What are roundtables and how are they used in healthcare?
One of the collaborative initiatives I lead has been organising a series of policy roundtables lately.
But what is a policy roundtable? How does it help address health issues? Should healthcare stakeholders consider organising and/or participating in one?
Roundtables are unique opportunities to engage the key people working in a given disease area or health issue, and most importantly the decision-makers. Below I listed a few topics for such events:
Addressing disparities in healthcare access among different populations.
Improve diagnostics/medicines coverage for underserved groups.
Strategies to reduce healthcare costs for governments/hospitals/patients.
Improve education and awareness of specific diseases among stakeholders.
These are just examples, but you can add your priority health issue to this list.
They are usually private events that focus on very specific topics from different perspectives. One of them is policy, which of course is important because the policy implemented in a given country dictates the way healthcare is delivered to citizens. Policies shape the quality of care, accessibility and affordability of medicines, diagnostics and health services in general. If, for example, a country has an imperfect policy for the coverage of vaccines against an infectious disease, it can lead to significant public health risks: low vaccination rate, high exposure to outbreaks of preventable diseases, high costs for the healthcare system as more doctors and hospitals have to deal with the increased number of patients, decreased ability to work for patients with complications, etc. etc.
Policy roundtables aim to facilitate discussions to solve these imperfect situations. They are used to inform policymaking (i.e. make the policy better through robust data) by leveraging research findings, comparative analyses and/or expert findings (such as those from academics, patient advocacy groups, clinicians, etc.). By sharing experience and data, the stakeholders can highlight gaps in current policy and discuss the way to an improved one.
Now let’s move to the how. How can a successful roundtable be organised?
The first step is to define the purpose. Why do we want to organise a roundtable? What are the objectives? What is the expected/desired outcome?
Then we map the stakeholders. Who should be invited? Why is his/her presence relevant? What stakeholder category does he/she represent? What topic is he/she most suitable to present?
We also define the roles and responsibilities of non-speaker participants. We need someone to moderate the discussions (usually a general healthcare expert or a topic/disease expert from a neutral organisation) and the support team, those who take care of the logistics.
In parallel, the roundtable documentation is defined. It should include the context and objectives of the event, the agenda, a description of the topics to be presented and the questions for the discussion among speakers/panellists, and the deck to be shared during the event. And the logistics details: venue, timings, and requirements from speakers (slides, preparation of the questions to be addressed). If the roundtable is hosted in person, we need to liaise with the physical venue (hotel, meeting room). If it’s virtual, we choose the platform (Zoom is the most popular) and make sure everyone is informed about the good practices for the online event.
Once the roundtable is completed, a summary is shared with the participants, which should ideally end with the next steps associated with the objectives set at the beginning of the process. Policy change doesn’t happen overnight, therefore it is critical to ensure that actions are identified and agreed upon by the participants during the roundtable, and that follow-up is ensured.
I hope you have a better understanding of what roundtables are and how they can be strategically used to make healthcare better.
#healthcare #healthpolicy #policydiscussions #collaboration
How to organise events without pain
Organizing meaningful discussions in the form of conferences, symposia, summits, webinars or roundtables is essential for knowledge exchange, collaboration, policy development, innovation, and addressing the multifaceted challenges that impact the health of populations worldwide.
I have personally organized tens of events in the past 4 years and have developed a no-hassle guide that guarantees a panic-free, meaningful, and smooth process.
In this article, I want to share my guide with you so that you can also apply it in your work.
1. Scope out the details of the event.
The foundation of a successful event lies in meticulous planning. Understanding the details ensures alignment with objectives and sets the stage for a purposeful gathering.
2. Develop themes for the event session(s).
Crafting compelling themes attracts a diverse array of participants and speakers, fostering rich discussions and a dynamic exchange of ideas.
3. Create a list of participants/speakers.
You can draft stellar event themes and topics, but success hinges on your speaker list.
Consider inviting experts from one or more of the following categories, depending on the perspective you want to bring: private companies, governments, specialized associations, patient advocacy groups, clinician societies, and academia.
4. Develop the event’s materials.
Curated content is key to providing value. Ensure top-notch quality for your event’s master deck, program agenda, pre-read and other related content to elevate the overall experience.
5. Determine the format, date and location.
Strategic decisions on format (in-person, virtual or hybrid), and logistics are crucial for accommodating diverse participants, ensuring accessibility, and creating a comfortable environment for meaningful interactions.
6. Handle the reservation of venue, logistics, and translators.
Streamlining logistics and offering language support are fundamental to a seamless event.
7. Develop marketing collaterals to promote the event.
Effective promotion increases visibility, attracts a wider audience, and contributes to the success of the event.
8. Prepare and send invitation letters to participants. Follow-up on invitations to ensure responses.
Proactive communication ensures a strong participant turnout, enriching the diversity and expertise present at the event.
9. Follow up and plan briefing sessions with speakers.
Even the best speakers benefit from thorough briefings. Ensure they are well-prepared to cover the topic effectively, stay within the time, and align with the overall program.
10. Moderate or speak at the event, and provide on-site support.
At this stage, nobody understands the event better than you. Stay actively involved by speaking or moderating, leading panel discussions, or providing insightful remarks.
11. Prepare post-event materials to include key takeaways and next steps.
A comprehensive post-event report captures valuable insights and lessons learned, laying the groundwork for future successful events.
Conclusion
Working on an event strategy isn't rocket science, but it requires good planning and a clear vision.
Over the years, I've followed these 11 steps, which have not only provided me with clarity but also helped me sidestep unnecessary stress. (After all, stress is inevitable, but we can minimise the total amount of stress in each project by focusing on things we can control.)
Beyond the enumerated steps, one invaluable practice I consistently find beneficial is leveraging the perspectives of others.
Engaging in discussions about my event plans and strategies with someone I trust offers a fresh viewpoint, enriching the overall approach and ensuring a well-rounded event execution.
How Money and Health Intersect
For some of my recent projects, I've delved into the bi-directional relationship between health and income. Below, I explore some of the key topics related to the question: Does money make us healthier, and vice versa?
Understanding the Role of Income in Health
When examining people's income and health, a clear trend emerges – the more money one has, the better their health tends to be. This global phenomenon influences factors such as life expectancy and the risk of various health issues. A graphic representation was first shown by Samuel Preston in 1975. The Preston Curve, named after the American demographer, illustrates how a country's income per person links to its people's life expectancy. At lower incomes, a small boost can result in a significant jump in life expectancy. However, as incomes rise, the impact on how long we live becomes less noticeable.
Factors Behind the Money-Health Connection
Digging deeper, we discover that education, nutrition, and public interventions play a significant role. Individuals with higher incomes often invest more in these aspects, directly impacting their health. Additionally, the impact of poverty and how inequality contributes to this connection cannot be ignored.
Global Income Inequality
An integral aspect of comprehending the income-health relationship is considering inequality. Income inequality amplifies healthcare disparities, making it essential to address them on a global scale for inclusive and equitable healthcare. Understanding global income inequality is challenging. Some argue it's increasing, especially in countries like China and India, while others suggest the gap is shrinking with the faster growth of Low- and Middle-Income Countries (LMICs). The reality likely lies somewhere in between.
Implications for Policies
So, what should we do about it? Policies must consider whether boosting economic growth is the key to better health or if a focus on spreading income more evenly is necessary. The central question revolves around achieving Sustainable Development Goals (SDGs) – should we grow first and then become healthier, or do we need to redistribute income for better health?
