Utilization of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana for Total Hip Replacement at a Tertiary Care Center in North India: A Retrospective Analysis.
Year: 2026
Type: article
Abstract: Introduction: To characterize the pattern of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) utilization for total hip replacement (THR) at a tertiary care center in North India, including its effect on patient demographics, diagnostic profile, and implant selection, given that THR in India is driven predominantly by avascular necrosis (AVN) of the femoral head and fracture sequelae rather than osteoarthritis, and that PM-JAY's institution-level effect on THR utilization and implant selection has not been well described. Material and Methods: This retrospective single-center study reviewed all THR procedures performed at a tertiary orthopedic center in North India from January 2024 to December 2025, extracting demographic, diagnostic, procedural, implant, and financing data from operative registers and comparing years using chi-square and independent-samples t-tests. Results: Among 188 THR procedures (75 in 2024, 113 in 2025; a 50.7% rise), mean age was 45.6 ± 14.4 years and 67.0% of patients were male. AVN of the femoral head was the leading indication (44.1%). PM-JAY financed 138 procedures (73.4%), self-payment 41 (21.8%), the state-level Himcare scheme 6 (3.2%), and non-governmental organization-supported care 3 (1.6%); PM-JAY alone funded 88.9% of revision THRs. Domestic implants predominated in PM-JAY (78.3%) and Himcare (83.3%) cases versus 36.6% of self-financed cases, despite hip implants not being subject to government price capping. Conclusion: PM-JAY, with Himcare, is the predominant financing mechanism for THR at this center, funding over three-quarters of procedures and most revision surgery in a young, male-predominant population, supporting an expanding role for public insurance in financing major arthroplasty in India.
Source: PubMed
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7225563681
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