2017年-德勤全球_2018_Global_health_care_outlook_32页_1mb

2018 Global Health Care Outlook Summary

Core Content

The 2018 Deloitte Global Health Care Outlook highlights the evolving landscape of health care, emphasizing the shift from volume-based to value-based models, the impact of exponential technologies, and the growing importance of patient engagement and population health management. It also explores the challenges and opportunities facing the global health care sector, including financial pressures, regulatory complexities, and the role of social determinants in health outcomes.

Main Viewpoints

• Smart Health Care: Defined as patient-centered, technology-enabled, and efficient care delivery. It involves accurate diagnosis, effective communication across stakeholders, centralized patient data, and ensuring the right individuals perform the right tasks.
• Global Health Care Spending: Projected to grow at an annual rate of 4.1% from 2017 to 2021, reaching USD 8.7 trillion by 2020. Spending varies significantly by country, with the U.S. spending USD 3 trillion annually, while Pakistan spends only USD 53 per person.
• Aging Population and Chronic Diseases: Aging populations and lifestyle changes are driving up health care costs. Chronic diseases such as diabetes, heart disease, and cancer are becoming more prevalent, even in developing markets.
• Dementia: Expected to double every 20 years, with an estimated 50 million people living with dementia in 2017. By 2018, it is projected to become a trillion-dollar disease.
• Strategic Challenges: Stakeholders face the need to improve financial performance, manage rising costs, and adapt to new payment models. Price controls, reduced funding, and misaligned incentives complicate cost management efforts.

Key Issues in 2018

• Creating a Positive Margin: Managing financial sustainability in an uncertain health economy.
• Strategically Moving from Volume to Value: Transitioning from fee-for-service (FFS) models to value-based payment systems.
• Responding to Health Policy and Regulations: Navigating complex regulatory environments.
• Investing in Exponential Technologies: Leveraging technologies to reduce costs, increase access, and improve care.
• Engaging with Consumers: Empowering patients to take an active role in their health and wellness.
• Shaping the Workforce of the Future: Adapting to new models of care delivery and workforce needs.

Sector Trends and Innovations

• Health Care Delivery Shifts: Inpatient services are increasingly being moved to non-traditional settings like home and outpatient facilities.
• Collaborative Models: Hospitals, insurers, and governments are forming partnerships and joint ventures to enhance efficiency and expand services.
• Technology Integration: The use of mHealth, wearables, and analytics is growing, with the mHealth market doubling in four years. However, lack of interoperability limits the potential of these technologies.
• Population Health Management: A focus on prevention and holistic health, with data analytics playing a key role in identifying at-risk individuals and optimizing care delivery.
• Wellness Initiatives: Employers, health care providers, and governments are promoting wellness programs that encourage proactive health management and patient empowerment.

Stakeholder Considerations

• Cost Reduction Strategies: Hospitals are exploring alternative staffing models, shifting patients to outpatient services, and reducing administrative and supply costs.
• Revenue Diversification: Health systems are developing new revenue streams through intellectual property, joint ventures, and commercializing foreign assets.
• Value-Based Payment Models: These models reward providers for delivering high-value care, reducing waste, and improving outcomes.
• System-Wide Transformation: Long-term sustainability requires a fundamental transformation of health care systems, including improved efficiency, consolidation, and integration of services.

Social Determinants of Health

• Impact on Outcomes: Social factors such as housing, food security, transportation, and education significantly influence health outcomes.
• Addressing Social Needs: Hospitals and health systems are increasingly investing in programs that address these social determinants, recognizing their role in overall health and well-being.

Conclusion

The 2018 outlook underscores the need for innovation, collaboration, and systemic change to deliver smart, efficient, and value-based health care. As the sector continues to evolve, stakeholders must navigate financial, technological, and social challenges to ensure sustainable and equitable health care delivery.