The Economist (Intelligence Unit) – Creating Healthy Partnerships (2019)

THE ROLE OF PATIENT VALUE AND PATIENT-CENTRED

• About this report CARE IN HEALTH SYSTEMS


• Executive summary


• Chapter 1: Introduction: Refocusing medicine
  
  
  • Echoes of a long-established hierarchy
  
  
  • The rise of value-based healthcare
  
  
  • But whose value matters?
  
  
  • Patient-centred care: The optimal version of value-based healthcare
  
  
  • Charting uneven progress
  
  
  
  


• Chapter 2: The Patient-Centred Care Scorecard
  
  
  • Introducing the scorecard
  
  
  • The results
  
  
  
  


• Chapter 3: Patient-centricity: The gap between grand strategy and detailed policy
  
  
  • Declarations aplenty but fewer detailed plans
  
  
  • Barriers to change
  
  
  • Box: A radical duck: What is shared decision-making?
  
  
  
  


• Chapter 4: Health systems that still need work
  
  
  • Doing old jobs better
  
  
  • Access to records: a (small) step in the right direction
  
  
  • Still not looking patient-centric
  
  
  • Box: Humana: Looking at the wider boundaries of patient-centred care
  
  
  
  


• Chapter 5: Metrics and data gathering urgently needed
  
  
  • No date for the PROMs
  
  
  • New kinds of metrics: PREMs and PCOMs slowly appearing
  
  
  • Box: Patient preference studies and drug development: Moving beyond window dressing
  
  
  • Data bubble: whose data gets to matter?
  
  
  
  


• Chapter 6: Lessons from China: Patient-centred without a patient voice?
  
  
  • Effort is necessary
  
  
  • But not all effort succeeds
  
  
  • A muffled patient voice
  
  
  
  


• Chapter 7: Engaging patients and patient communities one at a time
  
  
  • Some patients are more central than others
  
  
  • Contrasting advocacy histories: AIDS and epilepsy
  
  
  • Make passion less necessary
  
  
  
  


• Conclusion: Vital considerations for patient-centred care