Measuring Success: More Than Just GDP and Lifespan
Economists are reevaluating what success means, moving beyond traditional measures like GDP and life expectancy. GDP per capita, the traditional measure of income per person, does not account for income distribution and inequality. Additionally, life expectancy is a too simplistic way to measure health outcomes because it ignores the quality of life and health disparities.
Summing Up the Money-Health Connection
In a nutshell, having more money tends to lead to better health, but it's not the whole story. Our genes, access to healthy food, where we live, and our lifestyles also matter. Recognizing and addressing the multifaceted nature of this relationship is essential, acknowledging that it is a complex challenge to measure and solve. Let's stay grounded and consider all these factors as we navigate the complex relationship between income and health.
Sources: Samuel H. Preston, 1975; Angus Deaton, 2003.
Mastering Knowledge Management: A Guide to Staying Informed in 8 Steps
As a global health advisor focusing on collaborative projects, staying abreast of key trends, insights from reputable organizations, and the perspectives of Key Opinion Leaders is not just a habit - it's a strategic necessity. The impact of this knowledge on both my professional reputation and the quality of services I offer to clients is significant. However, this comes with some challenges: limited time and the delicate balance between content consumption and creation. So, how do we navigate this? Here's a step-by-step guide to my approach:
Step 1: Creating Excel Spreadsheet
In the chaos of information overload, Excel can be a useful tool. So, step 1 is to simply create an Excel spreadsheet.
Step 2: Listing Professional Knowledge Sources
From websites and LinkedIn profiles to blogs, podcasts, YouTube channels, university platforms, and magazines, I compile a comprehensive list of the diverse sources that contribute to my industry insights.
Step 3: Assigning Importance Levels
Every source is not created equal. I classify them into high, medium, and low importance levels.
Step 4: Assessing Relevance
I then evaluate the current relevance of each source by asking simple questions such as: “Do I still want to consult this source?”, “Does this matter to me today?”.
Step 5: Defining Consultation Frequencies
For each relevant source, I set clear frequencies, ranging from daily check-ins to quarterly or even annual reviews.
Step 6: Estimating Duration of Consultation
Realistic time allocation is crucial. I estimate the average duration needed for each consultation, preventing me from spending too much time on it.
Step 7: Planning Time Slots
To make sure I prioritize knowledge consumption alongside project work, I plan dedicated time slots for consultations. This step is vital for maintaining the delicate balance between staying informed and delivering tangible results for clients.
Step 8: Calendar Integration
Here's the game-changer - integrating these time slots into my calendar. If it's not scheduled, it's as good as non-existent. This visual representation helps me manage my time efficiently and ensures that crucial tasks are actually done.
Addressing the Fear of a Busy Calendar:
I understand that a busy calendar might seem overwhelming. But let’s consider: Would you rather have tasks neatly organized in your calendar or chaos in your mind? I choose the former. The calendar serves as my ally, not an adversary. It's a tangible tool that keeps me on track and in control.
Ongoing Optimization:
Acknowledging that no system is perfect, I continuously assess my approach. If a source isn't meeting expectations or if my schedule feels overwhelming, I revisit the Excel sheet. Adjusting frequencies or reclassifying sources as less relevant keeps the system agile and effective.
In the field of advisory and consulting, where information is power, mastering knowledge management is not just a strategy, it's a competitive advantage. This step-by-step guide is helping me to stay informed intentionally, avoiding the overwhelm of information overload or the choice to remain uninformed because “I have no time”.
Some knowledge sources from my own Excel Knowledge Spreadsheet: The Economist, MedTech News, Global Health NOW, Consulting Success, HBR Idea Cast, HBR, UNICEF, World Bank Health, UN Global Health, The Global Fund, Healthcare IT News, WHO, Global Health Observatory, Bill & Melinda Gates Foundation, Institute for Health Metrics and Evaluation.
The Crucial Role of Digital Health Literacy in Policy Success
Introduction
In an era dominated by technological advancements, the convergence of healthcare and digital innovation has become a driving force in shaping global health policies. However, the success of these policies relies not only on cutting-edge technologies but also on the digital health literacy of the population. In this article, we delve into the significance of digital health literacy and explore strategies to enhance public understanding and engagement in the context of policy implementation.
Understanding Digital Health Literacy
Digital health literacy goes beyond the ability to use smartphones and access online information; it encompasses a deeper understanding of how digital technologies impact healthcare. From navigating health apps to interpreting electronic health records, individuals must be equipped with the knowledge and skills to make informed decisions about their health in the digital age.
The Link Between Digital Health Literacy and Policy Success
Empowered Decision-Making: Digital health literacy empowers individuals to actively participate in their healthcare decisions. When the public and the decision-makers are knowledgeable about digital health concepts, they can make informed choices aligned with the objectives of healthcare policies.
Effective Utilization of Resources: Policies often introduce new technologies or platforms to enhance healthcare delivery. Digital health-literate individuals are more likely to effectively utilize these resources, optimizing the benefits envisioned by policymakers.
Strategies to Enhance Digital Health Literacy
Tailored Educational Campaigns: Develop targeted educational campaigns that demystify complex digital health concepts. Use accessible language and real-life examples to bridge the gap between technological jargon and everyday understanding.
Collaboration with Educational Institutions: Foster partnerships with schools and universities to integrate digital health literacy into educational curricula. By starting early, future generations can develop the necessary skills to navigate the digital healthcare landscape.
Community Workshops and Webinars: Organize interactive workshops and webinars that engage the community in discussions about digital health. Provide hands-on experiences with relevant technologies to enhance practical understanding.
Accessible Digital Platforms: Create user-friendly digital platforms that serve as hubs for reliable health information. Ensure that these platforms are accessible to diverse populations, including those with varying levels of digital proficiency.
Conclusion
In the ever-evolving landscape of healthcare, digital health literacy emerges as a critical element for the successful implementation of policies. By fostering an informed and engaged population, policymakers can ensure that the benefits of digital health technologies reach all segments of society. As we navigate the digital frontier, the investment in digital health literacy stands as a strategic imperative, shaping a healthier and more empowered global community.
Navigating the Future of Digital Health: Insights from Frontiers Health 2023 Conference
In a rapidly evolving digital health landscape, my recent attendance at the prominent conference Frontiers Health 23 has shed light on the dynamic nature of the industry and the myriad opportunities it presents globally. Amidst the challenges, a prevailing theme of collaboration echoed throughout the event, signalling a shift away from competition towards a collective embrace of innovation.
Key Takeaways:
Collaboration Over Competition: Despite the competitive nature of the healthcare industry, there has been a noticeable shift towards collaboration recently. The understanding that innovation is best achieved together permeated the discussions, emphasizing the need for a united front in advancing digital health.
Addressing the Funding Question: A central question in scaling digital health adoption emerged – "Who pays for it?" This query underscores the importance of establishing equitable funding mechanisms to ensure widespread access. It became evident that sustainable solutions must be financially viable for all stakeholders involved.
Harmonization for Equity: The imperative of harmonization to combat healthcare inequities was a recurring theme. The consensus is clear: we cannot accept discrepancies in the quality of care based on geographic location. Efforts towards standardization and equity are paramount for the success of digital health initiatives globally.
Data as a Catalyst for Change: Breaking down silos through data emerged as a powerful tool in informing policymaking processes. Access to comprehensive data sets can drive sustainable and equitable healthcare practices, bridging gaps in information and ensuring informed decision-making at every level.
