Digital Revolution and Innovative Business Models in Healthcare: Global Trends and Russian Realities

Cover Page

Abstract


Digital revolution is one of the major global trends resulting in the unprecedented scale and depth of penetration of information and communication technologies into all sectors of national economy, including healthcare. The development of this trend brought about high expectations related to the improvement of quality of medical assistance, accessibility and economic efficiency of healthcare services. However, euphoria of the first steps of digital revolution is passing now, opening doors to more realistic analysis of opportunities and conditions of realization of the true potential hidden in the digital transformation of healthcare. More balanced perception of the peculiarities of innovation processes in the sector is coming together with understanding of the serious barriers, hampering implementation of the new ideas and practices due to complicated interweaving of social, economic, ethical and psychological factors. When taking into account the industry specifics it becomes evident that digital revolution cannot be a quick turnaround but rather would pass a number of phases and is likely to last more than one decade. In this context the article focuses on the prospects of the new business models, capable of making significant changes in today’s economic landscape of the sector (including uber-medicine, retail clinics, retainer medicine, network models of medical services). The authors also provide assessment of the current situation and perspectives of digital healthcare development in Russia.


About the authors

A. V. Bereznoy

National Research University Higher School of Economics, Moscow

Email: abereznoy@hse.ru

Russian Federation

Доктор экономических наук, директор Центра исследований отраслевых рынков и бизнес-стратегий ИСИЭЗ НИУ «Высшая школа экономики»

Адрес: 101000, Москва, ул. Мясницкая, д. 1

R. T. Saygitov

National Research University Higher School of Economics, Moscow

Author for correspondence.
Email: saygitov@hse.ru

Russian Federation Доктор медицинских наук, главный научный сотрудник ИСИЭЗ 
Адрес: 101000, Москва, ул. Мясницкая, д. 11

