The healthcare sector faces major challenges in delivering value for healthcare. According to the OECD, spending on healthcare in 2016 – the most recent year that data is available – increased by 3.4%, the highest rate since 2009. In response, leaders in the $8 trillion global healthcare sector need to embrace value-based healthcare, an approach that defines the goal of healthcare as the achievement of improved health outcomes that matter to patients at the same or lower cost.
Achieving a value-based healthcare system faces numerous barriers. Optimizing its delivery requires high-quality health data, but industry estimates suggest that about 80% of healthcare data is unusable in its current format. Value-based healthcare also requires companies to make major changes to their business models, but such shifts can involve a high degree of risk, and there is often little incentive for the private sector to take on this challenge. From a regulatory perspective, changing the structure of the healthcare system requires strong political will and can generate backlash. The biggest obstacle to the spread of value-based healthcare is that misaligned incentives in current health systems make it difficult for industry stakeholders to act collectively.
As the final report of the Forum’s three-year Value in Healthcare project, Value in Healthcare: Accelerating the Pace of Health System Transformation, released by the World Economic Forum in collaboration with Boston Consulting Group (BCG), describes three major initiatives to address these challenges and accelerate the transition to value-based healthcare in health systems around the world:
A “user’s guide” to health system transformation: The report proposes best practices based on a review of pioneering efforts around the world and on the Forum’s experience with two pilot projects. For example, in 2016, Santeon, a network of hospitals in the Netherlands, launched a joint value-based healthcare programme that resulted in a 17% improvement in positive breast cancer surgery margins. In 2017, about 40 stakeholders came together in Georgia, USA, to create the Atlanta Heart Failure Pilot to improve heart-failure survival in Atlanta by 2022. In 2018, around 35 stakeholders in Canada launched the Ontario Diabetes Pilot to help patients suffering from type 2 diabetes.
A “roadmap” for global health-informatics standardization: This effort lays the foundation for promoting value-based healthcare over the next four years by proposing a global vision and a “digital health bill of rights”, which will be developed in consultation with patient advocacy organizations around the world. This global vision and bill of rights will help governments, patient groups and the private sector ensure that their informatics work is patient-centred and will inform other efforts to harmonize informatics standards around the world.
The Global Coalition for Value in Healthcare: This public-private effort will provide a platform where stakeholders and medical practitioners can learn from one another, develop shared visions and goals, and exchange best practices. The coalition will provide technical assistance and facilitate local partnerships, develop global enablers of value-based healthcare, document and disseminate best practices, and build a global community of practice.
“The coalition will be a global platform for accelerating the development of value-based health systems around the world,” said Vanessa Candeias, Head of Global Health and Healthcare at the World Economic Forum. “It will serve as a source of information and learning about value-based transformation and will convene a global community of healthcare leaders engaged in making value-based healthcare a reality.”
“The World Economic Forum’s initiative on value in healthcare has highlighted the urgent need for multistakeholder cooperation to transform health systems,” said Rich Lesser, Global Chief Executive Officer of Boston Consulting Group, USA. “We are excited for the next phase of this global partnership, where we foresee new levels of collaboration across healthcare – for instance, in the field of health informatics. These initiatives are key to secure the long-term sustainability of health systems around the world and better health outcomes for patients.”
Christophe Weber, President and Chief Executive Officer of Takeda Pharmaceutical Company, Japan, said: “The industry is all too aware how fragmented and siloed it is. Takeda is very proud to continue leading in the space as part of the Global Coalition for Value in Healthcare, with particular focus on the value-based payments work of the coalition.”
Step up action to achieve COVID-19 ceasefire- Guterres
The UN’s 75th anniversary this Saturday, which falls as countries continue to battle the COVID-19 pandemic, is an opportunity to accelerate action to achieve a global ceasefire during the crisis, Secretary-General António Guterres has said.
The UN chief initially issued the appeal for combatants to lay down their arms shortly after the pandemic was declared in March.
“Now is the time for a stepped-up push for peace to achieve a global ceasefire. The clock is ticking.”
UN mission ‘more critical than ever’
UN Day marks the anniversary of the entry into force in 1945 of the UN Charter, the Organization’s founding document.
The treaty outlines the UN’s goals of promoting human dignity, protecting human rights and saving humanity from conflict.
That founding mission “is more critical than ever”, said the Secretary-General.
Also crucial is the need to “make peace with our planet”, he added, stating “We must mobilize the whole world to reach carbon neutrality – net zero emissions of greenhouse gasses by 2050.”