Government Initiatives and Market Access: Governments are stepping up to support digital health initiatives by announcing measures to facilitate market access. Notable examples include Germany, France and Korea, which are actively working towards creating an environment conducive to the growth of digital health solutions.
Europe and the USA: While both regions have made significant strides in digital health, there's a growing recognition that sharing best practices and harmonizing regulatory frameworks can further propel the industry forward. The European healthcare system, with its emphasis on universal coverage and patient-centric care, is increasingly incorporating digital health solutions. In the USA, where innovation and private sector involvement play a significant role, there’s a potential for mutually beneficial collaborations between public and private entities.
APAC's Rising Significance: The Asia-Pacific (APAC) region is emerging as a focal point for digital health innovators. Despite existing challenges in reimbursement, the landscape is evolving rapidly, driven by the pressing healthcare needs of the region.
Conclusion:
As a global health advisor deeply invested in shaping policy dialogues, these insights reinforce the significance of ongoing efforts in digital health reimbursement policy and underscore the need for continued collaboration on a global scale. The evolving landscape presents both challenges and opportunities, and the key lies in navigating this dynamic terrain with a commitment to equity, collaboration, and innovation. The conference has undoubtedly fuelled my dedication to advancing healthcare access through informed policy pathways and strategic collaboration.
Collaborative Multistakeholder Initiatives for Patient-Centric Healthcare Access
In today's dynamic healthcare landscape, ensuring equitable access to innovative healthcare solutions is a pressing global challenge. As a global health advisor, I have had the privilege of working on numerous initiatives that underscore the importance of collaborative multistakeholder groups in advancing healthcare access for patients, including diagnostic tools, drugs, medical devices, and digital health technologies.
The central theme of this post is the idea that to bring about substantial improvements in healthcare access, it is essential to foster collaboration among a diverse set of stakeholders. Here, we explore why working collaboratively as a multistakeholder group is not just an option but essential:
Holistic Problem Solving: Healthcare challenges are multifaceted. Collaborative efforts bring together the collective wisdom of experts from various domains, ensuring a more comprehensive and effective approach to problem-solving. Whether it's crafting policies, designing reimbursement systems, or developing strategies for healthcare advancements, involving various stakeholders ensures that no critical aspect is overlooked.
Policy Development and Advocacy: Effective policy development necessitates input from diverse voices, such as government bodies, healthcare providers, industry representatives, patient advocacy groups, healthcare professionals and academia. By collaborating, these stakeholders can create policies that are not only more equitable but also practical and sustainable.
Patient-Centric Approaches: The ultimate goal of healthcare should always be patient-centric. Multistakeholder initiatives enable a patient-focused approach by ensuring that the patient's perspective is at the core of decision-making. This results in policies and solutions that genuinely address the needs and preferences of the individuals they are meant to serve.
Innovation and Technology Integration: In the era of digital health and rapid technological advancements, collaboration is crucial. Multistakeholder groups can help bridge the gap between innovators, regulators, and healthcare providers, facilitating the integration of cutting-edge technologies, including digital health solutions, into mainstream healthcare.
Resource Mobilization: Healthcare initiatives often require substantial resources. Collaborative efforts allow for the pooling of resources, making it more feasible to invest in research, infrastructure, and healthcare delivery systems, ultimately benefiting patients.
Global Health Equity: Healthcare access is not a challenge limited to one region or country. Multistakeholder collaboration can help address global health disparities by sharing best practices, resources, and knowledge across borders.
Accountability and Transparency: Collaboration brings accountability and transparency to the forefront. Stakeholders working together are more likely to hold each other accountable for their commitments, fostering trust and ensuring that objectives are met.
Stakeholder Engagement: Engaging various stakeholders in the decision-making process can lead to higher acceptance and adherence to healthcare policies and interventions. This can result in a smoother implementation process and improved outcomes.
In conclusion, collaborative multistakeholder initiatives play a pivotal role in advancing healthcare. As global health advisors, policymakers, healthcare professionals, and advocates, it is our collective responsibility to work together, leveraging our unique expertise to shape a healthcare system that is patient-centric, equitable, and forward-looking.
6 Steps to Bring Together Healthcare Stakeholders for Effective Solutions
Introduction
In the dynamic landscape of global health, addressing complex issues requires a concerted effort from diverse stakeholders. From governments and healthcare providers to patients and industries, the collaboration of all healthcare stakeholders is paramount in shaping effective and sustainable solutions. In this article, we’ll take 6 steps to explore the interconnected roles of various entities in the healthcare ecosystem and the importance of their collective engagement in tackling strategic healthcare challenges.
Step 1: Understanding Healthcare Stakeholders
Healthcare stakeholders encompass a broad spectrum, ranging from governmental bodies and policy influencers to patients and research institutions. Each plays a unique role, contributing essential perspectives and expertise. Recognizing the synergy between these stakeholders is crucial in navigating the intricacies of healthcare issues. The key stakeholders include:
Governmental Bodies and Policy Influencers: Governments set the regulatory framework and policies that shape the healthcare landscape. Policy influencers, including think tanks and advocacy groups, contribute to the discourse and formulation of healthcare strategies.
Healthcare Providers: These include hospitals, clinics, physicians, nurses, and allied health professionals. Their role is central to delivering healthcare services and implementing policy on the ground.
Patients and Patient Advocacy Groups: The end-users of healthcare services, whose experiences and needs are pivotal in shaping patient-centric policies. Patient advocacy groups play a crucial role in representing the collective voice of patients.
Research Institutions: Academic and research institutions contribute to the scientific understanding of healthcare issues. Their research informs policy decisions and contributes to the development of evidence-based practices.
Pharmaceutical, Diagnostic and Medical Device Companies: Entities involved in drug, diagnostic solutions and medical device development and manufacturing, playing a vital role in healthcare innovation. Collaboration with these companies can drive advancements in medical treatments.
Insurance and Payer Organizations: Entities responsible for reimbursing healthcare services. Their involvement is crucial in shaping policies related to healthcare financing and reimbursement.
Non-Governmental Organizations (NGOs): NGOs often work on the ground, providing healthcare services, advocating for policy changes, and addressing health disparities.
Academic Institutions: Educational institutions that train the next generation of healthcare professionals and contribute to research and policy discussions.
Community and Public Health Organizations: Entities working at the grassroots level to promote public health, prevent diseases, and address community-specific health challenges.
Health Technology Assessment Agencies: Organizations that assess the value and impact of healthcare technologies, contributing to evidence-based policy decisions.
Step 2: Engaging Governments and Policymakers
At the forefront, governments and policymakers set the stage for healthcare initiatives. Drawing from my experience as a global health advisor, crafting effective health policies necessitates a collaborative approach. Governmental support creates an environment conducive to innovation and ensures the successful implementation of strategic healthcare measures.
Step 3: Empowering Healthcare Providers
Healthcare providers are the backbone of the system. Engaging them in strategic discussions enhances the feasibility of proposed policies. Private-public collaborations not only improve patient access but also align healthcare providers with the overarching goals of the healthcare ecosystem.
Step 4: Engaging Patients and Communities
Incorporating the patient's perspective is indispensable. Patient-centric policies not only improve healthcare outcomes but also enhance the overall experience. The involvement of patients and communities in decision-making processes ensures that healthcare solutions are rooted in the real needs of those they aim to serve. While many companies aspire to be patient-centric, achieving this goal is not without its challenges. Healthcare is incredibly diverse across geographies, and the sub-category needs within populations can be vastly different. What works for one group of patients in one region may not be suitable for another. Crafting truly patient-centric policies means addressing this diversity with flexible and adaptable solutions.