References

  1. Biesdorf S, Niedermann F. Healthcare’s Digital Future. McKinsey Quarterly [updated 2014 Jul; cited 2016 May 3]. Available from: http://www.mckinsey.com/insights/health_systems_and_services/healthcares_digital_future.
  2. Health wearables: Early days. Dallas (Texas); 2014. 11 p.
  3. Castro D. Thirty (plus) ways the Internet of things is changing the world [updated 2013; cited 2016 May 3]. Available from: http://www.wfs.org/blogs/daniel-castro/thirty-plus-ways-internet-things-changing-world.
  4. Roman D, Conlee K. The digital revolution comes to US healthcare: technology, incentives align to shake up the status quo. NY: Goldman Sachs; 2015. 41 p.
  5. PSFK. The future of wearable tech: key trends driving the form and function of personal devices. NY; 2014. 186 p.
  6. Лисицын Ю.П. Здравоохранение в XX веке: монография. — М.: Медицина; 2002. — 216 с. [Lisitsyn YP. Zdravookhranenie v XX veke: monografiya. Moscow: Meditsina; 2002. 216 p. (In Russ).]
  7. Лисицын Ю.П. Общественное здоровье и здравоохранение: учебник для вузов. — М.: ГЭОТАР-Медиа; 2010. 512 с. [Lisitsyn YP. Obshchestvennoe zdorov’e i zdravookhranenie: uchebnik dlya vuzov. Moscow: GEOTAR-Media; 2010. 512 p. (In Russ).]
  8. Sassi F, Hurst J. The prevention of lifestyle-related chronic diseases: an economic framework. Paris: OECD; 2008. 77 p.
  9. Home Health Technologies. Research report. Tractica; 2015. 104 p.
  10. Kayyli B, Knott D, Van Kuiken S. The big-data revolution in US health care: accelerating value and innovation. McKinsey Quarterly [updated 2013 Apr; cited 2016 May 3]. Available from: http://www.mckinsey.com/insights/health_systems_and_services/the_big-data_revolution_in_us_health_care.
  11. Mottl J. Healthcare leaders bearish on wearables for patient care updated 2015 Nov 2; cited 2016 May 3]. Available from: http://www.fiercemobilehealthcare.com/story/healthcare-leaders-bearish-wearables-patient-care/2015-11-02.
  12. Hamel MB, Cortez NG, Cohen IG, Kesselheim AS. FDA regulation of mobile health technologies. N Engl J Med. 2014;371(4):372–379. doi: 10.1056/NEJMhle1403384.
  13. Uscher-Pines L, Mulcahy A, Cowling D, et al. Antibiotic prescribing for acute respiratory infections in direct-to-consumer telemedicine visits. JAMA Intern Med. 2015;175(7):1234–1235. doi: 10.1001/jamainternmed.2015.2024.
  14. Ancker JS, Witteman HO, Hafeez B, et al. “You get reminded you’re a sick person”: personal data tracking and patients with multiple chronic conditions. J Med Internet Res. 2015;17(8):e202. doi: 10.2196/jmir.4209.
  15. Close K, Larsson S, Luijs J, et al. Making big data work: health care payers and providers [updated 2014 Sep 8; cited 2016 May 3]. Available from: https://www.bcgperspectives.com/content/articles/health_care_payers_providers_digital_economy_making_big_data_work_health_care_payers/.
  16. Adler-Milstein J, Jha A. Healthcare’s “big data” challenge. Am J Manag Care. 2013;19(7):537-538.
  17. White S. A review of big data in health care: challenges and opportunities. Open Access Bioinformatics. 2014;6:13–18. doi: 10.2147/OAB.S50519.
  18. Bresnick J. Healthcare big data analytics: from description to prescription [updated 2015 May 8; cited 2016 May 3]. Available from: http://healthitanalytics.com/news/healthcare-big-data-analytics-from-description-to-prescription.
  19. Березной А. Инновационные бизнес-модели в конкурентной стратегии крупных корпораций // Вопросы экономики. — 2014. — №9. — С. 65–81. [Bereznoi A. Business model innovation in competitive strategy of large corporations. Vopr Ekon. 2014;(9):65–81. (In Russ).]
  20. Christensen C, Grossman J, Hwang J. The innovator’s prescription: a disruptive solution for health care. NY: McGraw-Hill; 2009. 362 p.
  21. Beck M. Startups vie to build an uber for health care. The Wall-Street Journal [Internet]. 2015 Aug 11 [cited 2016 May 3]:[about 1 p.]. Available from: http://www.wsj.com/articles/startups-vie-to-build-an-uber-for-health-care-1439265847.
  22. Hawkes N. Uber for healthcare. BMJ. 2016;352:i771. doi: 10.1136/bmj.i771.
  23. Watson Z. Uber for healthcare. Sparksheet [Internet]. 2015 Oct 14 [cited 2016 May 3]:[about 1 p.]. Available from: http://sparksheet.com/uber-for-healthcare.
  24. Zamosky L. What retail clinic growth can teach physicians about patient demand. Medical Economics [Internet]. 2014 Jan 8 [cited 2016 May 3]:[about 1 p.]. Available from: http://medicaleconomics.modernmedicine.com/medical-economics/content/tags/cvs-caremark/what-retail-clinic-growth-can-teach-physicians-about-pat?page=full.
  25. Packer-Tursman J. Consumerism increases retail opportunities and access to coverage and care. Managed Healthcare Executive [Internet]. 2015 Feb 17 [cited 2016 May 3]:[about 1 p.]. Available from: http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/consumerism-increases-retail-opportunities-and-access-coverage-and-care-0.
  26. Page L. Can you really compete with retail clinics — and succeed? Medscape Business of Medicine [Internet]. 2015 [cited 2016 May 3]:[about 1 p.]. Available from: http://www.medscape.com/viewarticle/837872_4.
