Background of World

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Background to World Economic Forum Project
The problem was daunting: building health care infrastructure in remote areas of the world would take ten to thirty years and cost millions of dollars. Even if built, realistic solutions for a sustainable funding mechanism had not been identified for centuries. Rather than delay the provision of desperately needed healthcare services, the World Economic Forum posed a question: Are there existing proven innovative healthcare models that can be replicated? In particular, do the solutions provide access to quality care with limited infrastructure and qualified workforces, at a fraction of the common cost? Locating a model that reduced costs for both patients and healthcare systems while simultaneously providing quality care seemed counterintuitive. However, the answer was a resounding "yes." Against the backdrop of mounting challenges to health systems, the last decade has seen a number of innovative solutions to improve access to quality healthcare, particularly in emerging markets. The question became not what to invent, but how to replicate existing inventions and scale up these proven models. The Forum recognized that innovative delivery models overcome the global challenge of improving access to quality care at affordable costs. The innovation solutions focused on addressing common barriers to healthcare access, such as geographic (lack of facilities), financial, informational (education, awareness), and cultural (stigma of certain diseases). The Forum and its partners launched a project entitled "New Models in Health Care Delivery" to further understand the following: * What works in healthcare delivery

* Why it works
* How it can be scaled
To this end, the Forum assembled a Steering Committee including Aetna, Astra Zeneca, Cisco Systems, Duke University Health System, Merck, and Pfizer, who worked with McKinsey & Company, one of the top global management consulting firms, to research global innovations. Following are the results of McKinsey’s research, which eventually led to the formation of IPIHD. The innovation challenge – and opportunity

Can societies improve access to affordable quality care?
This conundrum is preoccupying healthcare leaders everywhere. The current annual cost of healthcare globally is estimated to be in the region of $5-6 trillion, and healthcare systems are consuming an increasing share of income in developed and developing nations alike. Indeed, increases in healthcare expenditure in OECD countries have, on average, exceeded GDP growth by two percentage points annually over the past 60 years. How can the productivity of healthcare systems improve? Getting more for less requires innovation in the way healthcare is delivered in broad health systems, clinical care, and interventions. Research identified more than 30 cases where innovation in delivery has led to step change improvements in productivity. Innovation in health care delivery is taking place around the world

In Mexico, Medicall Home now provides telephone-based advice and triage to more than 5 million people. For a fixed fee of $5 a month on their phone bills, two-thirds of callers have their healthcare needs resolved over the phone. In India, LifeSpring has established nine maternity hospitals in three years. These hospitals offer high-quality, no-frills maternity care at one-third of the cost of comparable private-sector competitors. LifeSpring hospitals display a price list for all to see – for normal deliveries, they charge $90 rather than the typical $300. In the United States, the Care Management Organization at Montefiore Medical Center has used remote monitoring to reduce hospital admissions for elderly patients by more than 30 percent. Patients are managed actively and accurately at a distance, eliminating the need for them to travel to care facilities.

The most compelling cases of innovation are found in emerging markets. There are two reasons for this. First,...
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