Europe turns UN blue
Despite the constraints imposed by the global pandemic, countries are celebrating the UN’s historic birthday.
More than 180 iconic buildings across Europe will be lit up in blue, the Organization’s official colour: from monuments to museums, to bridges and beyond.
The initiative is a symbolic attempt to unite people worldwide, and to promote peace, sustainable development and human rights.
As the Secretary-General stated, more must be done to end poverty, inequality, hunger and hatred, and to combat discrimination based on race, religion, gender or any other distinction.
He drew attention to the situation of women and girls, as the pandemic has led to “a horrific rise” in gender-based violence.
A blueprint for better recovery
The UN chief also underlined the need to “build on progress”, pointing to the global collaboration currently underway to develop a safe, affordable and accessible COVID-19 vaccine.
This banner year has also seen the start of a Decade of Action to achieve the Sustainable Development Goals (SDGs) and their promise of a better future for all people and the planet.
For Mr. Guterres, the 17 SDGs provide an inspiring blueprint for recovering better after the pandemic.
Solidarity and a shared vision
Although the world faces colossal challenges, the UN chief was adamant that they can be overcome through global solidarity and cooperation, saying: “That’s what the United Nations is all about.”
Mr. Guterres asked people everywhere to unite on this UN anniversary.
“Together, let us uphold the enduring values of the United Nations Charter”, he declared. “Let us build on our advances across the decades. Let us realize our shared vision of a better world for all.”
Little progress on disputed Abyei region between Sudan and South Sudan
Despite the strengthening of the relationship between Sudan and South Sudan, little progress has been made regarding the disputed Abyei region, the head of UN Peacekeeping told the Security Council on Thursday.
Jean-Pierre Lacroix briefed ambassadors on recent developments concerning the oil-rich border area, where the UN interim security force, UNISFA, has been deployed since 2011 to protect civilians and humanitarians.
He recalled the signing earlier this month of an historic peace agreement between the Sudanese authorities and several armed groups from Darfur following a year of negotiations facilitated by South Sudan.
The two neighbours have also signalled their intention to relaunch the political process to discuss the final stages of Abyei and its border areas, which Mr. Lacroix described as a positive development.
“However, despite this continued rapprochement between the Sudan and South Sudan, the peace process has made little progress in Abyei. The main developments at the local level were the appointments by Juba and Khartoum of their respective chief administrators”, he said.
“This constitutes an unprecedented political development as it is the first time Abyei has two appointed chief administrators.”
Volatile security situation
Meanwhile, the security situation in Abyei remained volatile.
Mr. Lacroix reported that since April, there have been four attacks against UNISFA personnel and four incidents of intercommunal violence, including armed attacks on villages.
While the force continued to engage leaders from the Nginka and Misseriya communities, the violence has had a negative impact on peace efforts.
Reduced force strength
The UN peacekeeping chief also reported on issues facing UNISFA, which has a mandated deployment of 640 police personnel. This figure includes three Formed Police Units consisting of 160 officers each. However, staffing currently stands at 35, with 16 officers set to end their assignments in the coming weeks.
“Since no visas have been issued for any new officers who could be deployed as replacement, the strength of the police component will reduce to 19 officers. Consequently, this situation will inevitably lead to the closure of some team sites in UNISFA, and will have a negative impact on the mandate implementation”, said Mr. Lacroix.
The non-issuance of visas, coupled with COVID-19 travel restrictions, has also affected China and Tanzania who must conduct reconnaissance visits to the area ahead of sending personnel for the force.
Cooperation on oil production
The Security Council heard in addition from the UN Special Envoy for the Horn of Africa, Parfait Onanga-Anyanga, who also commended the growing engagement between Sudan and South Sudan.
“As the countries now strengthen their relationship, they are no longer likely to pursue activities that undermine each other’s stability”, he said.
The Special Envoy reported on continued cooperation in oil production. Last month, the two countries signed a protocol on the resumption of production in the Unity and Toma South oil fields in South Sudan, with 15,000 barrels per day expected soon.
“The deal includes details on the transfer of crude oil to Sudan for its domestic use. In return, Sudan will provide technical support”, he said.
“Before the agreement, South Sudan was providing 30,000 barrels per day of crude oil to Sudan. The deal is in line with South Sudan’s plan to return to its pre-conflict production level of 350,000 barrels per day from its current 150,000 barrels per day .”
Rohingya conference pledges to ‘remain steadfast’ in finding solutions to crisis
A joint UN-hosted donor conference to rally international support behind Myanmar’s displaced Rohingya minority, ended on Thursday with a promise to continue engaging with concerned countries towards finding a long-term solution to their plight.
