1. WORKSHOP ON SOCIAL DIALOGUE,
The system that makes patients satisfied Recommendations for Poland based on Euro Health Consumer Index 2016
Johan Hjertqvist, HCP Founder and President
WORKSHOP ON SOCIAL DIALOGUE,
Warsaw, September 11, 2017

2. What do patients value? A doctor who listens to you, with enough time
A doctor who is caring and compassionate
A doctor who explains well
Convenient and quick access to healthcare
Good interaction with other healthcare staff
Good outcomes, choice, out of pocket costs etc.

5. Wealth explains a lot...

6. ...but far from everything!

7. Doctor access is key

8. Who decides?

9. About Health Consumer Powerhouse
Comparing healthcare systems performance in 35 countries from a consumer/patient view.
Since 2004, +40 index editions, available for free.
Index projects financed through unconditional development grants, similar to medical faculty sponsored research.
Europe
Euro Health Consumer Index , 2006, 2007, 2008, 2009, 2012, 2013, 2014, 2015
Euro Consumer Heart Index 2008, 2016 (2017)
Euro Diabetes Care Index , 2014
Euro HIV Index
Euro Patient Empowerment Index 2009
Nordic COPD Index 2010
Tobacco Harm Prevention Index 2011
Euro Headache Index 2011
Euro Hepatitis Index 2012
Euro Vision Scorecard 2013
Euro Pancreatic Cancer Index 2014
Sweden, others
Health Consumer Index Sweden 2004, 2005, 2006
Diabetes Care Index Sweden 2006, 2007, 2008
Breast Cancer Index Sweden 2006
Vaccination Index Sweden 2007, 2008
Renal Care Index Sweden 2007, 2008
Smoke Cessation Index Sweden 2008
COPD Index Sweden 2009, Nordic 2010
Advanced Home Care Index Sweden 2010
Euro-Canada Health Consumer Index Canada , 2009
Provincial Health Consumer Index Canada , 2009, 2010
All Hospitals Index Sweden 2011

11. EHCI: Outcomes heavier than policy

13. Integration of European healthcare
Increasing mobility of people, ideas, services and influences
From patient to consumer
European Union (EU) – 28 nations, 510 m. inhabitants
”Health is wealth” – economic driver
Patients right to crossborder care.

14. Tomorrow...?

15. Tomorrow...?

16. Some EHCI conclusions
Overall, European healthcare keeps improving, in spite of financial stress
Better survival, access, information
Patient involvement a key factor for progress
Some countries loosing ground: Poland an alarming example, falling from 27th rank (2007) to 31st (2016), behind Hungary and Serbia
The Polish economic growth suggests that money hardly is the real problem
HCP diagnosis: “In accute need of a total health systems overhaul”.

17. What cure?
Poland: a mean health system, with long waiting, weak prevention, poor outcomes and lack of patient influence
Possible remedy: start by building tools for patient engagement, such as information sharing, navigation support and e-health applications – active patients drive reform
Transparency required for measuring performance – will start a dynamic process
Can facilitate the necessary radical overhaul.

18. Liberate healthcare financing/budgeting!
1. Introduce budgeting and management based on performance (DRG's etc), not on costs.
2. Separate decision-making on financing, from decision-making on the operation of healthcare institutions – the latter is unlikely to be done optimally by anybody who ever worked for the Health Insurance Fund for any length of time.
3. Introduce a clear “line of command” in the healthcare provision system – institutions must be protected against micro- management from financing bodies. This is the most important property of Bismarck systems.
4. Eliminate waiting lists: Acquire and implement the FYROM e- referral and e-prescription solution.
5. Open benchmarking: Commission the right institution to produce an easily Internet-accessible Slovenian version of NHS Choices, or Slovakian Hospital Web, showing Outcomes data for individual Slovenian clinics.

19. Learn from proven success!
Separate funding and provision
Pay for performance
Independant clinical management
Competition among alternatives
Open ranking of clinics and hospitals – performance data
Patient satisfaction and views
Full access to medical records, second opinion
Booking on-line of consultations
E-prescriptions
Hardly the only solution, but fundamental steps towards curing today´s dire situation
If you refuse to reform, don´t use lack of good examples and experience as an excuse.

20. All index information available for free at www.healthpowerhouse.com
Thank you!
All index information available for free at