  27. Hwang J, Mehrotra A. Why retail clinics failed to transform health care. Harv Bus Rev [Internet]. 2013 Dec 25 [cited 2016 May 3]:[about 1 p.]. Available from: https://hbr.org/2013/12/why-retail-clinics-failed-to-transform-health-care.
  28. Gordon L. Adding a check-up to your shopping list: the emergence of retail clinics. 2011 Dec 28 [cited 2016 May 3]. In: Euromonitor International [Internet]. Available from: http://blog.euromonitor.com/2011/12/adding-a-check-up-to-your-shopping-list-the-emergence-of-retail-clinics-html.
  29. Jauhar S. Why doctors are sick with their profession. The Wall-Street Journal [Internet]. 2014 Aug 29 [cited 2016 May 3]:[about 1 p.]. Available from: http://www.wsj.com/articles/the-u-s-s-ailing-medical-system-a-doctors-perspective-1409325361.
  30. Medved J. Concierge medicine: should your practice stop accepting health insurance? 2015 Feb 19 [cited 2016 May 3]. In: Capterra Medical Software Blog [Internet]. 2015. Available from: http://blog.capterra.com/concierge-medicine-should-your-practice-stop-accepting-health-insurance/.
  31. Eyring M. How disruptive business models can transform health care. Fast Company [Internet]. 2012 Jul 17 [cited 2016 May 3]:[about 1 p.]. Available from: http://www.fastcoexist.com/1680179/how-disruptive-business-models-can-transform-health-care.
  32. Physician compensation report: 2013 [cited 2016 May 3]. Available from: http://www.medscape.com/features/slideshow/compensation/2013/public.
  33. The physicians’ foundation. A survey of America’s physicians: practice patterns and perspectives [updated 2012 Sep 21; cited 2016 May 3]. Available from: http://www.physiciansfoundation.org/healthcare-research/a-survey-of-americas-physicians-practice-patterns-and-perspectives/.
  34. Clinical transformation: new business models for a new era in healthcare [cited 2016 May 3]. Available from: http://www.mindsailing.com/uploads/1/3/7/8/13788354/accenture-clinical-transformation-new-business-models-for-a-new-era-in-healthcare.pdf.
  35. American Academy of Family Physicians; American Academy of Pediatrics; American College of Physicians; American Osteopathic Association. Joint principles of the patient-centered medical home. [updated 2007 Mar 7; cited 2016 May 3]. Available from: http://www.aafp.org/dam/AAFP/documents/practice_management/pcmh/initiatives/PCMHJoint.pdf.
  36. Mackie J, Oss M. The emergence of specialty medical homes in the U.S. health care system: initial financial performance data & the financial implications for provider organizations. Am J of Health Sci. 2015;6(2):91–99. doi: 10.19030/ajhs.v6i2.9498.
  37. Gold J. Accountable care organization, explained [updated 2015 Sep 14; cited 2016 May 3]. Available from: http://khn.org/news/aco-accountable-care-organization-faq/.
  38. Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Health Aff (Millwood). 2011;30(12):2437–2448. doi: 10.1377/hlthaff.2011.0923.
  39. Suennen L. Thoughts on the digital health gold rush. 2015 Oct 9 [cited 2016 May 3]. In: Venture Valkyrie [Internet]. Available from: http://venturevalkyrie.com/thoughts-on-the-digital-health-gold-rush/.
  40. Шеян И. Цифровизация медицинских организаций: текущие задачи, проблемы, подходы [доступ от 03.05.2016]. Доступ по ссылке: http://www.osp.ru/medit/2014/04/13040427.html.
  41. Носов Н. ИТ в российской государственной медицине: что будет в 2016 году? [доступ от 03.05.2016]. Доступ по ссылке: http://www.pcweek.ru/gover/article/detail.php?ID=180190.
  42. Департамент информационных технологий города Москвы. Врачи экономят до 2 млн часов в год благодаря электронным сервисам [доступ от 03.05.2016]. Доступ по ссылке: http://dit.mos.ru/presscenter/news/detail/2009581.html.
  43. Гончарова О., Кругликова М. Затраты на информатизацию здравоохранения превысили 6,5 млрд. руб. [доступ от 03.05.2016]. Доступ по ссылке: http://vademec.ru/news/2015/03/03/zatraty_na_informatizatsiyu_zdravookhraneniya_prevysili_6_5_mlrd_rubley.
  44. Шеян И. Говорят регионы. Об информатизации здравоохранения в цифрах. ИТ в здравоохранении [доступ от 03.05.2016]. Доступ по ссылке: http://www.osp.ru/medit/2015/05/13046130.html.
  45. Мухин И. Информационные технологии в медицине 2015. Ежегодный обзор. — М.; 2015. 15 с. [Mukhin I. Informatsionnye tekhnologii v meditsine 2015. Ezhegodnyi obzor. Moscow; 2015. 15 p. (In Russ).]
  46. Упатов А. Информационный доктор // КоммерсантЪ. Приложение к газете. 14 октября, 2015:(189). [Upatov A. Informatsionnyi doktor. Kommersant. Prilozhenie k gazete. 2015 october 14:(189). (In Russ).]
  47. mHealth in China and the United States: how mobile technology is transforming healthcare in the world’s two largest economies. Washington DC; 2014. 36 p.
  48. Christensen C, Hatkoff C, Kula I. Disruptive innovation theory revisited: toward quantum innovation [updated 2013 Apr 12; cited 2016 May 03]. Available from: http://offwhitepapers.com/?p=21.

Statistics

Views

Abstract - 31201

PDF (Russian) - 397

Cited-By


Article Metrics

Metrics Loading ...

PlumX

Dimensions

Comments on this article

Comments on this article

View all comments


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies