Why does this happen?
My take -
1. All healthcare in India is driven by doctors. They are gatekeepers for almost everything.
2. Unlike developed countries, regulatory changes and insurance co driven changes don't work in India.
4. Unless doctor benefits directly or gets more patients due to use of this start up's idea, he/she is not going to make any effort to make that change.
5. To convince individual doctors, you need an army
6. So essentially one must use model developed by pharma companies.
7. This model is labour and cost intensive.
8. This model fosters unethical corrupt practices that nobody can track and control.
So essentially we are left with a status-quo
No genuine innovation in healthcare delivery is possible at OPD level where it is most needed.
Pharma-Doctor model, most flawed model, is the only model that works here. Sad, unfortunate truth of Indian Healthcare.