CENTURY Putting data to work for stronger health systems The health - - PowerPoint PPT Presentation

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CENTURY Putting data to work for stronger health systems The health - - PowerPoint PPT Presentation

Feb 20, 2023 320 likes •583 views

HEALTH IN THE 21 ST CENTURY Putting data to work for stronger health systems The health sector faces a changing landscape and new challenges Health spending is projected to continue to outgrow national incomes Health expenditure as a share of

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HEALTH IN THE 21ST CENTURY

Putting data to work for stronger health systems

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The health sector faces a changing landscape and new challenges

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Health spending is projected to continue to outgrow national incomes

Health expenditure as a share of GDP, projection to 2030

4.6% 5.5% 6.2% 6.7% 6.7% 7.0% 7.0% 7.4% 7.5% 8.0% 8.1% 8.3% 8.8% 8.9% 9.1% 9.5% 9.7% 9.7% 9.9% 9.9% 10.2% 10.4% 11.3% 11.3% 11.4% 11.6% 11.7% 12.0% 12.0% 12.1% 12.2% 12.3% 13.0% 13.0% 13.1% 13.3% 14.5% 20.2% 0% 5% 10% 15% 20% 2015 2030 % GDP Source: OECD Health Division projections, 2019. StatLink 2 https://doi.org/10.1787/888934017196
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But a fifth of this spending is, at best, ineffective and, at worst, harmful

Source: OECD (2017) Tackling Wasteful; Spending in Health Care
  • Adverse events occur in 1/10 hospitalisations, add between

13 and 17% to hospital costs and up to 70% could be avoided

  • Geographic variations in rates of cardiac procedures (x3) and

knee replacements (x5) are for a large part unwarranted

  • Up to 50% of antimicrobial prescriptions are unnecessary
  • 12% to 56% of emergency department visits are inappropriate
  • Administrative expenditure on health varies more than six-

fold, with no obvious correlation with performance

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Ageing populations and rising NCD rates mean that health and care needs are changing

Source: Barnett K, Mercer S, Norbury M et al. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional
  • study. Lancet 2012; 380 (9836): 37–43
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And people (rightly) expect a health system designed around their needs & preferences

… but health system are slow to change…

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People want to take control of their own health

Source: Health in the 21st Century www.oecd.org/health/health-in-the-21st-century-e3b23f8e-en.htm
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Intelligent use of data and digital technology can help

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Many sectors have transformed themselves to harness digital opportunities

This has resulted in:

  • Better products
  • Better services
  • More efficient
  • Big consumer surpluses
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In health, the opportunities are clear

Effective, efficient and people-centered services

  • Faster access to critical information – effective, efficient care
  • More patient involvement, a better care experience
  • Clinical process optimisation (e.g. data-driven machine learning)

Better system management

  • Monitor performance
  • Allocate resources better
  • Ensure better planning and access to care

More accurate surveillance

  • Evaluate public health interventions
  • Faster detection and response to public health emergency
  • Inform policy

Power up research & innovation

  • Statistical power
  • Vast and varied datasets
  • ‘Real world evidence’ for assessing and developing better treatments
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Health care is rapidly ‘digitising’ … which is good

Source: Health in the 21st Century www.oecd.org/health/health-in-the-21st-century-e3b23f8e-en.htm
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But health systems remain “data rich - information poor”

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Data are available but not linked regularly, missing important opportunities

Source: Health in the 21st Century www.oecd.org/health/health-in-the-21st-century-e3b23f8e-en.htm 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2013 % of key national health datasets available 2019 % of key national health datasets available 2013 % of datasets regularly linked 2019 % of datasets regularly linked

Percentage of key data sets (a) available and (b) regularly linked, 2013 and 2019

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Only a few countries are ready to re-deploy EHR data for research and other purposes

Source: Health in the 21st Century www.oecd.org/health/health-in-the-21st-century-e3b23f8e-en.htm

Technical, operational and governance readiness to use EHR data, 2016

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Routine health data are under-used in managing medical technologies

Source: Health in the 21st Century www.oecd.org/health/health-in-the-21st-century-e3b23f8e-en.htm Use of routine health data in pharmaceutical policy, 2018
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70% of countries planning to allow

people to access their electronic medical record

43% of countries say that people

will be able to interact with their record

Too seldom people can interact with their own records

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And the health workforce is not ready

30 to 70% of health professionals* report knowledge and skills shortages relating to digital tools and data analytics Outdated day-to-day work processes do not enable the digital technology to add value A digital tool is often a “black box” to a health worker or is not informed by workers’ and their patients’ needs

Skills mismatch Inadequate work processes Lack of involvement

* depending on category and country
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ICT expertise is short supply compared to other sectors

Source: Health in the 21st Century www.oecd.org/health/health-in-the-21st-century-e3b23f8e-en.htm
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SLIDE 19 Investment in software and databases as a % of GFCF Unweighted mean across 12 OECD countries

More generally, health systems appear to under- invest in information management

10 20 30 40 50 60 Software & databases % GFCF 0.5 1 1.5 2 2.5 3 ICT services % output Non-residential gross fixed capital formation (GFCF) is a measure of spending on fixed assets. Countries covered: Australia, Austria, Denmark, Finland, France, Italy, Japan, the Netherlands, Norway, Sweden, the United Kingdom, and the United States. Purchases of ICT services as a % of
  • utput
Unweighted mean across 12 OECD countries 19 Source: Health in the 21st Century www.oecd.org/health/health-in-the-21st-century-e3b23f8e-en.htm
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A DIGITAL TRANSFORMATION RELIES ON A POLICY TRANSFORMATION

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Digital transformation requires fundamental institutional reform …. and investment

  • Overarching, cross-sector digital strategy with a

consolidated vision, plan and policy-framework

  • 1. Strategy
  • A legal and policy framework that enables data

to be used and shared for agreed purposes but ensuring that individual privacy and data security

  • 2. Governance
  • Operational - workforce and the public to

make the most from digital technology

  • Institutional – data can be put to work to

generate knowledge and action

  • 3. Capacity
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Efficiency waste = 400B

Additional health = $200B

Direct benefits = $600B

~GDP of Poland ~8% OECD health expenditure

This can deliver considerable health and economic dividends across OECD countries

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Doubling what OECD countries invest in their information systems would still deliver a 3-fold return

$ $$$

x2

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“The key barriers to building a 21st century health system are not technological. They are found in the institutions, processes and workflows forged long before the digital era.”

http://www.oecd.org/health/health-in-the-21st-century-e3b23f8e-en.htm

Barriers are not technological ….

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More on OECD work related to health

Contact us health.contact@oecd.org @OECD_social Follow us on Twitter www.oecd.org/health Visit our website