Step 5: Facilitating Industry Collaboration and Innovation
The private sector, pharmaceutical companies, and technology providers contribute significantly to healthcare innovation. Collaborations with these entities foster technological advancements and drive progress. Examining successful collaborations between industries and other stakeholders provides insight into the transformative power of such partnerships.
6. Overcoming Challenges
Many healthcare stakeholders underestimate the power of collaboration within the whole healthcare ecosystem. Having experienced the siloed nature of healthcare work first-hand during my time as a researcher, I've witnessed how easy it is to become deeply engrossed in the specifics of a project. In the confines of a lab, the broader picture often eludes us, and awareness of the activities of other stakeholders, such as companies and industry players, may be limited. This solo-focused approach, while concentrated, can unintentionally overlook the holistic view necessary for developing comprehensive healthcare solutions.
This tendency is not exclusive to research settings. Various functions within companies frequently underestimate the pivotal role of collaborative approaches and policy shaping. Research and development teams, for example, may become so deeply engrossed in scientific breakthroughs that they lose sight of the regulatory landscape, which can either facilitate or impede the implementation of their innovations. Likewise, marketing teams may concentrate on promoting products without fully grasping the evolving policy landscape, missing valuable opportunities to align messaging with broader healthcare goals. Sales teams, in their pursuit of meeting targets and driving revenue, may perceive policy discussions as distant. However, the truth remains that well-crafted policies foster an environment conducive to innovation, ensuring that products and services align with overarching healthcare objectives. Disregarding policy dynamics can result in missed opportunities and hinder long-term market success.
Conclusion
In conclusion, successful healthcare policies need everyone to work together—governments, healthcare providers, patients, industries, and the global community. By joining forces, we can tackle the complex challenges in healthcare. As we navigate the global health landscape, the power of diverse voices working together will bring about positive change and a new era of health and well-being for everyone.
Curating a Policy Summit on Digital Health - Case Study
In my role as a global health advisor, leading the APACMed Policy Forum on Digital Health Reimbursement has been a compelling journey. This recent event, executed on May 23, 2023, served as a profound demonstration of the influential impact that strategic multistakeholder engagement can wield in shaping global health policies. As the initiator of this global collaboration, my central role involved meticulous planning, coordination, and execution, harmonizing in-person meetings across Japan, Korea, and Singapore with virtual sessions featuring speakers from Europe.
A Global Dialogue Unfolds: Navigating Digital Health Reimbursement Across Borders
Structured across three impactful sessions, the forum unfolded as a dynamic global dialogue:
Background on the Digital Health Reimbursement Landscape: Providing nuanced insights into the digital health terrain across APAC, the US, and Europe, this session set the stage for a comprehensive understanding of the global landscape.
Key Learnings from APAC and Europe: Delving deep into the experiences and challenges encountered in the digital health reimbursement domain, this session fostered an exchange of valuable insights.
Scenario-Based Case Discussion: A highlight of the forum, participants immersed themselves in a hypothetical case study involving a digital therapeutic product. This session unravelled the intricacies of reimbursement scenarios, offering a practical lens on the challenges faced.
The meticulous design of this format facilitated a holistic exploration of the global digital health reimbursement landscape. Policymakers, academicians, and industry experts from diverse regions contributed to a rich collection of insights.
Preparing for a Global Dialogue: Five Months of Strategic Collaboration
The groundwork for this forum spanned an intensive five-month period, marked by strategic collaboration with experts and stakeholders from different regions. Key elements of this preparatory phase included:
Strategic Representation: Ensuring a diverse and representative group of participants was paramount. Policymakers, academia, industry representatives, and patient advocates were strategically engaged, adding depth to the dialogue.
Aligned Objectives: Strategic coordination centred around aligning the forum's objectives with the collective mission of the participants. Intensive communication and collaborative planning ensured the seamless integration of individual objectives with the overarching goals.
Facilitating Inclusive Dialogues: Inclusivity was a guiding principle during the preparatory phase. The agenda was crafted to ensure diverse voices were heard, fostering a collaborative format that allowed for a nuanced exploration of strategies.
Insights from the Global Dialogue: Challenges and Opportunities
During the forum, policymakers shared insights on the current status and upcoming priorities for digital health reimbursement. Participants from Australia, Japan, Singapore, and South Korea provided valuable perspectives on reimbursement frameworks through feedback on a hypothetical digital therapeutic product.
The forum revealed that, despite the increasing momentum of digital health technologies across APAC, reimbursement pathways remain unclear. Learnings from Germany, France, and the UK underscored the need for continuous engagement among stakeholders. The complexity of reimbursement pathways, particularly in the APAC region, was emphasized, with most markets perceiving reimbursement at the beginning or intermediate stage.
Bridging Gaps: The Road Ahead
The forum's conclusion featured an executive summary outlining the present state of digital health reimbursement in APAC markets. Emphasizing the need for a fit-for-purpose framework and highlighting the importance of the patient voice, the forum proposed a value framework for the APAC region, drawing insights from practices in Germany, the UK, Korea, and France.
As we navigate the evolving landscape of digital health reimbursement, the APACMed Policy Forum emerges as a strategic milestone. Beyond the event, my commitment extends to steering a course with a clear strategic vision, encompassing comprehensive reporting, strategic networking assistance, and ongoing dialogues. This strategic approach aims to ensure that the insights gleaned from the forum translate into tangible actions, ultimately shaping inclusive reimbursement frameworks for digital health technologies globally.
The Rise of Telemedicine and Its Impact on Healthcare Accessibility
Introduction:
In the rapidly evolving landscape of healthcare, the advent of telemedicine has emerged as a transformative force, reshaping the way medical services are delivered. This article delves into the rise of telemedicine and its profound impact on healthcare accessibility, exploring how this innovative approach is breaking down barriers while navigating the challenges that lie on the path to universal healthcare. Additionally, we will examine the surge in telemedicine usage during the COVID-19 pandemic, shedding light on how this crisis acted as a catalyst for widespread adoption.
Telemedicine Unveiled:
Telemedicine, a convergence of technology and healthcare, involves the remote delivery of medical services using telecommunications technology. Whether through video consultations, mobile health apps, or virtual monitoring, telemedicine transcends geographical constraints, connecting patients with healthcare professionals in real time.
The Accessibility Revolution:
Overcoming Geographical Barriers: Telemedicine surpasses the limitations imposed by geography. In rural or underserved areas where physical access to healthcare is challenging, telemedicine provides a virtual bridge. Patients can consult with specialists without the need to travel, fostering a more equitable distribution of healthcare resources.
Enhancing Timely Interventions: The immediacy of telemedicine facilitates timely interventions. In emergencies or for chronic disease management, real-time consultations enable healthcare providers to monitor and adjust treatment plans promptly. This is particularly crucial in preventing complications and ensuring that patients receive timely care.
Expanding Specialized Care Access: Telemedicine facilitates access to specialized care that might be concentrated in urban centres. Patients can consult with experts from different parts of the world, ensuring that even the most specialized medical knowledge is accessible to those who need it.
Improving Patient Compliance: The convenience of telemedicine contributes to improved patient compliance. Follow-up appointments and routine check-ins become more feasible, reducing the likelihood of missed appointments and enhancing continuity of care.
