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A Shift from traditional to people-centric health care system

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Health care practices have evolved to best serve patients.

The changing health care landscape has resulted in people demanding more transparency and involvement in their care. According to a recent Huron Consulting Group study, 53% of the patients reported being willing to switch providers for superior virtual care, despite 75% of them being satisfied with their care. 

Such consumer behaviors, which were typically seen in retail or finance sectors, are now quite prevalent in health care, inspiring the industry to make a transition toward more patient-centric care models.

A confluence of trends has also resulted in a growing number of digital health tools, providing people with more information and control over their health care.

Increased computing power, consumer adoption of mobile technology, changing expectations about convenience, and the growing network of internet-connected devices — all have come together to bring in this transformation.

A rapid transformation

During the COVID-19 pandemic we saw many health care organizations accelerate their innovation agenda, supported by quick adoption by providers and consumers alike. A shining example of this is the embracing of telehealth services. While these services had slowly been making a mark in the industry, the worldwide lockdown compelled people to accept it as the new normal.

According to a report by McKinsey, about 40% of the people who availed of telehealth services during the pandemic said that they would continue to do so in the future — a 29% increase from before.

This thriving new ecosystem has only been made possible through the sophisticated tech available at the palm of our hands through smartphones and easy internet access; and it will only grow bigger and more advanced from here on. So now the next big question is: How do we utilize this new-age, technology-enabled innovation to further enhance the patient experience?

The role of technology

Technology can facilitate collaboration among the stakeholders of the ecosystem, such as patients, professionals, insurance providers, hospitals, pharmacies, drug companies, policymakers and families, which would not only decrease the room for error but also improve transparency.

The last couple of years gave us a glimpse of how advanced technology can offer immense opportunities to enable person-centered and integrated care; but it’s important to understand that it demands connected, intelligent information systems with easy-to-navigate user interfaces.

The Internet of Things (IoT), as an example, has the potential to play a significant role here. It can assist in health care surveillance by early detection of health concerns and by rapidly integrating data received from tests. Additionally, it can help in monitoring the patient’s status, and relaying that information to physicians and personnel in real-time, enhancing the overall efficiency of the health care system.

However, these strides cannot be made by the industry players alone without support from governments, and commendable initiatives like the Ayushman Bharat Digital Mission (ABDM) prove it. ABDM aims to achieve integrated health care delivery by connecting the digital health solutions of hospitals across the country. This would include teleconsultations, diagnostic services, ambulance services and more.

Placing patients at the center of the system

As patients have become more involved in their care decisions, the need to redesign contemporary health care systems to enable closer collaboration between health care beneficiaries and health care professionals has become imperative. 

Creating a world where every person has the opportunity to live their healthiest life requires connecting people, data, and clinical excellence to drive more informed care that yields better outcomes. And to access high-quality, affordable health care that meets every patient’s unique needs, we need to bring the patient to the center of our ecosystem.

For instance, focusing on personalized preventive care and wellness programs enables decision-making backed by personalized insights and ensures more efficient and effective care.

A pressing issue

According to a report by the World Bank and WHO, about half of the world’s population cannot afford essential health services. With lifestyle and chronic diseases on the rise, their management and treatment would further add to this burden, as would the rapidly aging world population requiring frequent care.

Since health care services are becoming increasingly expensive, the transition to patient-centric care becomes more and more urgent. With a system that focuses heavily on preventive care, we can expect a balance between the demand and supply for curative care and consequentially, a decreased and more affordable cost of health care.

A great way to accomplish this would be through value-based care, which focusses on improving quality of care for patients and aligning the incentives of provider and payer. This includes the following key elements:

  • Provider-managed risk that encompasses the entirety of a patient’s care, not just episodic risk and incentivized preventive care
  • Deploying targeted population health programs through expanded networks
  • Integrating data and consistently reporting it across stakeholders in financing and health care delivery
  • Payer-provider collaboration that frees the provider from focusing solely on fee-for-service volume while enabling payers to launch competitively priced insurance products that can break the cost curve

Walking into the future of health care

The future of health care is a simpler, more affordable, and more accessible health system that helps people live healthier. It needs to ensure that when patients are faced with a health care challenge, they don’t feel a sense of dread or anxiety about navigating the system on their own.

Organizations do need to realize that at the other end of all benefits claims, every authorization, every click, and every call is a person. And at the end of the day, this is what it’s all about — helping people live healthier lives and helping make the health system work better for everyone.

The article is written by Sampath Gandhi, Vice President, IT, Optum Global Solutions (India) Private Limited, and has been published by BW Wellbeingworld.