The healthcare industry is undergoing a transition from institutional-driven healthcare (fee for service) to outcome-based healthcare (pay for performance). It rewards care providers for raising care standards and for demonstrating evidence-based service goals. The model typically evaluates provider performance by examining key activities that lead to improved patient outcomes and patient satisfaction.
The Patient / Individual centered care is expected to consider patient’s desires, expectations, values, family and social circumstances, beliefs, lifestyles and future ambitions. Integrating this into the patient care provides a more collaborative, respectful, personalized and holistic approach to medical practice across the ecosystem.
There are gaps in traditional medical practice that are driving these changes: Health decisions are generally taken by health professionals, while patients are mostly passive participants as they are not actively involved in the decision-making[i]; the cost of treatment has been going up without an equivalent improvement in value delivered; patients are being subject to unnecessary tests and treatments; and dangerously enough, patients sometimes receive incorrect treatment.
Technology can help overcome many of these imperfections. As an enabler, it can motivate and support more optimal practices. Care givers can leverage a vast amount of digital data from numerous connected sources (devices, trials, research, best practices, training, patient data) and strengthen this by tapping into cross-functional skills to take day-to-day decisions. This brings about a significant change by turning point-of-care into evidence-based practice.
All the players in the healthcare ecosystem, including medical device OEMs, pharma companies and insurers, who do not become patient centric will remain vulnerable to compliance risk, loss of revenue through lowered reimbursements from insurers, brand erosion and patient attrition.
The nuts and bolts of becoming patient centric
What will it take to deliver patient centric care? There are three critical vectors that need to be addressed (see illustration Moving closer to patient centricity for details).