Reaching 650 million · Myanmar 60 Thailand 75 Lao PDR 48 Cambodia 55 Malaysia 70 Singapore 80...
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Achieving universal health coverage is one of the targets of UN Sustainable Development Goal #3 Three technologies can have an outsized impact in achieving universal health coverage: All ten countries in ASEAN have committed to the achievement of universal health coverage Five ASEAN countries have surpassed the global median of 65% population coverage of universal health coverage with two – Singapore and Brunei – already considered to have achieved universal health coverage Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all. Target 3.8: Myanmar 60 Thailand 75 Lao PDR 48 Cambodia 55 Malaysia 70 Singapore 80 Philippines 58 Indonesia 49 Brunei 80 Vietnam 73 > > UHC Service Coverage Index in ASEAN Reaching 650 million Digital technology is key to achieving universal health coverage in ASEAN Starting with primary care Ensure healthy lives and promote well-being for all at all ages 3 Good Health and Well-Being Over half of the countries in ASEAN face a severe shortage of physicians and other health workers The opportunity zone shows the countries where digital technologies can make the biggest and most immediate impact on access to skilled healthcare workers, including doctors, nurses, and midwives The key for many countries is to move from identifying opportunities to implementing these technologies in ways that deliver impact, starting with primary care This paper recommends a 10 point action plan to achieve universal health coverage through the implementation of digital technologies Digital technologies will have the largest impact in healthcare if implemented at the primary care level Spotlight: Thailand’s shift to primary care Start with Primary Care The 10 action points However achieving and sustaining universal health coverage is difficult, forcing countries to prioritise between Access, Quality and Cost Healthcare expenditures are rising across ASEAN, between 2006 and 2016 per capita spend increased by 2x Thailand has reached 99% healthcare coverage nationally. Four decades after implementation, outpatient visits to rural health centers increased by 40%, and outpatient visits to urban hospitals declined by 60%, demonstrating a significant shift to primary care in rural areas. 99% healthcare coverage nationally 40% increase in outpatient visits to rural health centers 60% outpatient visits to urban hospitals declined The health outcomes were equally impressive: Thailand’s under-5 mortality rate dropped from to In the same time period, its maternal mortality rate dropped from 42 deaths per 100,000 live births to 26 deaths per 100,000 live births. 37 death per 1,000 live births in 1990 1990 13 death per 1,000 live births in 2013 2013 © 2019 Cisco and/or its affiliates. All rights reserved. Cisco and the Cisco logo are trademarks or registered trademarks of Cisco and/or its affiliates in the U.S. and other countries. To view a list of Cisco trademarks, go to this URL: https://www.cisco.com/go/trademarks. Third-party trademarks mentioned are the property of their respective owners. The use of the word partner does not imply a partnership relationship between Cisco and any other company. (1110R) In 8 out of 10 ASEAN countries, more than 1/3 of healthcare expenses are paid out of pocket by individuals Average current health expenditure as 4.1% of GDP in ASEAN Average out of pocket payments as 40.1% of current health expenditure in ASEAN Digital technologies can eliminate the barriers in the iron triangle of healthcare, allowing countries to simultaneously improve In Canada, the Health Infoway initiative invested USD 2.15 billion into digital transformation (e.g. telehealth, drug information systems, eclinics) Which led to an estimated USD 16 billion in benefits On a national scale, countries have achieved remarkable benefits from comprehensive digital transformation of healthcare 4.1% 40.1% Cost of care Quality of care Access to care Telemedicine Health information systems Tracking and notifications 40% 60% 99% 1. Establish head of state mandate 4. Develop a regulatory and legal framework 6. Define an impact measurement framework 9. Adopt a lens of equity 10. Design for user experience 7. Lead a multi-sectoral strategy 5. Appoint an eHealth government agency 2. Build the national digital infrastructure 3. Invest in human capital 8. Enable private sector innovation According to the World Bank, 90% of healthcare needs can be met through primary care 90% In ASEAN seven nations enjoy over 90% mobile network coverage of their populations 90% In ASEAN 51% of population lives in rural areas 51% Source: World Health Organization and International Telecommunication Union Population with telecom services coverage (%) 0 85.0% 90.0% 95.0% 100.0% 2 4 6 8 10 WHO designated target of 4.45 medical personnel per 1,000 population Singapore Brunei Darussalam Philippines Myanmar Thailand Vietnam Indonesia Skilled medical persional density (Per 1,000 population) Malaysia ● Direct to patient ● Comprehensive history and follow up ● Ensure drug prescription management ● Personalized health information ● More patient data enables data-driven decisions ● Monitoring patient condition Quality challenge: people centered care, effectiveness of care, patient safety ● Visibility of health stats in remote regions for improved policies ● Access online doctors ● Remote access ● Track and notify remotely Access challenge: Geographic and transport and provider shortage ● Reduces time associated with seeking care in remote areas ● Quick access to holistic data ● Reduces transaction costs ● Reduces cost of no show ● Real-time automatic patient updates Cost challenge: Cost of care and efficient use of resources Access Cost Quality
Transcript of Reaching 650 million · Myanmar 60 Thailand 75 Lao PDR 48 Cambodia 55 Malaysia 70 Singapore 80...
