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SLC Agrícola: reaping the benefits of corporate farming

SLC Agrícola demonstrates how professional management and good use of technology and capital markets can lead to rapid growth. The company made history in 2007, when it became the world’s first grain and cotton producer to list shares on a stock exchange, raising more than R309m (US$181m) to help with its ambitious expansion plans. Since then, it has more than doubled planted area to 220,000 hectares, and plans to reach 450,000 hectares by 2015. Its net operating revenue grew from R269m (US$138.7m) in 2007 to R597m (US$303.4m) in 2009.

Singapore: Moving into the e-health elite

Thanks to a major e-health initiative, Singapore, already a healthcare leader in Asia, may soon join the short list of countries with nationwide electronic health records. In April 2011, Singapore launched the first phase of its National Electronic Health Record (NEHR) system, which by June 2012 will link all of the country’s public healthcare institutions, as well as a number of community hospitals, general practitioners and long-term care facilities, to a central repository of electronic patient information at a cost of S$176m (US$146m).

Horizontal Integration in Denmark

From 2004 to 2007, Bispebjerg University Hospital, the City of Copenhagen, and the general practitioners in Copenhagen collaborated on a quality improvement project that focused on integration and implementation of rehabilitation programmes for four chronic conditions. These include chronic obstructive pulmonary disease, type 2 diabetes, chronic heart failure and falls among the elderly. The Østerbro healthcare centre, which opened in 2005 as part of the project, provides the rehabilitation programmes to patients with one or more of the health conditions mentioned above.

Health Records in Europe

The EU is addressing the lack of interoperability among electronic health records on a multinational level. According to the European Commission, “The deployment of eHealth technologies in Europe can improve the quality of care, reduce medical costs and foster independent living, including in remote places. … To exploit the full potential of new eHealth services, the EU needs to remove legal and organisational barriers, particularly those to pan-European interoperability.” The Digital Agenda for Europe, proposed in May 2010, aims to do that.

Singapore's ageing population

Because of the impending silver tsunami, a term coined to describe the ageing Singaporean population, the country’s healthcare system is undergoing a major reorganisation. In 2009, Singapore’s Ministry of Health mandated that the Agency for Integrated Care oversee, co-ordinate and facilitate this effort. The delivery system is shifting from “silo or compartmentalised episodic care” to a more integrated approach via the creation of regional health systems.

An unusual approach in Germany

In 2004 a change in Germany’s health insurance law allowed the country’s statutory health insurers to participate in integrated care projects. Most programmes focused on managing care for specific conditions or procedures. But the Gesundes Kinzigtal Integrated Care programme set its sights on co-ordinating care for an entire population – the Kinzig valley.

Brazilian "frugal engineering"

Brazilian companies could benefit from a significant competitive advantage in the global market: their mastery of frugal engineering. Cutting costs and increasing access to good-quality healthcare are twin imperatives worldwide. In this environment, the dissemination of cheaper technology is a winning proposition. Despite a lack of resources, many companies have successfully developed equipment that uses simple technologies to achieve the same results as more sophisticated devices.

Making the most of little: India explores new models

India faces many of the same challenges as Brazil and provides an example of an innovative approach to healthcare. The country is leveraging its role as a contract researcher and manufacturer of generic drugs to increase the value of its output, for example by developing branded generic drugs and new formulations for existing drugs. Through “reverse pharmacology” it is developing and launching medications based on its traditional treatments at a fraction of the cost of drugs developed by Western companies—US$50m, compared with US$1bn respectively.

Delinking health from wealth: Business model innovation transforming Indian healthcare

When Devi Shetty was training as a heart surgeon in the 1980s, he was taught that healthcare is expensive. Some day, his tutors told him, everyone would grow rich enough to afford it.

But, as an Indian national living in a country with hundreds of millions of destitute and poor, Dr Shetty realised he couldn’t afford to wait. His countrymen needed health today, at prices they could afford, not in 50 years’ time when India had grown rich.

Sharing information—the payer’s perspective

In 2001 Humana, a health insurer headquartered in Kentucky with revenues of US$31bn in 2009, was looking into ways of automating its interactions with physicians’ offices. But it faced a quandary.

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