“We will continue to work together to maintain international attention on the Rohingya crisis and to shift from short-term critical interventions, to a more sustained and stable support”, said the closing statement from co-hosts the UN refugee agency (UNHCR), the European Union (EU), United Kingdom and United States.
“We are grateful to all who have participated…including those who have announced or pledged funding for the international humanitarian response, those who are supporting members of the Rohingya communities in other ways – not least by hosting them – and most importantly, representatives of Rohingya communities themselves”, the statement continued.
The appeal comes more than three years after the orchestrated violence that erupted in Myanmar, across Rakhine state, which saw hundreds of thousands of mainly-Muslim Rohingya flee their homes, in search of safety across the border in Cox’s Bazar, Bangladesh.
There are currently 860,000 Rohingya refugees in and around Cox’s Bazar, and an estimated 600,000 still in Rakhine state, who face ongoing violence and discrimination; and Malaysia, India, Indonesia, and other countries in the region, are together hosting nearly 150,000 Rohingya refugees.
Voluntary, safe, dignified return
“The voluntary, safe, dignified, and sustainable return of Rohingya refugees and others internally displaced to their places of origin or of their own choosing in Myanmar, is the comprehensive solution that we seek along with Rohingya people themselves”, the joint communique stated.
“To that end, we underscore the Secretary General’s call for a global ceasefire and the cessation of fighting to enable safe and unimpeded humanitarian access to all communities in need of assistance.”
The co-chairs urged Myanmar’s Government to resolve the crisis, and “take steps to address the root causes of the violence and displacement”, creating the conditions that would allow for sustainable returns.
“This includes providing a pathway to citizenship and freedom of movement for Rohingya, guided by the Advisory Commission on Rakhine State’s recommendations and encouraged and supported by countries in the region. Myanmar must provide justice for the victims of human rights abuses and ensure that those responsible are held accountable”, the statement continued.
Expressing thanks and support to the Government and people of Bangladesh, the co-chairs stressed that increased support for Rohingya, must go hand-in-hand with increased support for host communities.
“While we continue efforts to secure long-term solutions, a focus on more sustainable response planning and financing in Bangladesh, could more effectively support the government’s management of the response and maximize limited resources to benefit both Bangladeshi and refugee communities.”
$600 million pledged
The co-chairs announced new pledges of around $600 million in humanitarian funding, which significantly expands the nearly $636 million in assistance already committed so far in 2020 under the Bangladesh Joint Response Plan and the Myanmar Humanitarian Response Plan.
The crisis is having a “devastating effect on vulnerable members of Rohingya communities, particularly women and children who require gender and age-sensitive interventions” said the co-chairs, leading to vulnerable refugees “desperately attempting to reach other countries in the region.
UN Children’s Fund (UNICEF) Executive-Director, Henrietta Fore, said that thanks to Bangladesh and generous donors worldwide, UNICEF and other UN agencies such as UNHCR, migration agency IOM, World Food Programme WFP, and many NGOs, continue to serve and support vulnerable Rohingya children.
In addition to providing vital services such as health, nutrition, and sanitation, education is “critical for young Rohingyas to build better futures. And to one day voluntarily return and reintegrate into Myanmar with the safety and dignity they deserve.”
Support for 170,000 Rohingya children
“We’re giving parents and caregivers the training and tools they need to support their children’s education. More than 170,000 Rohingya children are being supported this way”, she said.
“Join our call to ensure a place for Rohingya children in both countries’ education systems and programmes. They need education where they live”, she told the conference.
Ms. Fore called on donors not to forget the daily struggles of Rohingya children who remain inside Myanmar. “They’re still facing discrimination, horrifying violence and intensifying conflict every day. The fighting needs to stop so children can return to school and play, and so refugees can return home safely if they choose.”
Rohingyas themselves ‘backbone of the response’
UN Emergency Relief Coordinator, Mark Lowcock, said it was vital to recognize that the Rohingya refugees themselves have been “the backbone of the response.”
“They volunteer as health workers, they distribute masks and they help protect their communities from the pandemic. And I think we are all need to be very grateful to them and encourage them to take up this kind of responsibility.”
Highlighting again the Rohingya communities that remain in Myanmar, he said 130,000 of them remain displaced in central Rakhine State where they have been since 2012, and another 10,000 have been displaced since 2017 in northern Rakhine.
“Those people continue to have their basic rights denied, they suffer extreme hardships in Rakhine State and elsewhere”, added relief chief Lowcock.
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