Joan Escarrabill MD PhD
Chronic Care Program–Barcelona Esquerra. Hospital Clínic (Barcelona) Master Plan for Respiratory Diseases (PDMAR) & Home Respiratory Therapies Observatory (ObsTRD).
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Implications for the Health-care Systems
Joan Escarrabill MD PhD.
Chronic Care Program–Barcelona Esquerra. Hospital Clínic (Barcelona) Master Plan for Respiratory Diseases (PDMAR) & Home Respiratory Therapies Observatory (ObsTRD).
Health services must cope with a large range of innovations regarding either diagnostic or therapeutic procedures or new organizational approaches to patient care. On of the most important challenges for health authorities is to decide if innovations increases or not value of health care, that means to analyze the health gain per person and the number who benefit. According to Michael Porter, the value can be defined as the ratio between the outcomes and cost. But also, from the perspective of the health authorities, treatment accessibility and sustainability of the whole system must be
considered. To solve these issues at least five challenges need to be analyzed: 1) To what extent personalized medicine increases the variability. 2) The personalization must be compatible with the increase in value for the whole population, 3) We must describe a disruptive business model, 4) the system must focus on results and 5) We must consider the ethical perspective so that personalization does not discriminate.
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Joan Escarrabill, MD PhD, is a respiratory physician and currently the Director of the Chronic Care Program at Hospital Clínic (Barcelona) and the Director of the Master Plan for Respiratory Diseases (PDMAR) at the Ministry of Health since 2009. Since 2012 he is the scientific director of Home Respiratory Therapies Observatory.
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