1 / 22

How can the Dutch top performance work in favour of health consumers?

Johan Hjertqvist, HCP, at CEE Prague September 24, 2012. How can the Dutch top performance work in favour of health consumers?. About Health Consumer Powerhouse. Comparing healthcare systems performance in 35 countries from a consumer/patient view .

vevina
Download Presentation

How can the Dutch top performance work in favour of health consumers?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Johan Hjertqvist, HCP, at CEE Prague September 24, 2012 How can the Dutch top performance work in favour of health consumers?

  2. AboutHealth Consumer Powerhouse • Comparinghealthcare systems performance in 35 countries from a consumer/patientview. • Since 2004, morethan 40 index editions, available for free. • Index projectsfinancedthroughunconditionaldevelopment grants, similar to medicalfacultysponsored research. Europe • Euro Health Consumer Index 2005, 2006, 2007, 2008, 2009, 2012 • Euro Consumer Heart Index 2008 • Euro Diabetes Care Index 2008 • Euro HIV Index 2009 • Euro Patient Empowerment Index 2009 • Nordic COPD Index 2010 • Tobacco Harm Prevention Index 2011 • Euro Headache Index 2011 • Euro Hepatitis Index 2012 Sweden, others • Health Consumer Index Sweden 2004, 2005, 2006 • Diabetes Care Index Sweden 2006, 2007, 2008 • Breast Cancer Index Sweden 2006 • Vaccination Index Sweden 2007, 2008 • Renal Care Index Sweden 2007, 2008 • Smoke Cessation Index Sweden 2008 • COPD Index Sweden 2009, Nordic 2010 • Advanced Home Care Index Sweden 2010 • Euro-Canada Health Consumer Index Canada 2008, 2009 • Provincial Health Consumer Index Canada 2008, 2009, 2010

  3. EHCI growthsince 2005

  4. Oooops….The DG Sanco internal design!

  5. Upward and downwardmobility • Some countries seem to survive almost everything we throw at them! • Netherlands, the Nordics, Belgium, … • UK less stuck in waiting time swamp! • Germany, Austria, Italy not doingtoowell on new indicators? • CzechRepublic, Slovakia, Croatia crawling upward! • The Dutch example should provide inspiration!

  6. EHCI 2012 SE NO ICE FI LU CZ CH HR AT PT MT There is (and should be!) a significant positive relationshipbetweenmoney and outcomes, butsomecountries are over-performers, and some are under- achievers!

  7. Healthcare somewhataffected by financialcrisis? Longerwaitingtimes for (expensive) electivesurgerymostnoticeable in countries hit by financialdifficulties!

  8. A veryslighttendencytowardsincreased private paymentshares Blue: 2009 Maroon: 2012

  9. Healthcare quality remarkably unaffected by financial crisis? Infant deaths (per 1000 live births), WHO HfAJanuary 2012 20 countriesout of 34 score Green – up from 9 out of 29 in 2007! Actualmedicaloutcomeskeepimproving – the good part of ”physician civil disobedience”?

  10. Why do we not (yet) see clearer traces of the financial crisis? • Healthcare traditionallyweak at measuringoutput/outcomes. • “The good old days that never were” • Possible decline in services and access reported as “soft” rather than “hard” data – “patient witnesses” • Underlyingimprovementforces are very strong!

  11. ”The health consumer ladder” ”I need to navigate and be in control” ”I can make a choice” ”All healthcare is not the same” ”You are somebody” EU patient mobility directive – one year to go…

  12. (Web)information to the public aboutwhich hospitals have the best results (2012)

  13. Accessibility of European healthcare (EHCI 2012) Europe is dividedinto ”waiting list territory” (Red) and ”non-waiting list territory” (Green). This is remarkablyconstant over time, and independent of GDP/capita.

  14. Accessibilitypoorlycorrelated with numbers of doctors Source: WHO Health for All database, January 2012

  15. Access to e-Prescriptions e-Prescriptions are dependent on Electronic Patient Records to be meaningful Source: Empirica, Bonn (2012)

  16. Websites with comprehensive information about all registeredpharmaceuticals (OTC andRx) • Austria: www.austriacodex.at/avmain/http://pharmaweb.ages.at/index.jsf • Belgium: http://www.bcfi.be/, www.pharma.be • Croatia: http://www.almp.hr/?ln=hr&w=lijekovi • Czech Republic: www.zdravotnickenoviny.cz/scripts/modules/catalogue/search.php?catalogueID=2 • Denmark: http://medicin.dk/ • Estonia: www.raviminfo.ee • Finland: www.fimea.fi/lakemedel/produktresumeer/humpl • France: www.doctissimo.fr • Germany: www.onmeda.de • Hungary: www.ogyi.hu/drug_database/ • Ireland: www.medicines.ie • Italy:www.prontuariofarmaci.com • Latvia: http://www.zva.gov.lv/index.php?id=375&sa=375&top=334 • Malta: http://medicinesauthority.gov.mt/products/search.htm • Netherlands: www.cbg-meb.nl/CBG/en/human-medicines/geneesmiddeleninformatiebank/default.htm • Norway: www.legemiddelverket.no/custom/Preparatsok/prepSearch____80333.aspx?filterBy=CopyToConsumer • Portugal: www.infarmed.pt/infomed/inicio.php • Romania: www.anm.ro/en/html/pharmacopoeia.html • Slovakia: www.liekinfo.sk • Slovenia: www.zdravila.net • Sweden: www.fass.se • Switzerland: www.kompendium.ch • U.K.: http://emc.medicines.org.uk/

  17. Ifanything, drug information available to patients seems to containdrug spending (2009)! Numbers denote total drug sales per capita (€/year) (Source: EFPIA)

  18. Dutch inspiration • Getting rid of politicians! • Separation of funding and provision • Competition • Consumerchoice a driver • Transparency on offers and performance

  19. Thank you! All HCP Index information at: www.healthpowerhouse.com An electronic version of this presentation is available at www.ceehpn.eu

More Related