needs about health care. This relationship is
expected to play an important role in the control of disease patterns
and management. However, the developments in this sector have
prompted concern about the efficiency of resources, equity and
access to facilities, and the availability of financing mechanisms to
support private health care. Also, the efficiency with which the
resources are used in this sector has direct bearing on the cost and
quality of services. The existence of these health care institutions
therefore has profound implications for the present character of the
Indian health care system, and its future course.
The objectives of the present study are to review the role of the
private health care sector in India and the policy concerns it
engenders. The discussion suggests that policy makers in India
should take serious note of the growing influence of the private
sector in providing health care in India. Policy interventions in health
should not ignore their existence and this sector should be explicitly
involved in the health management process. It is argued that
regulatory and supportive policy interventions are inevitable to
promote this sector's viable and appropriate development.
Comparison:

The distance between Trivandrum, Kerala,

India and San Jose, Costa Rica is approximately 17,082
km or 10,615 mi.
To reach Trivandrum, Kerala in this distance one would set
out from San Jose bearing 46.3 or NE and follow the great
circles arc to approach Trivandrum, Kerala bearing 133.9 or
SE .
Both have a tropical wet and dry/ savanna climate with dry
winters (Aw).

 The annual mean temperature is 6.5 C (11.6F) warmer.

Average monthly temperatures vary by 0.5 C (0.9F) less in
Trivandrum, Kerala. The continentality subtype is extremely
hyperoceanic for both.
Total annual precipitation averages 37 mm (1.5 in) more
which is equivalent to 37 l/m (0.91 US gal/ft) or 370,000 l/ha
(39,555 US gal/ac) more. About 1 as much.
There are 341 more hours of sunlight per year in Trivandrum,
Kerala. In whichever way circa 0h 55' more per day or about 1
1/6 as many.
The altitude of the sun at midday is overall 0.3 higher in
Trivandrum, Kerala than in San Jose.
Relative humidity levels are 5.7% higher.
The mean dew point temperature is 7.5C (13.5F) higher.