Health Care as a driver of growth

1
Health Careas a driver of growth

• Sonja Teughels
• advisor Voka, Flanders' Chamber of Commerce and
  Industry

2
Interest of employers in health care

• Health care is of major importance in health and
  well-being of human capital
• Heavy burden on labour by taxes and premiums
• Rising health care expenses
• Employment and export of medical products/know
  how gt growing markets?

3
Total and public expenses health care as a of
GDP, 2001-2050
Growing difference
Private individuals and Enterprises
BronFederal Planningbureau, Study commission for
ageing
4
Income tax plus employees' and employers' social
security contributions(as of labour costs,
2003)
Country Total
Belgium Germany Australia Netherlands Switzerland Norway Denmark Luxembourg Canada United States 54 52 28 43 29 37 43 32 32 29
1. Single individual without children at the
income level of the average production worker.
Source Taxing Wages, OECD, 2001-2003
5
How to control the budget? gt Restrictions

• Current organisational features of health policy
  restrict decisive and effective health policy
• Corporatism consultation between
• Health services
• Physicians
• Separation of health care budget (fees,
  medicines, administration, )
• Budget for pharma underestimated
• In case of exceeding the budget gt accountability
  (for ex claw back)

6
How to control the budget? gt Restrictions

• Fee for service
• Strong segmentation of health policy and
  financing
• Within curing process
• Between cure, prevention and care
• No health objectives!
• Policy per diagnosted group
• Integrated health policy

7
How to control the budget? gt Proposals

• From financial administration to health policy
• Policy / diagnose gt integration of cure,
  prevention and care
• Disease management with measurable criteria and
  monitoring
• From heavy burden on labour to financing health
  care by whole population
• General means and premiums paid by everyone for
  compulsory statutory health insurance including
  major risks
• Private health insurance for covering minor risks

8
How to control the budget? gt Proposals

• From several authorities to one authority in
  health policy
• From supply to demand
• Demand and disease as subject and guidance for
  policy
• Limited service fee
• Cost effectiveness
• From national to international focal point
• Looking for opportunities of growing markets in
  health care!

9
Health care growing markets?

• Supply of care
• High density
• Good performance and quality
• High level of accessibility
• Expenses / capita are at the moment comparable to
  other countries
• Centres of excellence?
• Heart surgery?
• Clinical trials
• Biotech and (stem cells transplant)
• Foreign patients

10
Health care growing markets?

• Research and Development
• Biology, bio and medical sciences, Clinical and
  experimental medicine,
• Transfer to patents is limited
• Important input of top enterprises (AG, JF, )
  and growing importance of universities and public
  research centres (IMEC)
• Innovation in health care

11
The Progress of Disruptive Innovation
Performance (complexity of diagnosis and
treatment)
Performance trajectory of (present) sustaining
innovation
specialist
teaching hospital
New performance of disruptive technology
physician
outpatient clinics
nurse
in office care
Self care
in home care
Time
Bron Christensen C. M.e.a., HBR, 2000
12
(No Transcript)
13
Health care growing markets?

• Case Medicon Valley Öresund
• Networking of pharmaceutical companies,
  government, hospitals and universities gt
  development of spin-offs in life sciences
• Clustering of knowledge and experience
• Export of know-how and import of foreign patients
• Enlarging Europe gt offering skills, know-how and
  products

14
Health care growing markets?

• Main conditions
• Keep budget under control
• Health policy and health objectives
• General more efficiency by
• Transparency
• In supervision of patients' navigation of care by
  for. Ex. EPR, e-health, on line prescription..
• Looking for disruptive innovations