From the December 2015 issue of HealthCare Business News magazine
We could also look to developments in Singapore, where around half the population now has access to their medical records online, and regularly use them to track their health and manage their care. Parts of the U.S. are rapidly embracing accountable care, bringing payers and providers together to incentivize prevention of disease rather than reactive medicine and over-treatment. Promising new partnerships and models of care are developing, but several countries have been doing this for a lot longer. Israel’s health care system is delivered by four insurers that also run hospitals, primary care clinics and even nursing homes.
The largest payer-provider, Clalit, has been going since 1911, with integrated electronic records since 2001. It has used this data to develop sophisticated methods of predicting which patients are in need of additional, targeted support to keep them well. Finally, with some of the most expensive health care professionals in the world, the U.S. should look to countries that are using other cadres to tackle the challenges of ageing and chronic disease. For example, Japan is using its postal workers to check up on elderly citizens during their rounds, and Australia has trained its police officers in responding to people with mental health problems.
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While health systems around the world differ enormously, the challenges we face are remarkably similar. The U.S. continues to teach the world much about great health care, but it also has much to learn.
Dr. Mark Britnell is chairman and partner, KPMG Global Health Practice, and author of “In Search of the Perfect Health System.”
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