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Summary HPI4002 Case 1

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Summary HPI4002 Case 1

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  • 4 oktober 2022
  • 5
  • 2021/2022
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daniquelisa
Lecture: Challenges of Innovation in Healthcare 31-8-2021
What are the current challenges in healthcare (1)?

 Ageing of the population
 Growing incidence of chronic diseases
 Strong demand for high quality of care
 Rising expectations
 Unequal accessibility to healthcare
 Pressure on labour force
 Rising healthcare costs

Main challenges:

 to provide the best possible care
 to as many people as possible
 as affordable as possible

How do we cope with these challenges? We have to make our health system sustainable for the
future by redesigning healthcare!

Redesigning healthcare:

 Adopting new payment and reimbursement models to stimulate improvement of
performance
 Moving from sickness and treatment to wellness and prevention
 Integrating primary, secondary and social care (new organizational structures)
 Finding new ways to involve private and voluntary sectors.
 Making individuals more responsible for their own care (relatives/neighbours for care and
less soon to nursing homes)
 Shifting from expensive hospital care to community care (specialist coming in to primary
care. Do not have to go to hospital because of special hours)
 Finding cheaper and simpler organizational and technological solutions (you will find this
most)

What role of innovation in this process

 Improving performance of healthcare systems
 improving health outcomes for individuals
 increasing efficiency of healthcare

What are the challenges in innovation in healthcare?

o Innovation often needs large financial investments
o Not all the science and technology is implemented into everyday mainstream healthcare practice
(waste)
o There is often a considerable time lag between development and implementation (waste)
o Innovation is not always adopted correctly and not everyone has equal access
o Innovation often increases costs because it allows us to provide more health care



What are the challenges for different sectors involved in innovation in healthcare?

1

, Healthcare is supported by four major industrial sectors:

1. Pharmaceuticals and biotechnology (biopharma)
2. Medical devices
3. Information technology (IT)
4. The built environment (design, engineering and construction)

They are confronted with a changing landscape:

 An evolving market for their products
 A changing balance of power across the health care value chain
 Pressure on their business models (price for vaccines, is it morally correct to ask so much?)

What are the challenges for the different sectors involved in innovation in healthcare? (First 3 Ch 1
Barlow)

1.Biopharma:

2. Medical Devices:

3. IT:

4.The built environment:

 Changes in the organization of healthcare also heave their impact on the building (integrated
care, patient centred care)
 Rules and regulations
 Integrating (options for) the newest technologies in buildings (

Differences healthcare sector and other sectors (2):

 Healthcare is very complex, always evolving, heavily regulated and highly politicized.

Factors that influence the innovation processes in healthcare:

 The nature of healthcare technology and innovation
 Risk-averse culture and extensive regulation
 Economics and politics of healthcare
 Environment for adoption and implementation is often extremely complex
 Check Chapter 3 for examples for each category

Technology and Innovation (3):

Technology: Application of knowledge to solve problems

 Hard technology: that you can touch (Tangible artefacts -> products made by humans)
 Soft technology: the knowledge about how those artefacts work -> manual of products,
sometimes also a way of thinking).
 Sometimes it depends on the argumentation whether it is hard or soft

Innovation: Innovation can refer to an outcome and it can refer to the process by which these
outcomes are developed. Also innovation has both a creative dimension (invention) and a
commercial/practical dimension that involves the exploitation of the invention. Is only invention
when is has both of these (this is all according to Barlow 2017).



2

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