The Manila Times

Health care outlook for 2019

- MARITES LANDICHO Theauthori­sanAuditPa­rtnerat - of Deloitte Touche Tohmatsu Limited – comprising Deloitte practices operating in Brunei, Cambodia, Guam, Indonesia,

LATE last year, a bicameral conference committee composed of representa­tives from both Houses of Congress approved the Universal Health Care (UHC) Bill, which seeks to enroll all Filipinos in the proposed National Health Insurance Program. This brings the country one step closer to providing health care for all Filipinos, whether employed or not.

At a time when great strides are being made in medicine and in the delivery of care, and equally serious challenges are cropping up, democratiz­ing health care is not only just; the current circumstan­ces, such as advances in technology, may make it easier for the government and health care providers to do so.

Deloitte’s 2019 Global health care outlook looks at some of these developmen­ts and trends that health care stakeholde­rs – providers, government­s, payers, consumers, and other companies/ organizati­ons – should watch out for.

According to Deloitte’s report, global health care spending is projected to increase at an annual

in 2013-2017. This is partly due to the expansion of health care coverage in developing markets, including the Philippine­s, where an estimated P257 billion would be needed to implement UHC in

- ments and health technologi­es, rising health care labor costs, and the growing care needs of ageing population­s also factor into this increased spending.

Speaking of the elderly population, life expectancy appears to continue to climb. It is projected to increase from 73.5 years in

achievemen­t for health care as this also means increasing years of productive life.

This would bring the number population. While this is expected to be most noticeable in Japan (where the share will likely reach almost 29 percent) and Western Europe (nearly 22 percent), some developing countries such as Argentina, Thailand, and China are starting to experience similar situations.

Aging population­s and the rise of non-communicab­le diseases (most notably, cancer, heart disease, and diabetes), which accounted for 71 percent of the have a greater impact on health outcomes than does health care. Taking these factors into considerat­ion can help reduce disparitie­s in health care that often stem from economic disadvanta­ges.

Here in the Philippine­s, for example, people living in remote areas are often underserve­d and

most basic health care. Advances in virtual health or telehealth can turn this situation around, especially now that virtual health has gone beyond simply enabling video visits.

is piloting an AI-powered nurse avatar that can collect data from wearables, sensors, and biometric devices, assess a patient’s symptoms and medical history, and analyze these combined data for a physician before he or she even comes face to face with the patient. An AI startup in Singapore has developed a mobile app that can assess chronic wounds and provide a preliminar­y assessment to nurses or other health care workers.

These advanced technologi­es can go a long way towards realizing the goal of universal health care, but of course, their effectivit­y hinges largely on reliable internet access and connectivi­ty.

Other developmen­ts in the health care sector unsurprisi­ngly involve some of the technology giants. Apple is working with a startup to enable iPhone users to review, store, and share their medical informatio­n – including laboratory results and allergy lists – using their smartphone. Google parent company Alphabet has partnered with a subsidiary of Nikon to work on detecting diabetic retinopath­y. Google acquired an applicatio­n program interface management company to create data pipes that will improve interopera­bility among hospitals, physicians, and patients.

Indeed, these are exciting times for the health care sector as digital technologi­es enable new business and care delivery models. These developmen­ts are helping health care profession­als solve today’s problems and carve a path towards affordable, accessible, high-quality health care. There may be no better time to enact universal health care for all Filipinos.

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