An Assessment of the Transition in Health Care Provision across the Big 5 Western European Countries

発行 Frost & Sullivan 商品コード 348654
出版日 ページ情報 英文 104 Pages
納期: 即日から翌営業日
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西欧主要5か国の医療提供に関する変遷の評価 An Assessment of the Transition in Health Care Provision across the Big 5 Western European Countries
出版日: 2016年01月06日 ページ情報: 英文 104 Pages



第1章 エグゼクティブサマリー

第2章 英国

  • PHI補償の減少により医療の患者負担が増加している
  • プライマリケアの役割は、支出総額の一部としての資金調達により適切に支持されていない
  • 二次的ケアからソーシャルケアへの資金移動により新たなケア提供モデルの道を開く
  • 入院患者に対する看護師数の減少により、ケアの効率を改善するシステムを導入することが不可欠
  • プライマリケアの提供により、GPサービス管理の効率へと展開
  • 二次ケアシステム外でPoCにシフトする唯一の解決策は病院の再通院を管理すること 他

第3章 フランス

  • 強制的雇用者PHIが今後PHI支出を二倍に
  • 強制的雇用者PHIが医療市場を変える
  • 医療支出の31%が調達と管理サービス
  • 強制的雇用者PHIがTPPの導入を促進
  • 病院でのケアを改善するための効率化が患者を外来やLTC/HC施設に移動させる

第4章 ドイツ

  • PHI導入はLTC/HCにおけるケアを求める高齢患者により促進される
  • 医療支出総額の50%を占める強固な外来サービスを強調
  • 医療予算の加算は医師への料金を増やし貢献率を低下させ、患者負担を下げる
  • ドイツの看護師人口の増加は高齢者ケア担当看護師の需要拡大に見合っていない
  • 入院患者数増加も、病院の民営化が病床占拠率と平均入院期間を低下させる 他

第5章 イタリア

  • 病院の予算カットとアップグレードした手当パッケージが介入型から管理型へとケアモデルを変化させる
  • 入院患者総数は減少したが、看護師不足は特にLTC/HCにて存続している
  • GP不足はイタリアをプライマリケア中心のモデルへの移行完了を阻止している
  • イタリアは説明責任と透明性改善によりケアの効率を上げる対策を導入 他

第6章 スペイン

  • 自治体赤字による予算カットに対応して民間医療費が増加
  • 民間医療費現象は、医療提供を支持する効率最適化を保証
  • 支出絶対額に対する割合としてのプライマリケア費は減少
  • プライマリケアは資金低下のため患者数減少につながった
  • 看護師数の減少に対処するために、看護師の役割が変化する見込み 他

第7章 付録

第8章 Frost & SUllivanストーリー

Product Code: MB70-01-00-00-00

Assessing Health Care Provision in an Era Marked by Changing Patient Demographics and Fiscal Austerity

Europe's Big 5 health systems are in transition. Rapidly ageing populations and budget cuts have forced governments to place greater emphasis on the efficiency of care provision. As part of this efficiency drive, the landscape of care provision in these countries will continue to evolve to meet the dual challenges of limited budgets and changing patient demographics. This research service will assess the evolution of these health systems to understand if changes in care provision reflect sound policy-making or are a knee-jerk response to changing external factors.

Table of Contents


  • 1. Research Methodology
  • 2. Research Methodology (continued)
  • 3. Key Findings
  • 4. Despite the Disproportionate Spending on Secondary Care, the Focus Should be on Improving Primary and LTC/HC Services
  • 5. Virtualisation of Primary Care, Medication Adherence, and Digital Health Care Hold the Key for the NHS
  • 6. Improvements in Hospital Efficiency Will Catalyse the Shift of Patients to Primary Care and LTC/HC Settings
  • 7. The Shift of Chronic Care Patient Management to LTC/HC is Critical in Terms of Improving the Efficiency of Care Provision
  • 8. The Reduction in the Number of Hospital In-patients Will Shift Care Provision to Primary Care and LTC/HC Settings
  • 9. The Focus is on the Adoption of Technologies that will Better Enable the Transition of Care from Hospitals


  • 1. Out-of-Pocket Spending on Health Care is Growing as PHI Coverage Decreases
  • 2. The Enhanced Role of Primary Care is Not Suitably Supported by an Increase in Funding as a Share of the Total Expenditure
  • 3. The Shift in Funding from Secondary to Social Care is Paving the Way for New Models of Care Provision
  • 4. With a Declining Nurse-to-In-patient Ratio, it is Critical to Adopt Systems that will Improve Care Efficiency
  • 5. Primary Care Provision will Evolve from GP Recruitment to Efficiency in the Management of GP Services
  • 6. Gatekeeping on Hospital Re-visits is the Only Solution to Shift PoC Outside the Secondary Care System
  • 7. Enhancing the Role of Primary Care is the Ideal Long-term Solution for the NHS
  • 8. NHS will Shift to a Model of Integrated Social/Primary Care Provision to Improve the Cost-effectiveness of Care
  • 9. Role Revisions-Pressure Points
  • 10. Role Revisions-Outcomes
  • 11. Role Revisions-Past, Present, and Future
  • 12. Primary Care will Assume the Overall Responsibility for the Management of Post-acute, Elderly, and Chronic Patients
  • 13. Ranking of Key Stakeholders in Terms of Influence-2015 and 2025
  • 14. Key Stakeholders-2015 and 2025
  • 15. NHS Blueprint 2020
  • 16. The Adoption of Portable Diagnostics and Technology that Enable Care Virtualisation will Drive Efficiency
  • 17. IT Solutions Providers and Medical Device Manufacturers Have the Best Opportunities


