The Future Health Index (FHI) is a research-based platform designed to help determine the readiness of countries to address global health challenges and build sustainable, fit-for-purpose national health systems. In the context of ever-growing pressure on resources and costs, the FHI focuses on the crucial role digital tools and connected care technology can play in delivering more affordable, integrated and sustainable healthcare.
Since its launch, we have conducted ongoing, best-in-class research to better understand global nuances concerning access to healthcare, integration of healthcare systems, and the adoption of connected care technology.
In 2016 the FHI measured perceptions to produce a snapshot of how healthcare is experienced on both sides of the patient-professional divide. In 2017 it compared these perceptions to the reality of health systems in each country researched.
In 2018, the FHI builds on the increasing consensus that the value-based healthcare model is the best approach to address the challenges posed by a combination of growing and aging populations with the rise of chronic diseases and healthcare costs. The 2018 edition of the FHI identifies key challenges that form a barrier to the large-scale adoption of value-based healthcare and improved population access; and assesses where connected care technology – data collection and analytics, and new care delivery models – can help speed up the healthcare transformation process.
The 2018 Future Health Index is split into three chapters, the first of which measures and assesses the value present in 16 health systems of developed and developing markets through a Value Measure.
The Value Measure combines criteria associated with value-based healthcare and access to care, arguably the ultimate goals of modern healthcare. It consists of three parts:
- Access (i.e. how universal, and affordable, is access to healthcare in the designated market?)
- Satisfaction (i.e. to what extent do the general population and practitioners in the designated market see the healthcare system as trustworthy and effective?)
- Efficiency (i.e. does the system in the given market produce outcomes at an optimum cost?)
In the first chapter of the 2018 FHI, 45 different metrics are analyzed using a combination of third-party data and original research collected via a survey in partnership with a global market research firm.
The survey data was collected from January 18, 2017 to March 3, 2017 for 15 of the 16 countries analyzed in 2018 (Australia, Brazil, China, France, Germany, Italy, the Netherlands, Russia, Saudi Arabia, Singapore, South Africa, Spain, Sweden, the UK and the US) in their native language. The survey had an average length of 25-30 minutes. A combination of online, face-to-face (computer-assisted) and phone (computer-assisted) interviewing was used. Survey data for India was collected during February 16, 2018 to March 26, 2018 in a manner consistent with the other countries in 2017.
The total sample from the survey includes:
- 3,244 healthcare professionals (defined as those who work in healthcare as a doctor, surgeon, nurse practitioner, registered nurse, licensed practical nurse or nurse across a variety of specializations)
- 24,654 adults (representative of each country’s respective adult population).
Third-party data was sourced from a number of organizations including the World Health Organization, the Commonwealth Fund, and the World Bank. A full list of sources is included in the report.
Through our analysis, various metrics have been grouped into pillars. Within each pillar, the metrics are normalized to ensure comparability across countries and are scored to fit onto a 0 to 100 scale. Through grouping and comparing metrics, the 2018 FHI provides actionable analysis across 16 markets and is representative of about 50% of the global population.
The next two chapters of the 2018 FHI will take a closer look at two areas of digital solutions with the potential to significantly drive change through connected care technologies. Data collection and analytics (the ability to share and collect patient-centric data and analyze it on a large scale) and care delivery (technology developments which are bringing innovative ways to deliver better care) both face implementation challenges of their own, but will make up a key part of any health system’s efforts to deliver more value.
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