Empowering Vulnerable Populations: Vulnerable populations, such as the elderly or individuals with limited mobility, benefit significantly from the accessibility of telemedicine. It provides a lifeline for those who might face challenges in physically accessing healthcare facilities.
Challenges on the Horizon:
Technological Barriers: Not all individuals have equal access to the technology required for telemedicine. Disparities in internet connectivity, digital literacy, and access to smartphones or computers present challenges to the widespread adoption of telemedicine.
Data Security and Privacy Concerns: The digital nature of telemedicine raises concerns about the security and privacy of patient data. Striking the right balance between convenience and robust data protection measures is crucial for building trust in telehealth services.
Regulatory Challenges: The practice of medicine is often regulated by regional or national regulatory bodies. Telemedicine's borderless nature can complicate regulatory frameworks, requiring careful consideration to ensure compliance while fostering accessibility.
Reimbursement Hurdles: Perhaps one of the most significant challenges is the issue of reimbursement. Traditional healthcare reimbursement models are often not well-aligned with telemedicine practices. Convincing insurers and healthcare systems to adapt to new payment structures is a hurdle that must be overcome to ensure the sustainability of telemedicine initiatives.
The COVID-19 Acceleration:
The COVID-19 pandemic acted as a powerful accelerator for telemedicine adoption. According to a comprehensive study titled "The worldwide impact of telemedicine during COVID-19: current evidence and recommendations for the future," telehealth visits in October 2020 increased by more than 3000%, compared to data from 2019, in the USA. Other countries follow a similar pattern. This surge underscored the critical role of telemedicine in pandemic response and preparedness.
Pandemic Response and Preparedness: The unprecedented increase in telehealth usage, with a staggering growth rate of more than 3000% in October 2020 compared to 2019, highlighted its critical role in pandemic response and preparedness. It not only ensured that individuals could receive medical advice and treatment while minimizing the risk of viral transmission but also showcased the adaptability of healthcare systems to leverage technology in times of crisis.
Telemedicine Policy Development: The surge in telehealth usage during the pandemic prompted governments and healthcare organizations worldwide to fast-track the development of guidelines and regulations. The World Health Organization (WHO) and various national health agencies initiated efforts to create flexible policies that accommodate telemedicine into existing healthcare frameworks, emphasizing the need for a balanced approach that prioritizes accessibility without compromising the quality of care.
Conclusion:
As telemedicine continues its ascent, it reshapes the landscape of healthcare accessibility. The virtual realm is proving to be a powerful ally in overcoming traditional barriers, making quality healthcare a more democratic and universally accessible facet of our global society. Navigating challenges, particularly the intricate issue of reimbursement, will be crucial in ensuring that the promise of telemedicine is fully realized, fostering a healthier and more connected world.
References: The worldwide impact of telemedicine during COVID-19: current evidence and recommendations for the future, Omboni et al., 2022.
Should Freelancers Choose the Solo Model or Opt for Hiring a Team?
Today, I want to talk about my experience running a solo consulting business and why I choose to work with outsourcing partners. People often ask me why I prefer being a solo consultant and how I use outsourcing to help me, rather than hiring a team or scaling up.
Starting with Solo Work:
I've been running my solo consulting business for a more than a year now. It's been a fantastic journey filled with exciting projects and wonderful clients. I love the freedom of setting my own schedule and working independently.
But here's the thing – freelancing isn't just about working alone. It's also about knowing when to collaborate. That's where the decision between building a team or using outsourcing partners comes into play.
Why I Prefer Going Solo with Outsourcing:
Let's break it down. I've chosen to stay solo while working with outsourcing partners for a few important reasons:
Flexibility: Being on my own lets me choose my projects and work hours, giving me the freedom I enjoy.
Cost-Effective: Working solo keeps my costs low. I don't need to rent an office or hire a full-time team, so I can earn more.
Access to Global Talent: With outsourcing, I can collaborate with experts from around the world, ensuring I work with the best people for each project.
Specialized Skills: Every project is unique, so I can pick partners with the exact skills I need, without committing to hiring them full-time.
Making the Right Choice:
So, why have I made this choice? It comes down to finding the right balance. Deciding between building a team or using outsourcing partners depends on several things:
Project Size: Smaller tasks are great for outsourcing, while bigger ones might need a full team.
Budget: Staying solo helps me save money, but I invest in partners when it's necessary.
Expertise Needed: Different projects require different skills, so I bring in experts when needed.
Time Management: Managing a team takes a lot of time, while outsourcing partners need less hands-on management, which suits my preferences.
Long-Term Goals: My choice reflects my long-term plans. While I love the freedom of solo work, I'm also focused on growing and making a bigger impact, which might involve a team in the future.
In Conclusion:
In the world of freelancing, choosing to work solo with outsourcing partners is a strategic decision that matches my goals, project needs, and what I like. Success here comes from good communication, flexibility, and delivering great work. The choice between going solo or hiring a team hinges on a variety of motivations and project-specific needs. While I've found the solo consulting model with outsourcing partners aligns with my goals and offers flexibility and cost-effectiveness, there are compelling reasons why some may prefer hiring a team.
Reasons to Consider Hiring a Team:
Scale and Capacity: Hiring a team allows for tackling larger projects and expanding the scope of services, potentially leading to increased revenue and market reach.
Diverse Expertise: Teams bring together individuals with a wide range of skills, which can enhance problem-solving, creativity, and overall project quality.
Client Expectations: Some clients may prefer working with consulting firms or teams, associating them with greater resources, credibility, and reliability.
Long-Term Growth: Building a team can be part of a strategic plan for long-term business growth and sustainability.
Shared Responsibility: A team shares the workload, reducing the burden on individual consultants and potentially improving work-life balance.
Client Demand: When clients require a comprehensive suite of services or ongoing support, a dedicated team may be better equipped to meet those demands.
In the end, whether to embrace the solo consulting model with outsourcing or opt for team building depends on individual preferences, project specifics, and long-term aspirations. Success in the freelancing realm ultimately hinges on effective communication, adaptability, and consistently delivering exceptional work, regardless of the chosen path.
Advancing Healthcare with AI: The Imperative of Financial Support
Hi everyone! Today, we delve into a trendy development in healthcare – AI-based diagnostics. Let's explore the critical importance of funding these technologies, particularly in light of the ongoing healthcare shortage crisis worldwide.
The Persistent Healthcare Challenge
Our healthcare systems face a significant issue characterized by a shortage of healthcare professionals to meet the ever-increasing demand. This challenge knows no borders, impacting nations irrespective of their developmental status. Contributing factors include demographic shifts toward an ageing population, rising rates of chronic illnesses, and trends in workforce migration.
AI-Based Diagnostics: A Promising Solution
AI-based diagnostics have emerged as a potential solution to address this pressing issue. These advanced technologies promise swifter, more precise, and readily accessible healthcare solutions. Here's why they deserve our attention:
Rapid and Accurate Diagnoses: Imagine receiving a medical diagnosis in mere seconds, bypassing the delays of traditional methods. AI can analyse extensive medical datasets with remarkable speed and precision. In critical situations, such as stroke, AI's quick analysis can be lifesaving.
Universal Accessibility: AI-based diagnostics are incredibly versatile. They can operate in remote or underserved areas, bridging the geographical gap between patients and healthcare providers. This breakthrough enhances healthcare accessibility, even in regions traditionally challenged by limited medical resources.