  • 1. Compulsory Employer-driven PHI Could Double PHI Spending in the Coming Years
  • 2. Compulsory Employer-driven PHI will Alter the Health Care Market Landscape
  • 3. 31% of Health Care Spending is on Procurement and Administrative Services
  • 4. Compulsory Employer PHI will Drive the Adoption of TPPs
  • 5. The Efficiency Drive to Improve Hospital Care is Shifting Patients Towards Ambulatory and LTC/HC Settings
  • 6. Elderly Care is Being Transitioned from Hospitals to LTC/HC Settings To Reduce Un-necessary Admissions and Costs
  • 7. An Optimal Finance Mechanism and Provider Skill Mix Allows MGPs to Provide Quality Care
  • 8. Role Revisions-Pressure Points
  • 9. Role Revisions-Outcomes
  • 10. Role Revisions-Past, Present, and Future
  • 11. Key Stakeholders-2015 and 2025
  • 12. Ranking of Key Stakeholders in Terms of Influence-2015 and 2025
  • 13. France Blueprint 2020
  • 14. Increased PHI Spending and Efficient GP Service Provision will Enable the Shift of Care from Hospitals to LTC/HC
  • 15. IT Adoption will Drive Connectivity and Data Sharing between Primary, Secondary, and Community Care Providers
  • 16. Medical Device and Medical Imaging Manufacturers Have the Best Opportunities


  • 1. PHI Adoption will be Driven by Elderly Patients Seeking Care in LTC/HC Settings
  • 2. The Emphasis is on Robust Out-patient Services, which Accounts for 50% of the Total Health Spending
  • 3. The Health Budget Surplus will be Used to Increase Physician Fees, Lower Contribution Rates, and Reduce Co-payments
  • 4. The Rise in Germany's Nurse Population Has Been Unable to Meet the Growing Demand for Geriatric Care Nurses
  • 5. Despite the Rising Number of In-patients, Hospital Privatisation Has Decreased Bed Occupancy Rates and the Average Length of Stay
  • 6. Germany will Set up an e-health Council to Aid in the Interoperability between Different Health Care Provider-used IT Systems
  • 7. Role Revisions-Pressure Points
  • 8. Role Revisions-Outcomes
  • 9. Role Revisions-Past, Present, and Future
  • 10. Key Stakeholders-2015 and 2025
  • 11. Germany Blueprint 2020
  • 12. PHI Adoption will Drive the Demand for Elderly Care and Chronic Disease Management in LTC/HC Settings
  • 13. Ranking of Key Stakeholders in Terms of Influence-2015 and 2025
  • 14. Germany will Focus on the Adoption of Technologies that will Aid in Interoperability between Multiple IT Platforms
  • 15. BDA will Play a Key Role in Germany'sPrivatisation and Efficiency Improvement Drive


  • 1. Hospital Budget Cuts and Upgraded Benefit Packages will Shift the Model of Care from Interventional to Management
  • 2. While Total In-patient Numbers Continue to Decline, Nursing Shortages Persist, Especially in LTC/HC Settings
  • 3. GP Shortages Prevent Italy from Completing the Shift to a Primary Care-centric Model of Care Provision
  • 4. Italy has Launched a Slew of Measures to Improve Care Efficiency through Better Accountability and Transparency
  • 5. Role Revisions-Pressure Points
  • 6. Role Revisions-Outcomes
  • 7. Role Revisions-Past, Present, and Future
  • 8. Key Stakeholders-2015 and 2025
  • 9. Ranking of Key Stakeholders in Terms of Influence -2015 and 2025
  • 10. Italy Blueprint 2020
  • 11. The Emphasis on Prevention, Early Diagnosis, and Enhanced Primary Care is Expected to Reduce the Cost Burden
  • 12. Italy is in the Process of Adopting Technology that will Enable Greater Monitoring and Sharing of Health Care Data
  • 13. Enhancements to the Benefits Package (LEA) will Drive the Adoption of Medical Devices and Data Analytics


  • 1. Private Health Spending Has Increased in Response to the Budget Cuts Forced by the Autonomous Community Deficits
  • 2. The Decrease in Public Health Spending Warrants Efficiency Optimisation to Support Health Care Provision
  • 3. Primary Care Spending as a Percentage of Absolute Spending has Reduced, Putting a Strain on Care Provision
  • 4. Primary Care Has Witnessed a Decrease in Patient Numbers Due to Reduced Funding; However, Care Efficiency Has Improved
  • 5. To Cope With the Reduction in Nurse Numbers, the Role of Nurses is Set to Change
  • 6. The Non-renewal of Contracts Due to Budget Cuts Has Led to the Emigration of Doctors, Thereby Exacerbating the Existing Shortages
  • 7. Role Revisions-Pressure Points
  • 8. Role Revisions-Outcomes
  • 9. Key Stakeholders-2015 and 2025
  • 10. Role Revisions-Past, Present, and Future
  • 11. Ranking of Key Stakeholders in Terms of Influence-2015 and 2025
  • 12. Spain Blueprint 2020
  • 13. In an Era of Fiscal Austerity, Increased PHI Spending is Expected to Drive the Demand for Health Care
  • 14. The Spanish Government is in the Process of Adopting IT Platforms to Monitor Health Care Provision
  • 15. For the Judicious Allocation of Limited Resources and Funding, the Available Care Services Must be Mapped
  • 16. Legal Disclaimer


  • 1. Definitions of Key Terms


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