Achieving universal health coverage is one of the targets of UN Sustainable Development Goal #3
Three technologies can have an outsized impact in achieving universal health coverage:
All ten countries in ASEAN have committed to the achievement of universal health coverage
Five ASEAN countries have surpassed the global median of 65% population coverage of universal health coverage with two – Singapore and Brunei – already considered to have achieved universal health coverage
Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.
Target 3.8:
Myanmar60
Thailand75
Lao PDR48
Cambodia55
Malaysia70
Singapore80
Philippines58
Indonesia49
Brunei80
Vietnam73
>
>
UHC Service Coverage Index in ASEAN
Reaching 650 millionDigital technology is key to achieving universal health coverage in ASEAN Starting with primary care
Ensure healthy lives and promote well-being for all at all ages
3 Good Health and Well-Being
Over half of the countries in ASEAN face a severe shortage of physicians and other health workers
The opportunity zone shows the countries where digital technologies can make the biggest and most immediate impact on access to skilled healthcare workers, including doctors, nurses, and midwives
The key for many countries is to move from identifying opportunities to implementing these technologies in ways that deliver impact, starting with primary care
This paper recommends a 10 point action plan to achieve universal health coverage through the implementation of digital technologies
Digital technologies will have the largest impact in healthcare if implemented at the primary care level
Spotlight: Thailand’s shift to primary care
Start with Primary Care
The 10 action points
However achieving and sustaining universal health coverage is difficult, forcing countries to prioritise between Access, Quality and Cost
Healthcare expenditures are rising across ASEAN, between 2006 and 2016 per capita spend increased by 2x
Thailand has reached 99% healthcare coverage nationally. Four decades after implementation, outpatient visits to rural health centers increased by 40%, and outpatient visits to urban hospitals declined by 60%, demonstrating a significant shift to primary care in rural areas.
99% healthcare coverage nationally
40% increase inoutpatient visits torural health centers
60% outpatient visits to urban hospitals declined
The health outcomes were equally impressive:
Thailand’s under-5 mortality rate dropped from
to
In the same time period, its maternal mortality rate dropped from 42 deaths per 100,000 live births to 26 deaths per 100,000 live births.
37 death per 1,000 live births in 1990
1990
13 death per 1,000 live births in 2013
2013
© 2019 Cisco and/or its affiliates. All rights reserved. Cisco and the Cisco logo are trademarks or registered trademarks of Cisco and/or its affiliates in the U.S. and other countries. To view a list of Cisco trademarks, go to this URL: https://www.cisco.com/go/trademarks. Third-party trademarks mentioned are the property of their respective owners. The use of the word partner does not imply a partnership relationship between Cisco and any other company. (1110R)
In 8 out of 10 ASEAN countries, more than 1/3 of healthcare expenses are paid out of pocket by individuals
Average current health expenditure as 4.1% of GDP in ASEAN
Average out of pocket payments as 40.1% of current health expenditure in ASEAN
Digital technologies can eliminate the barriers in the iron triangle of healthcare, allowing countries to
simultaneously improve
In Canada, the Health Infoway initiative invested USD 2.15 billion into digital transformation (e.g. telehealth, drug information systems, eclinics)
Which led to an estimated USD 16 billion in benefits
On a national scale, countries have achieved remarkable benefits from comprehensive digital transformation of healthcare
4.1% 40.1%
Costof care
Qualityof care
Access to care
TelemedicineHealth information systems
Tracking andnotifications
40%60%99%
1. Establish head of
state mandate
4. Develop a regulatory and legal framework
6. Define an impact measurement
framework
9. Adopt a lens of equity
10. Design for user experience
7. Lead a multi-sectoral
strategy
5. Appoint an eHealth
government agency
2. Build the national digital infrastructure
3. Invest inhuman capital
8. Enable private sector
innovation
According to the World
Bank, 90% of healthcare needs can
be met through
primary care
90%In ASEAN
seven nations enjoy over
90% mobile network coverageof their
populations
90%
In ASEAN 51% of population
lives in rural areas
51%
Source: World Health Organization and International Telecommunication Union
Population with telecom services coverage (%)
0
85.0% 90.0% 95.0% 100.0%
2
4
6
8
10
WHO designated target of 4.45 medical personnel per 1,000 population
Singapore
Brunei Darussalam
Philippines
Myanmar
Thailand
VietnamIndonesia
Skill
ed m
edic
al p
ersi
onal
den
sity
(Per
1,0
00 p
opul
atio
n)
Malaysia
● Direct to patient ● Comprehensive history
and follow up● Ensure drug prescription
management● Personalized health information● More patient data enables
data-driven decisions ● Monitoring patient condition
Quality challenge:people centered care,effectiveness of care,patient safety ● Visibility of health stats in
remote regions forimproved policies
● Access online doctors ● Remote access ● Track and notify remotely
Access challenge:Geographic and transport and provider shortage
● Reduces time associated with seeking care in remote areas ● Quick access to holistic data ● Reduces transaction costs ● Reduces cost of no show● Real-time automatic patient updates
Cost challenge: Cost of care and efficient use of resources
Access
CostQuality