Early Disease Detection: AI algorithms excel at identifying subtle patterns and anomalies within medical data, surpassing human diagnosticians' capabilities. This aptitude is especially valuable in the early detection of diseases like cancer, where early intervention is most effective.
Consistency and Reliability: AI systems do not experience variations in performance. They consistently deliver high-quality diagnoses, minimizing the risk of diagnostic errors.
Scalability: One of AI's remarkable attributes is scalability. These diagnostic tools can serve numerous patients simultaneously, like a digital physician with an infinite waiting room.
Real-World Examples: Transforming Healthcare
Let's illustrate the practical significance of AI-based diagnostics with three examples:
Philips IntelliSpace Cytology: Philips offers an AI-powered software solution that aids pathologists in analysing cytology images with remarkable accuracy, ensuring no irregularity goes unnoticed, and expediting diagnoses, especially in critical cases like cancer screening.
Roche Digital Pathology Solution: Roche employs AI to analyse digital pathology images, revolutionizing the diagnostic process. Pathologists can identify and diagnose diseases with heightened accuracy and efficiency, potentially leading to earlier interventions and improved patient outcomes.
Siemens Healthineers AI-Rad Companion: This AI-powered software by Siemens Healthineers assists radiologists in interpreting medical images with unparalleled accuracy and efficiency, streamlining the diagnostic workflow and benefiting patient care.
These real-world examples underscore the transformative potential of AI-based diagnostics. They not only accelerate the diagnostic process but also elevate its precision, ultimately leading to better patient care.
The Imperative of Financial Support
The potential of AI-based diagnostics to ameliorate the global healthcare shortage is undeniable. Yet, to harness this potential fully, financial support is essential. Here's why:
Catalysing Innovation: Financial support serves as a catalyst, motivating researchers, innovators, and companies to invest in the development of AI-based diagnostics. Without adequate funding, groundbreaking technologies may remain unrealized concepts.
Facilitating Widespread Adoption: Recognition of the value of AI diagnostics encourages healthcare providers to incorporate them into their practices. This acknowledgement often translates into investments in infrastructure and training, ensuring seamless integration.
Promoting Healthcare Equity: Financial support guarantees that AI-based diagnostics are accessible to individuals regardless of their economic status. This represents a significant stride towards reducing healthcare disparities and fostering an equitable healthcare landscape.
Ensuring Quality and Safety: Reimbursement typically necessitates adherence to stringent quality and safety standards, instilling confidence in both patients and healthcare professionals regarding the reliability of AI-based diagnostics.
The Path Forward
The healthcare shortage poses a formidable challenge, but with innovation as our ally, we can drive change. AI-based diagnostics offer the promise of faster, more precise, and universally accessible healthcare. To fully unlock their potential, governments, insurers, and healthcare systems must recognise the paramount importance of financial support. It is not merely an investment in technology but a commitment to the well-being of humanity. Let us welcome AI-based diagnostics to shape the future of global healthcare—a future where quality healthcare is accessible to everyone, regardless of their location or economic circumstances. Together, we can work towards realizing this vision.
References:
1. https://www.usa.philips.com/healthcare/resources/landing/philips-intellisite-pathology-solution
2. https://diagnostics.roche.com/global/en/article-listing/digital-pathology-solution.html
3. https://www.siemens-healthineers.com/digital-health-solutions/ai-rad-companion
G20 India Summit 2023: Paving the Way for Global Health and Digital Advancements
Introduction
The G20 meeting held in India in September 2023 was a momentous occasion where leaders from around the world converged to discuss critical issues shaping our global landscape. This article delves into the key global health highlights from the summit.
Strengthening Global Health: A One Health Approach
Global Health Architecture Reinforcement: The G20 leaders, recognizing the indispensable role of the World Health Organization (WHO), pledged to fortify the global health architecture. Their goal is to establish health systems that are not only robust but also equitable, sustainable, and inclusive, ultimately achieving Universal Health Coverage.
Healthcare Improvements: Primary health care, the healthcare workforce, and essential health services and systems were identified as areas for enhancement. The objective is to surpass pre-pandemic levels in these crucial sectors. Additionally, leaders emphasized the continued fight against diseases such as polio and ongoing epidemics, including AIDS, tuberculosis, malaria, hepatitis, and water-borne diseases. The summit also recognized the significance of addressing the long-term effects of COVID-19 and the need for continued research in this area.
One Health Approach: The G20 endorsed the One Health approach outlined in the Quadripartite's One Health Joint Plan of Action. This approach underscores the interconnectedness of human, animal, and environmental health, emphasizing the need for coordinated efforts to tackle global health challenges.
Antimicrobial Resistance (AMR): Leaders identified addressing Antimicrobial Resistance (AMR) as a top priority. They committed to comprehensive strategies involving research, infection prevention, and antimicrobial stewardship to combat AMR effectively.
Equitable Access to Medical Interventions: Equitable access to vaccines, therapeutics, diagnostics, and other medical countermeasures, particularly for low- and middle-income countries, was a key focus.
Pandemic Preparedness: The ongoing negotiations for a legally binding WHO convention on pandemic preparedness were discussed, with a target date of May 2024 for its finalization.
Mental Health Support: Mental health services and psychosocial support were recognized as critical areas requiring improvement. The leaders emphasized the need for inclusive access to mental health services.
Finance-Health Collaboration: Strengthening Preparedness
Collaboration: Leaders acknowledged the interplay between finance and health in pandemic preparedness and response. To enhance collaboration, a Joint Finance and Health Task Force (JFHTF) was established, involving key regional organizations to amplify the voices of low-income countries.
Economic Vulnerabilities and Risks: The framework on Economic Vulnerabilities and Risks (FEVR) was discussed in the context of economic vulnerabilities stemming from pandemics. Reports on best practices and financing options for pandemic response were welcomed.
New Donors and Co-Investment: The importance of securing new donors and co-investment in pandemic preparedness was underscored as a crucial element of the global response.
Fostering Digital Ecosystems: Inclusivity in the Digital Age
Digital Transformation: The summit highlighted the pivotal role of digital transformation in today's world. Leaders pledged to deploy digital tools and technologies to foster safe and resilient digital ecosystems.
Financial Inclusion: A commitment was made to ensure financial inclusion for every citizen on the planet, underscoring the importance of digital financial services.
Global Initiative on Digital Health (GIDH): The establishment of the Global Initiative on Digital Health (GIDH) within a WHO-managed framework was welcomed. This initiative aims to build a comprehensive digital health ecosystem while adhering to data protection regulations.
Harnessing Artificial Intelligence Responsibly: For the Public Good
AI's Global Potential: The leaders acknowledged the potential of AI for the global digital economy. They committed to leveraging AI for the public good while addressing ethical and regulatory considerations.
Responsible AI: The summit endorsed a pro-innovation regulatory/governance approach for AI, aiming to maximize benefits while mitigating risks. Responsible AI development, deployment, and use were emphasized, encompassing human rights, transparency, fairness, accountability, ethics, biases, privacy, and data protection.
Conclusion
These discussions at the G20 meeting in India highlighted the importance of global collaboration and preparedness in the areas of health, digital health, and artificial intelligence for a more equitable and sustainable future.
