Revolutionising Orthopaedic Care: Insights from Dr Vijay Singh Chauhan

The orthopaedic healthcare industry is undergoing transformative changes, driven by rapid technological advancements, evolving healthcare policies, and the shifting expectations of patients. In an exclusive interview with BW Businessworld, Dr. Vijay Singh Chauhan, Chairman and Managing Director of Prakash Hospital, shares his insights into the trends shaping the sector, the impact of healthcare policies, and how innovation is redefining orthopaedic care in India and beyond.

Q1. What are the most significant trends shaping the orthopaedic healthcare industry today, and how do they impact patient care?

Dr. Chauhan: Several trends are transforming orthopaedic practice, many of which are driven by advancements in artificial intelligence and data analytics. These include minimally invasive surgeries, robotic-assisted procedures, and personalised treatment approaches. Such innovations are resulting in shorter recovery times, more precise interventions, and better pain management for patients. Additionally, telemedicine and wearable technology are enhancing patient monitoring and post-operative care, leading to faster recovery, fewer infections, and reduced rates of re-operation. These advancements are making orthopaedic care more accessible, efficient, and patient-centred.

Q2. How do recent healthcare policies influence orthopaedic practices and accessibility to treatments for patients? Could you share specific examples?

Dr. Chauhan: Recent healthcare policies have prioritised affordability and accessibility, significantly influencing orthopaedic care delivery. Initiatives like the Ayushman Bharat scheme and health insurance reforms have made high-end orthopaedic treatments, such as joint replacement surgeries and trauma care, more accessible to a broader patient base. These policies enable individuals to regain mobility and independence. Additionally, efforts to promote the use of locally manufactured medical equipment have further reduced costs, fostering a more inclusive and sustainable healthcare system.

Q3. With advancements in technology, such as AI and robotics, how do you see orthopaedic procedures evolving? What policies support or challenge these innovations?

Dr. Chauhan: AI and robotics have revolutionised orthopaedic care by enabling more accurate surgeries, shorter recovery periods, and improved outcomes. Robotic-assisted joint replacement and spine surgeries exemplify this progress. However, for these innovations to reach their full potential, robust policies are needed to ensure safety while encouraging innovation. AI training for healthcare professionals is crucial, and public-private collaborations can establish standards that integrate technology into mainstream care effectively.

Q4. Orthopaedic care can be costly. How are healthcare policies addressing affordability and financial barriers for orthopaedic patients?

Dr. Chauhan: Orthopaedic care can indeed be expensive, but policies aimed at improving affordability are making a significant difference. At Prakash Hospital, we address financial barriers through cost-awareness initiatives, financial counselling, and flexible payment options. We also focus on preventive care and rehabilitation, which help reduce the overall cost of treatment in the long run. Public policies that provide insurance coverage for advanced treatments further bridge the affordability gap, ensuring high-quality orthopaedic care is within reach for more patients.

Q5. How is the orthopaedic industry moving towards more patient-centred approaches, and what role does policy play in supporting personalised care?

Dr. Chauhan: The shift towards patient-centred care is evident in our approach at Prakash Hospital, where individualised treatment plans are tailored to patients’ specific needs, lifestyles, and medical histories. Advanced diagnostic tools and minimally invasive techniques enable us to provide more precise and effective care. Policy reforms that ensure accessibility, affordability, and quality standards are crucial in supporting this shift. Increased funding for new technologies and streamlined regulatory frameworks will further promote comprehensive and inclusive care environments.

Q6. Orthopaedic treatments are popular in medical tourism. How does this trend affect the domestic industry, and are there policies that promote or regulate it?

Dr. Chauhan: Medical tourism in orthopaedics significantly boosts India’s healthcare industry, attracting international patients seeking quality care at affordable prices. This trend has driven advancements in infrastructure, technology, and expertise, benefiting domestic patients indirectly. However, it can strain resources and lead to rising costs domestically. The Indian government has introduced policies to promote medical tourism, such as streamlined visas and hospital quality certifications, but it is essential to balance these with measures ensuring affordable care for local patients.

Q7. What impact has the current global supply chain disruption had on orthopaedic devices and equipment? Are there policies in place to mitigate these challenges?

Dr. Chauhan: Global supply chain disruptions have delayed the procurement of essential orthopaedic devices and increased costs. To address these challenges, we have adopted flexible procurement strategies and diversified our supplier base. National policies promoting domestic manufacturing and reducing import restrictions are critical in building resilience and ensuring uninterrupted care. Close collaboration between healthcare providers and policymakers is essential to navigate these challenges effectively.

Q8. With healthcare shifting towards value-based care, how is the orthopaedic industry adapting? Are there new policy frameworks that encourage value over volume?

Dr. Chauhan: The transition to value-based care in orthopaedics focuses on patient outcomes, cost-efficiency, and quality of life enhancements. Policies promoting accountable care models, bundled payments, and performance-based reimbursements incentivise providers to deliver high-quality, patient-centred care. Technologies like minimally invasive techniques and AI-driven diagnostics play a pivotal role in supporting this approach, enabling orthopaedics to meet the growing demand for high-value healthcare solutions.

Q9. How do you see the industry balancing surgical interventions with preventive care and holistic approaches in orthopaedics? Are there policies supporting this balance?

Dr. Chauhan: An ideal orthopaedic practice balances surgical interventions with preventive care and holistic approaches. At Prakash Hospital, we integrate lifestyle modifications, rehabilitation, and conservative treatments to promote musculoskeletal health. Policies that encourage preventive care, holistic methods, and expanded insurance coverage are vital in supporting this balance. A proactive approach reduces disease progression, enhances recovery, and lowers healthcare costs.

Q10. With a global shortage of healthcare professionals, what strategies and policies are in place to ensure sufficient skilled professionals in orthopaedics to meet future demands?

Dr. Chauhan: Addressing the global shortage of healthcare professionals requires a multifaceted strategy. At Prakash Hospital, we emphasise continuous medical education and partnerships with academic institutions to train skilled professionals. Our Nursing and Physiotherapy College offers specialised courses to address workforce gaps. Additionally, we invest in modern technology and professional development programmes, equipping our staff to meet the growing demand for quality orthopaedic care.