2022年全球医疗保健展望（英）-52页_11mb

2022 Global Health Care Outlook: Are We Finally Seeing the Long-Promised Transformation?

Core Content

The 2022 Global Health Care Outlook highlights the transformative impact of the COVID-19 pandemic on the health care sector. The pandemic has acted as a catalyst for long-awaited changes, accelerating digital transformation, shifting care delivery models, and emphasizing the importance of health equity. The report outlines six pressing sector issues and explores how the pandemic has intensified these challenges and opportunities.

Main Issues and Key Insights

1. Health Equity

• Definition and Importance: Health equity is not just about access to care but also about fulfilling human potential in all aspects of health and well-being. It is influenced by social, economic, and environmental factors.
• Impact of the Pandemic: The pandemic has exposed and exacerbated existing health inequities, particularly affecting racial and ethnic minorities, low-income groups, and marginalized communities. These groups face barriers such as limited access to care, higher rates of chronic illness, and poorer health outcomes.
• Structural Barriers:
  • Poverty and Inadequate Financing: Many countries lack effective financing systems for basic health services, contributing to health inequities.
  • Infrastructure Gaps: Limited access to modern health facilities, skilled professionals, and technology infrastructure hinders equitable care delivery.
• Systemic and Unintentional Bias:
  • Cultural, racial, gender, and other biases affect health outcomes, often due to historical discrimination and unequal treatment.
  • Clinical trials have historically lacked diversity, which can lead to biased outcomes and suboptimal care for underrepresented populations.
• Trust Divide:
  • Trust in health care organizations is crucial for health outcomes and vaccine uptake.
  • Certain communities, particularly Black and Hispanic populations, report lower trust in health care institutions and higher reliance on personal networks for health information.
• Drivers of Health:
  • Social, economic, and environmental factors account for up to 80% of health outcomes.
  • These drivers include income, location, and social support networks, which can be negatively impacted by discrimination and bias.

2. Digital Transformation and Health Care Delivery Model Convergence

• The pandemic has accelerated the adoption of digital health technologies, such as telemedicine, virtual consultations, and data analytics.
• These technologies have enabled more flexible care delivery, remote working, and improved access to care, especially in underserved areas.
• However, challenges such as data privacy concerns and limited access to technology remain.

3. Public Health Reimagined

• The pandemic has highlighted the need for a more proactive and preventive approach to public health.
• There is a growing focus on building resilient health systems that can respond to both pandemics and other communicable diseases.
• Health care leaders are encouraged to remain flexible and responsive to ongoing fluctuations in disease prevalence and health system demands.

Deloitte Health Equity Institutes (DHEIs)

• Deloitte has established DHEIs in the United States, India, and Africa to address the root causes of health inequities.
• These institutes focus on:
  1. Racial, socioeconomic, gender & other biases
  2. Disparate circumstances in drivers of health
  3. Inadequately designed healthcare systems
• DHEIs aim to drive change through three key capabilities:
  • Action & Impact: Offering pro bono consulting or financial support to health equity initiatives.
  • Knowledge & Evidence: Providing publicly available research and tools to support health equity efforts.
  • Data & Analytics: Using data on health disparities to inform impactful actions.

Regional Projects

• United States: DHEI collaborates with Robin Hood to increase vaccination rates in underserved populations in New York City, addressing misinformation, transportation, and distrust.
• India: The Sanjeevani Pariyojana project provides virtual, in-home care for rural patients with mild or moderate symptoms, leveraging existing technology infrastructure.
• Africa: DHEI supports South Africa's pandemic response, including the development of a PPE supply chain dashboard and collaboration with local and international stakeholders.

Key Questions for Health Care Leaders

Health care leaders are advised to consider the following steps in defining a health equity strategy:

• Organization: Collect and use employee data to design equitable benefits and mandate cultural competency training.
• Offerings: Implement value-based payment models and ensure equitable design in R&D and product development.
• Community: Invest strategically in communities and partner with traditional competitors to enhance impact.
• Ecosystem: Consider diversity in vendor selection and advocate for a defined policy agenda on health equity.

Conclusion

The pandemic has served as a powerful catalyst for change in the health care sector, pushing it toward a more equitable, digital, and community-focused future. While challenges remain, the opportunity to address long-standing issues is now more urgent than ever. Health care leaders must act with intention, using data, evidence, and collaboration to drive meaningful transformation and improve health outcomes for all.