References: The information provided is based on the "G20 New Delhi Leaders’ Declaration" issued during the G20 meeting in New Delhi, India, held on 9-10 September 2023. https://www.g20.org/content/dam/gtwenty/gtwenty_new/document/G20-New-Delhi-Leaders-Declaration.pdf
Navigating the Complex World of Global Health: The Role of a Strategy Advisor
Introduction
In the ever-evolving field of global health, strategy advisors play a pivotal role in shaping policies, ensuring equitable access to healthcare, and improving population health outcomes. These advisors are tasked with the challenging responsibility of looking at the bigger picture, contextualizing topics within the realm of population health, government strategies, and equal access to diagnostic tests and treatments. However, there is a persistent misconception that strategy advisors should be all-knowing experts in every facet of global health. In this article, I’ll explore the difficulties faced by strategy advisors in global health when working on specific projects with experts and how embracing a macro-perspective can lead to more effective outcomes.
The Myth of Omniscience
One of the most significant challenges faced by strategy advisors is the unrealistic expectation that they should possess encyclopedic knowledge of every disease, be updated on the latest news, and have an exhaustive understanding of all the players and data within the global health landscape. While being well-informed is undoubtedly essential, the belief that one individual can master every detail in the complex and multifaceted world of global health is simply a myth.
A Personal Insight
In my previous life, I was a genetic researcher, specializing in meiotic recombination in yeast through genetic engineering. It was a world where deep expertise in a narrow field was the norm. Transitioning to my role as a global health strategy advisor was an eye-opener.
Sometimes, experts expect me to know everything about the disease, from its intricate details to the latest research and local healthcare nuances. In my quest to meet these expectations, I inadvertently compared this experience to my life as a scientist. The difference was striking. While specialization was key in genetics, my role in global health requires a broader perspective.
Shifting my focus from the minutiae of a single disease to overarching issues like partnerships, sustainable funding, and policy advocacy proved transformative. I learned to collaborate with disease experts while aligning efforts with the broader goal of improving healthcare access and population health. My journey from a specialized genetic researcher to a global health strategist highlighted the power of a macro-perspective. It's not about knowing everything; it's about leveraging collective knowledge to drive meaningful change. This transition has reshaped my outlook and deepened my commitment to creating healthier, equitable societies.
The Macro-Perspective Advantage
Contrary to the notion of omniscience, strategy advisors excel when they adopt a macro-perspective. Rather than trying to become experts in every niche, they focus on overarching themes and trends that have a more profound impact on global health. Here are some reasons why this approach is not only reasonable but essential for success:
Holistic Problem Solving: Strategy advisors, with their macro-perspective, can identify cross-cutting issues that affect multiple diseases or health challenges. This allows them to propose comprehensive solutions that address root causes, rather than merely addressing symptoms.
Resource Allocation: Instead of getting bogged down in minutiae, strategy advisors can help prioritize resources where they will have the most significant impact. This involves identifying areas where strategic investments can yield substantial returns in terms of population health and equitable access.
Leveraging Expertise: Collaborating with subject-matter experts is a strategy advisor's strength. By acknowledging their role as coordinators and facilitators, advisors can tap into the wealth of knowledge possessed by experts in specific fields, making the team more effective as a whole.
Adaptability: The global health landscape is constantly evolving. Strategy advisors who focus on broader trends and adaptable strategies are better equipped to respond to emerging challenges and opportunities.
Conclusion
In the world of global health strategy advisory, the expectation of omniscience can hinder progress. It's crucial for both advisors and experts to recognize the value of a macro-perspective that emphasizes holistic thinking, resource allocation, leveraging expertise, and adaptability. By understanding the limitations of individual knowledge and embracing collaboration, strategy advisors can make a more significant impact on population health, government strategies, and equal access to healthcare. The road to global health improvement may be complex, but by working together with a shared vision, we can overcome these challenges and build a healthier future for all.
Fighting Hepatitis and Liver Cancer in the Asia-Pacific: Charting New Policy Paths for Progress
Hi everyone, today, we're diving into a critical issue that's been staying in the shadows, silently affecting millions in the Asia-Pacific (APAC) region. We're talking about the alarming prevalence of hepatitis and hepatocellular carcinoma (HCC) in APAC and why it's high time we chart new policy paths to confront these health issues.
The Silent Epidemic
Picture this: APAC, the powerhouse of global liver disease deaths, accounting for a staggering 63% of the total. Viral hepatitis and HCC are playing a prominent role in this scenario. What's even more alarming is that 90% of those infected with viral hepatitis in APAC remain undiagnosed. It's a ticking time bomb.
The Stages of Liver Disease
Now, let's break it down. Liver disease isn't a one-size-fits-all issue. It unfolds through several stages, starting with chronic hepatitis, moving on to acute viral hepatitis (think B and C), cirrhosis, and ultimately, HCC. At each stage, it takes a toll on lives and economies.
Hepatitis: A Silent Killer
Hepatitis isn't just another health challenge; it's a challenging rival:
APAC loses a staggering one million lives to hepatitis each year.
Wrap your head around this: 182 million people in China and India alone grapple with chronic HBV or HCV infections.
Shockingly, hepatitis claims three times more lives than HIV/AIDS.
If you think the clinical aspect is heavy, wait till you hear this: the economic burden is a whopping AUD 26 billion, mostly due to lost productivity.
Current Status of Hepatitis Elimination
The World Health Organization (WHO) has set a goal: eliminate hepatitis by 2030. Unfortunately, most APAC territories are lagging behind. But here's what success looks like:
National Action Plans: It all starts with a solid national plan for hepatitis elimination.
Political Will: Without political commitment and coordination, we're stuck in neutral.
Funding: Adequate financial resources are non-negotiable.
Integrated Screening: Screening programs tailored to diverse populations are game-changers.
Eliminating hepatitis isn't just a health win; it's a financial jackpot.
The HCC Challenge
Now, let's shift gears to hepatocellular carcinoma (HCC):
HCC is the dominant liver cancer type, ranking fifth in the cancer hierarchy, and it's the second deadliest in APAC.
An astonishing 73% of global HCC cases in 2020 were in APAC, with 610,000 new cases.
More stats: 72% of all HCC deaths worldwide are in APAC, totalling 566,000 cases.
Premature death is a common outcome as 80% of HCC cases in APAC are diagnosed at an advanced stage.
The Economic Side of HCC
It's not just a health crisis; it's an economic one too:
In China alone, the economic burden of liver cancer was a staggering USD 11.1 billion in 2019, equivalent to 0.047% of the local GDP, and it's projected to soar to 34 billion by 2030.
Current HCC Management
While some APAC territories are doing well, others have room for improvement in managing HCC. Japan is leading the way thanks to these key factors:
National Surveillance: A robust national HCC surveillance program is fundamental.
Political Commitment: Political will and coordination matter—a lot.
Funding: Money talks; adequate funding is vital.
Protocols and Quality: High-quality treatments and precise protocols make a difference.
A well-funded HCC surveillance program isn't just a cost-effective move; it's a smart one.
The Time to Act is Now
It's not a time for complacency; it's time for collective action:
Comprehensive Hepatitis Plans: Let's create comprehensive national action plans with clear goals, adequate funding, and trackable progress.
Expanded Screening and Treatment: Integration is key; let's improve access to care for affected populations.
Integrated Funding: Advocate for domestic resources and catalytic funding to supercharge programs.
HCC Surveillance: Let's take a page from Japan's playbook; well-funded HCC surveillance programs are indispensable.
Boost Awareness: It's time to launch public awareness campaigns to combat stigma and gain political commitment.
