Overview and details of the sessions of this conference. Please select a date or location to show only sessions at that day or location. Please select a single session for detailed view (with abstracts and downloads if available).
Tendencies of Health Care Services - Based on the "Community Health Experience Model"
Authors: Judit Simon (Corvinus University of Budapest, Hungary), Zoltán Lantos (Health Value Services cPLc)
The general tendencies of the health care services are changing in the following directions: in the past fifty years the effectiveness-based approach is increasingly taken over by efficiency-seeking efforts. This requires a new—adequate and more regulated—behaviour from service providers, very recent expectation of the patient is to be engaged in the therapy; individual medical treatments provided by subordinates are replaced by health care services that are based on team work and horizontal collaboration. It means, that collaboration is of the vital importance in the health care sector at present will be in the future.
Health care also needs to have a service strategy, with a general starting point of it is to define a business or businesses in which the service provider wants to compete. The health care service market should behave similarly, despite the fact that service providers rarely think of themselves as business actors, although they are also actors of a service market, the health economy.
In the system of health care services, value for patients can only be defined relative to their disease or medical condition. The practice units of health care services have to be organized around disease groups that include the whole therapeutic and health care management process. This is called care delivery value chain by Porter and Teisberg (2006). The care delivery value chain as a model also provides a conceptual framework to consider goals and activities of health care and public health care coherently, and additionally to implement health-related collaboration extensively and consistently. The ‘Community-based health experience model’, based on the care delivery value chain, provides a framework to analyze, develop and manage competences available in the health-ecosystem, to implement a person-centred network, and to increase individual health value.
The practical usefulness of model development was investigated on a test market, and trial outcomes proved that the community-based health experience model can provide a substantial additional amount of health value generation even in a three-month period.
As a result of the network-based collaborative service approach, we present the case of fall prevention in osteoporosis. In the investigation participated 137 doctors and 932 female patients. As a result of the application of the model the fall risk decreased by 11.8% and the number of falls decreased by 4.5% within three months. Regarding the major health experience outcomes, self-evaluated condition-specific health literacy improved from 7.85 to 8.26 (an improvement of 0.41), while self-evaluated condition-specific self-management capability changed from 7.25 to 8.06 (0.81 improvement).
In conclusion, the proposed Community Health Experience Model is a novel and promising approach to designing the structure of more effective and efficient health services and collaborative networks.