Exploring healthcare systems

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Posted on Aug 12, 2015

"Exploring healthcare systems of OECD countries"

Introduction

Glocalization is a term that combines the words "globalization" and "localization" to describe the adaptation of global products or services to accommodate the needs of people in a specific locale1.

When I read about this word, it immediately triggered me the memories of some mangers saying: "We need to understand the market to position our product...", "What do we know about this country?" or "The director will visit our country and he wants to have a quick overview of it...". In the healthcare industry, understanding the market's needs is a must.

Nowadays it is very easy to find information by country. For example, the OECD (Organization for Economic Co-operation and Development) is an excellent source. Its "Health at a Glance" report, provides the latest comparable data and trends on different aspects of the performance of health systems in OECD countries.

I find this report very enriching, but sometimes it is difficult to link different topics or parameters. For example, from the charts below, you can see one chart shows the total number of days length stay in a hospital, and in a different chart the total number of beds. So the question is: can we find any relationship or any pattern if we combine them?

Finding insigths

Using OECD Healthcare data and having the goal on how support the business strategies, I designed the "Healthcare Explorer". It was developed using Shiny R package.

It is an application where the information is shown in an interactive and condensed way, allowing the users to discover patterns and insights about healthcare systems in OECD countries.

Intro_tab

Healthcare Explorer

The application is divided in two sections:

By Country:

This tab gives you an easy access on how countries compare against others. You can select different years using the "Year" menu.

Four plots display information related to specific topics:

  •  Doctors - Remuneration vs number of consultations per day.  Currently this plot it only shows information for 2011. You can select four different types of doctors (GP Self- employed, GP Salaried, Specialist Self-Employed, and Specialist Salaried )
  • Hospitals - Length of stay vs Total number of beds
  • Spending / Resources - Health Expenditure vs Total number of medical units. The type of medical device can be selectable (MRI or CT)
  • Population - Total Population vs Life Expectancy

Each gray dot represents a country. Select "Country" menu to highlight one country and compare it against the rest of the countries.

To have more information for an specific point(s), hover over it and the information of the country and its values will be displayed.

The design of this layout is based on Patrick Tehubijuluw work.

year_tab

 

By Year

This tab shows the trends of a country for two categories:

  • Medical devices - Provides number of CT/MRI units and exams per year. Dashed lines are the average of all countries.
  • Healthcare professionals - Provides the trend of the number of doctors and nurses and number of graduates per year.

country_tab

 

The outcomes

Here are some interesting insights that I found and some ideas of how they could be converted into market strategies for the healthcare industry:

General Practitioners Salaried - 2011:

  • Slovak Rep. and Finland have similar remuneration but Slovak Rep. has 4 times more consultations
  • Hungary - has the lowest remuneration and the max number of consultations per day
  • Denmark - has the highest remuneration and one of the lowest number of consultations

Japan

It appears to have a robust HC system, with big population and high life expectancy rates.It has the highest number of medical devices and number of beds and the longest stays in hospitals.

However this also shows how Japan's healthcare system sustainability is in question2.

japan1japan2

Austria

The hospital stay length, number of beds, MRI and CT units and its %GDP show a solid HC system.

Number of CT and MRI exams and units are above the average (2012). Review maintenance contracts and EOL equipment as an strategy.

austria

Mexico
There is an important growth in the number of professionals and graduates, so focusing on key opinion leaders and students could be a good strategy to increase brand preference.

mexico

Iceland, Luxembourg and Estonia:

Number of MRI/CT exams are above the average. However, number of devices does not show the same growth. Estonia has a low GDP% so selling new or state-of-the-art MRI/CT could not be the best strategy. Using a model of charge per exam, plus attractive maintenance contracts should be considered as an selling strategy.

Spain:
Considerable decrease in doctor graduates, but there is an important growth in total number of doctors and nurses.

UK
Noticeable increase in MRI exams and also in CT units. Strong GDP%, low MRI and CT number of units compared to the population size. Good opportunity to place new equipment.

Where are the graduates?
From the charts, the number of graduates are at least 5 times more than the number of professionals. I would be interesting to validate where the rest of the graduates are, if there is a immigration effect, or if the numbers of professionals are not totally reflected.

prof_grad

Go and try it!

There are lots of valuable insights you can get out from this tool. Now, I invite you to play with it and have fun!

Click here to open it!

Future work

  • Collect more data of remuneration per year.
  • Make dynamic charts to show transitions through years.
  • Include more data sources from OECD database
  • Include market trends from COCIR.

References & Notes

Data was extracted in July 2015 from OECD Data Health

References:

1.Deloitte, "2014 Global health care outlook Shared challenges,shared opportunities"
https://www2.deloitte.com/content/dam/Deloitte/global/Documents/Life-Sciences-Health-Care/dttl-lshc-2014-global-health-care-sector-report.pdf

2.McKinsey, "Improving Japan's health care system"
http://www.mckinsey.com/insights/healthsystemsandservices/improvingjapanshealthcare_system

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