A Call to Arms
In the past 8 months, I’ve been working to build a collaborative platform with key stakeholders in the liver space: healthcare companies, NGOs, global funds, patient advocacy groups, academia, experts and key opinion leaders. This platform is called The APAC Liver Disease Alliance and is facilitating policy discussions to reduce the growing burden of liver diseases in the Asia-Pacific. We’ve written a paper on this topic, that you can retrieve here. It is a comprehensive landscape analysis that highlights best practices and gaps and puts them together to build recommendations for better liver health management. Now it's time to put these recommendations into action. Each group has a role to play, and together, we can overcome the challenges of eliminating hepatitis and managing HCC.
Bibliography: For a full list of the resources I used to write this article, visit https://apacliverdiseasealliance.org/content/uploads/2023/07/Hepatitis-and-HCC-Elimination-in-APAC_White-Paper.pdf
Catalysing Global Health Transformation: The Power of Multistakeholder Initiatives
In the realm of global health, challenges are not confined by borders, and their solutions demand innovative approaches that transcend traditional boundaries. The fusion of public and private sectors within multistakeholder initiatives stands as a powerful force to reshape the global healthcare landscape. These initiatives offer a fresh paradigm to tackle shared issues, unlock value, and usher in positive change across the entirety of the global healthcare ecosystem.
Convergence for Collective Impact
Imagine a united team, where governments, corporations, non-profits, academia, patient groups and communities unite their diverse strengths to create global health solutions. This joint effort runs through connected ideas:
Unleashing Multistakeholder Synergy:
Diverse Expertise Amplified: Stakeholder groups contribute unique proficiencies and insights. Governments bring regulatory and policy frameworks, corporations infuse innovation, non-profits provide community perspectives, and academia delivers research-driven wisdom. This diverse expertise generates holistic solutions that transcend disciplinary boundaries.
Embracing Holistic Solutions: The complexities of global health extend beyond medical specificities. Through multistakeholder initiatives, these complexities are unfolded, and solutions are designed to encompass not only medical facets but also socioeconomic determinants, yielding comprehensive outcomes.
Equity into Solutions: Collaborative efforts within multistakeholder initiatives put a spotlight on equity. Solutions are crafted with the commitment to ensure that healthcare advancements are accessible, effective, and impactful for marginalized populations, promoting inclusivity in global health strategies.
Neutrality: The Bedrock of Unity
Neutrality as Catalyst: The success of multistakeholder initiatives is rooted in their neutrality. By transcending individual interests, these initiatives cultivate an environment where the collective pursuit of global health takes precedence, fostering a spirit of shared purpose.
Working Around a Common Agenda: Neutrality underpins the initiatives' shared agenda, marking a shift from competition to collaboration. Multistakeholder, multilateral initiatives curate a collective narrative, fostering openness, trust, and mutual support among diverse stakeholders.
Exchange of Best Practices and Expertise
Elevation of Knowledge: Within multistakeholder initiatives, knowledge flows freely. Governments share policy insights, private sectors introduce innovative technologies, and communities contribute localized wisdom, creating a rich collection of shared expertise.
Amplification of Success: Innovation knows no boundaries. Through collaboration, multistakeholder initiatives amplify the voice of success, championing the replication of effective strategies globally, and accelerating the adoption of impactful interventions.
Overcoming Challenges: A Collaborative Journey
Unified Policy Vision: A core strength of multistakeholder initiatives lies in forging unified policy visions. Aligning the policy agendas of governments, businesses, and civil society ensures a cohesive approach, generating harmonious strategies and actions across sectors.
Nurturing Collaborative Harmony: Multilateral initiatives harmonize diverse perspectives. They nurture a culture of inclusivity and collaboration, enabling the convergence of differing viewpoints into a harmonious symphony of progress.
Conclusion
In the panorama of global health, multistakeholder initiatives stand as a defining movement, leading to a harmonious transformation. They have the potential to rewrite the script of global health challenges. By embracing neutrality, exchanging expertise, and fostering unity among varied stakeholders, multistakeholder initiatives harness the power of collaboration to surmount obstacles that go beyond borders. As our world forges ahead, let’s continue to embrace these transformative initiatives as the guide for our collective journey toward a healthier, more equitable, and interconnected future.
Harnessing the Power of Digital Health: The Need for New Policy Pathways for Value Assessment and Reimbursement
Digital health technologies (DHTs) have the potential to transform healthcare by improving patient outcomes, reducing costs, and increasing efficiency. But there's a catch: the widespread adoption of DHTs is being held back by a lack of clear policy pathways for value assessment and reimbursement.
In this blog article, we'll discuss the challenges of valuing and reimbursing DHTs, and propose a number of policy pathways that could help to overcome these challenges.
The Challenges of Valuing and Reimbursing DHTs
DHTs are a diverse group of technologies, and the challenges of valuing and reimbursing them vary depending on the specific technology. However, some common challenges include:
The lack of robust evidence on the clinical and cost-effectiveness of DHTs. Many DHTs are still in the early stages of development, and there is limited evidence on their long-term safety and efficacy. This makes it difficult for payers to assess the value of these technologies and make decisions about reimbursement.
The difficulty of measuring the impact of DHTs on patient outcomes. DHTs can have a wide range of potential benefits, such as improving patient adherence to treatment, reducing hospital readmissions, and improving quality of life. However, it can be difficult to measure these benefits in a way that is meaningful to payers.
The need for a coordinated approach to value assessment and reimbursement. DHTs often involve multiple stakeholders, such as patients, providers, payers, and developers. A coordinated approach is needed to ensure that all stakeholders are involved in the value assessment process and that reimbursement decisions are made in a fair and equitable way.
Policy Pathways for Value Assessment and Reimbursement
There are a number of policy pathways that could help to overcome the challenges of valuing and reimbursing DHTs. These include:
Developing a common framework for value assessment. A common framework would help to ensure that the value of DHTs is assessed in a consistent and transparent way. This would make it easier for payers to make informed decisions about reimbursement.
Investing in research on the clinical and cost-effectiveness of DHTs. More research is needed to build the evidence base on the safety and efficacy of DHTs. This research should be funded by a variety of stakeholders, including governments, payers, and industry.
Creating a more flexible reimbursement system. The current reimbursement system is often inflexible and does not take into account the unique characteristics of DHTs. A more flexible system would allow payers to reimburse DHTs in a way that reflects their value.
Promoting collaboration between stakeholders. A coordinated approach to value assessment and reimbursement is essential for the successful adoption of DHTs. Payers, providers, patients, and developers all need to work together to ensure that these technologies are used to improve patient care.
Conclusion
Digital health technologies have the potential to transform healthcare. However, the widespread adoption of these technologies is being held back by a lack of clear policy pathways for value assessment and reimbursement. The policy pathways outlined in this blog article could help to overcome these challenges and pave the way for the widespread adoption of DHTs.
Here are some additional thoughts on this topic:
I believe that the most important policy pathway is to develop a common framework for value assessment. This would help to ensure that all stakeholders are using the same criteria to assess the value of DHTs, and that reimbursement decisions are made in a fair and equitable way.
I also believe that it is important to invest in research on the clinical and cost-effectiveness of DHTs. This research will help to build the evidence base on the safety and efficacy of these technologies, and will make it easier for payers to make informed decisions about reimbursement.
Finally, I believe that it is important to promote collaboration between stakeholders. This will help to ensure that all stakeholders are involved in the value assessment process and that reimbursement decisions are made in a way that benefits patients.
I hope this blog article has been informative. For a more extensive resource on this topic, you can read this publication I’ve co-authored. If you have any questions or comments, please feel free to reach out to me.