A comparative retrospective study to evaluate the impact of covid-19 on ayushman bharat scheme (dkbssy) registration in anesthesia department at chhattisgarh institute of medical sciences, bilaspur, chhattisgarh

Background: Ayushman Bharat PM-JAY is the largest health assurance scheme in the world which aims at providing health cover of Rs 5 lakhs per family / year for secondary and tertiary care hospitalization to cover 10.74 crores poor and vulnerable families (approximately 50 crore beneficiaries) that form the bottom 40% of the Indian population. Ayushman Bharat Scheme or Pradhan Mantri Jan Arogya Yojna or PM-JAY was launched on 23rd September, 2018. In our state Chhattisgarh it is run as Dr. Khoobchand Baghel Swasthya Sahayata Yojna (DKBSSY). It provides cashless access to health care services for the beneficial at the point of all necessary services. Objective: To evaluate the impact of covid-19 on Ayushman Bharat Scheme (DKBSSY) registration in Anesthesia department at chhattisgarh institute of medical sciences, bilaspur, chhattisgarh. Methods: This retrospective comparative clinical study is conducted in the department of Anesthesiology, Chhattisgarh Institute of Medical Sciences, Bilaspur, Chhattisgarh. The one year Ayushman Bharat scheme (DKBSSY) registration data from 20 March 2019 to 20 March 2020 is compared with the data from Covid-19 year from 20 March 2020 to 20 March 2021. Frequency tables, comparative charts are used to evaluate and measure the data from the study to describe the impact of Covid-19 on Ayushman Bharat scheme (DKBSSY) registration in Anesthesiology department. Results: 193 out of 266 ICU patients (72.5%) belonged to 18-45 years age group followed by 21.4% in >45 year group and only 6% of IPD were below 18 yrs of age. This data shows that during covid-19 pandemic the patients of 18-45 year age group were increased by 2.5%. Female IPD population was high in both years because of predominance of gynaecological cases. Data showed that during the pandemic year the patients of lower and upper socioeconomic strata were increased. In Covid-19 yr the total Ayushman beneficiary registered in Anesthesiology department, CIMS was 226 out of 252 (90%) IPD, the cases of LSCS with Eclampsia, LSCS with fetal distress, LSCS with APH did >90% Ayushman registration, patients of gravid uterus with hysterectomy had 100% conversion rate. Conclusion: We observed in our study that in both years majority of the IPD patients registered were middle aged females and belonged to lower SES as the gynecological cases were predominant, with compare to pre Covid-19 year the conversion rate of ayushman registration was increased from 66% to 90% despite the nation wise lockdown and restricted transport services.