future of health - insights from discussions building on the future of health by dr devi shetty,...
TRANSCRIPT
The Future of Health Insights from Discussions Building on an Ini4al Perspec4ve by: Dr Devi She=y | Chairman and Founder | Naryana Health | India
Context The ini4al perspec4ve on the Future of Helath kicked off the
Future Agenda 2.0 global discussions taking place through 2015. This summary builds on the ini4al view and is updated as we progress.
Ini4al Perspec4ves Q4 2014
Global Discussions Q1/2 2015
Insight Synthesis Q3 2015
Sharing Output Q4 2015
Healthcare for All Globally healthcare is already well over a $6 trillion industry but nearly 70%
of the world popula<on does not receive decent healthcare services. We need a revolu<on in order to service the en<re market.
Barriers to Access Increasing access to affordable healthcare is vitally important, but in many countries we see poor medicine supply and distribu<on, insufficient health
facili<es and staff, low investment in health and high cost of many medicines.
Personalised Medicine The poten<al for personalized medicine and care is significant. However, some see that, in the short term, these innova<ons will be primarily
focused on the developed world’s more established healthcare markets.
Impact of mHealth Using mobile as a pla\orm for cura<ve and preventa<ve healthcare is
a*rac<ng much a*en<on: Real-‐<me monitoring and the entrance of global companies mean that mHealth has the poten<al to make a real impact.
Chronic Diseases Stemming the rising <de of chronic disease requires an approach to wellness
and healthcare that works across all socie<es and integrates primary, secondary and ter<ary preven<on and health promo<on across sectors.
Need for Process Innova3on Today, most healthcare interven<ons are not accessible to nearly 90% of the world’s popula<on. The way forward is not a new medicine or a new scanner or a new opera<on -‐ it is a process innova<on to bring healthcare to everyone.
Micro-‐health Insurance -‐ The Best Model for Society In India we have 850 mobile phone subscribers who are spending 150 rupees per month just to speak on the phone. So if we can collect 20 rupees from each
subscriber, we can cover the healthcare of another 850 million people.
High Quality Support Surgeons are like technicians -‐ the more surgeries they perform, the be*er they get at it. But behind every skilled doctor you need to have at least two
highly skilled nurses, at least four or five technicians, and good administrators.
Wider Impact of Frugal Innova3on The approach to healthcare challenges developed in India has delivered proven design solu<ons for low-‐income popula<ons. Applying the principles to higher income economies has the poten<al to deliver even greater efficiency benefits.
Sources of Global Solu3ons Global healthcare affordability will not come from the United States … but rather from those na<ons of the world that have li*le today and have no
choice but to perform at the highest levels possible in the future.
Personalised Diagnosis Despite concerns about privacy and ownership, increased access to personal health data will challenge exis4ng healthcare models focused on stereotypical condi4ons. In the future expect personalised diagnosis to be commonplace.
24/7 Stress Network The millennial genera4on is more stressed than any other, living as it does in a 24/7, culturally diverse, increasingly urban world. Looking ahead there will be a need to provide a personalised, community based support network.
Global Pandemics We are likely to see another 2 to 3 major pandemics start in
regions with limited public healthcare and rapidly spread globally and so demand fast response
HalCng Alzheimer's Stopping mental degrada4on from Alzheimer’s makes
quality ageing more possible by improving cogni4on and slowing the rate of decline
Mass Medical Tourism Medical tourism goes main-‐stream as low-‐cost cardiac
surgery and broader healthcare provision join den4stry and cosme4c surgery to have global impact
Social Determinants of Health Health risks and outcomes are a by-‐product of a wide variety of social and
material factors. This becomes more widely recognized and addressing social determinants of health becomes an important part of the future model of care.
Incen3ves in Flux Budgetary pressures con>nue and reimbursement models will need to change. There is greater emphasis on paying healthcare providers based on measurable
outcomes, rather than simply for the number of procedures they perform.
Care for the Ageing As the popula>on ages, the healthcare sector changes the way in which it
delivers support, with more coordina>on among service providers and more in-‐home care. There is also a frank conversa>on about people’s “right to die”.
A Unified Vision To implement the innova>ons necessary to transform people’s health and the sector many see the need for a clear vision for the future of health -‐ one co-‐developed and shared by pa>ents, government and the commercial sector
Collabora3ve Health Data-‐centric pa>ents shiE from a dependency on expert prac>>oners: They take on more responsibility for their own care and collaborate with a wider
range of health professionals as they pursue improved health and preven>on.
Infec3ous Diseases Post-‐Ebola The world prepares for infec>ous disease outbreaks with renewed vigor. There is increased prepara>on and coordina>on among both public and provider stakeholders and greater investments in early warning systems.
Integrated Medicine The future of medicine is more integrated and ceases to make dis>nc>ons between conven>onal and “alterna>ve” treatments. This results in beHer care op>ons for pa>ents and a ‘pit-‐stop’ team approach for prac>>oners.
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