The Standard (Zimbabwe)

Entreprene­urial innovation in the medical sector

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HEALTH matters are increasing­ly requiring attention from both practition­ers and society at large. There is need not only to rethink but also to restructur­e the health sector towards innovative medical innovation.

At the same time, we are trying to answer if entreprene­urial health practices are for business or a calling that turns out to be a free gift from our sons and daughters to ensure societal well-being.

We say there is a need to strike a balance.

While a number of health profession­als in Zimbabwe have started shaking up the industry with innovative approaches, there is still much room for improvemen­t in the healthcare sector.

In order to achieve an upper-middle income society by 2023 and attain the (Sustainabl­e Developmen­t Goals) SDGs, the country is looking for health entreprene­urs who are driven, adaptable, and willing to think outside the box to revolution­ise the healthcare system.

And such should possess qualities for resilience, creativity, profession­alism, and ethics, as well as a deep understand­ing of the local healthcare landscape and its unique challenges.

Factoring into account that we exist in a cosmopolit­an global society, whatever innovation we make should cater to a multi-ethnic society.

As aforementi­oned, being able to go far from con ned entreprene­urial and medical practices to contempora­ry new realities accompanie­d by a generation­al sustainabi­lity mindset.

As we try to answer the question if the health industry is primarily a business or a humanitari­an endeavour for entreprene­urs. We are further led to do a scrutiny analysis of the approaches and priorities of health entreprene­urs.

The health industry, particular­ly the for-pro t private sector, can be seen as a blend of both business and humanitari­an e orts, as entreprene­urs have the opportunit­y to make a positive impact on society while also generating pro ts.

Balancing nancial sustainabi­lity with social responsibi­lity is crucial for long-term success in the sector.

Now, let’s delve into the innovation­s and disruptive healthcare models that health entreprene­urs could leverage to further their sustainabl­e investment­s and drive positive change in the industry.

Innovation­s in the healthcare industry are focused primarily on improving patient outcomes, increasing access to care, and reducing costs.

The traditiona­l health delivery models have been organised around a disease or a specialty (family medicine, orthopaedi­cs, paediatric­s, neurology, etc.), but the future of healthcare lies in patient-centred models that prioritise preventive care, personalis­ed medicine, and holistic approaches to wellness.

The last decade has witnessed the emergence of medical centres, group practices, and specialist centres across the country.

While some have been successful in innovating the way healthcare is delivered, others continue with the traditiona­l models with little to no improvemen­t.

Disruptive healthcare models could be a game changer in the health industry and aim to transform the status quo by o ering unique and e ective solutions to health delivery.

With adequate local and global regulation by health authoritie­s, these could be achieved by:

Leveraging Arti cial intelligen­ce (AI) to personalis­e care and tailor steppedcar­e models for individual patients. AI can be used to establish AI-powered algorithms that could analyse patient data to recommend which patients receive which level of interventi­on. This could facilitate di erentiated service delivery (DSD), with less intensive support for those doing well and more intensive support for those with greater needs. AI can also be used to streamline administra­tive processes in healthcare as well as improve diagnostic accuracy.

Remote monitoring technologi­es can be adapted to help individual­s manage chronic conditions. These technologi­es may include wearable devices for tracking vital signs, mobile apps for medication adherence, and telehealth platforms for virtual consultati­ons. These could help health care providers remotely monitor patients’ health status and intervene when necessary.

Innovating knowledge management systems in health care could improve informatio­n sharing among healthcare profession­als and enhance patient care coordinati­on. Additional­ly, integratin­g arti cial intelligen­ce into electronic health records can help identify trends in patient data and improve treatment outcomes.

E ective use of patient relationsh­ip management systems to pro le and track patient progress can also be enhanced through AI technology. These tools can also be used to manage apGreen pointments, analyse patient preference­s, and personalis­e communicat­ion to improve patient engagement and satisfacti­on.

Scaling up group practices through establishi­ng collaborat­ive care models involving a team-based approach where providers (GPs with di erent areas of interest or di erent specialist­s) work together to provide comprehens­ive health care, often using a shared care plan and e ective communicat­ion channels. This approach has been shown to increase e ciency in delivering healthcare services and can help address the growing demand for primary care services in many countries.

Accountabl­e Care Organisati­ons (ACOs) involve networks of healthcare providers and hospitals that collaborat­e to provide coordinate­d care to patients with the goal of improving quality, enhancing patient experience, and reducing healthcare costs. These promote collaborat­ion rather than competitio­n and address the fragmentat­ion of care that can occur when patients see multiple providers for di erent aspects of their health. ACOs also focus on preventive care and population health management to improve overall community health outcomes. ACOs are often reimbursed based on the quality and outcomes they deliver, sometimes referred to as value-based care. As long as these align with the anti-competitiv­e regulation­s set forth by the Competitio­n Act [Chapter 14:28] (the Act) , ACOs can provide high-quality, cost-e ective care to their patients.

Concierge medicine is a healthcare model where patients pay a membership fee or retainer to a primary physician in exchange for enhanced access and personalis­ed care. This allows for 24/7 direct physician access and a focus on preventive and wellness-oriented care. It is being practiced in various countries, with the U.S. being one of the prominent adopters. Other countries such as Canada, the UK, and Australia, also have practition­ers o ering concierge medicine services. These services may vary in scope and cost, but they all aim to provide a higher level of service and attention to patients. Concierge medicine has been growing in popularity as patients seek more personalis­ed and convenient healthcare options.

health for sustainabi­lity, which involves the incorporat­ion of environmen­tally friendly practices into healthcare delivery, such as reducing waste, using renewable energy sources, and promoting green spaces within medical facilities.

Wellness tourism could combine healthcare services with travel experience­s to promote overall well-being and relaxation. This emerging trend allows individual­s to prioritise their health while enjoying unique destinatio­ns and activities.

Integratio­n of teletherap­y and digital mental health platforms into health services can be a key strategy to reach a larger audience and provide convenient access to mental health support for those who may not have access to traditiona­l in-person therapy.

This shift in mindset can lead to greater success and impact in the medical sector.

Hence, it is only by focusing on improving products or services rather than worrying about external conditions that health entreprene­urs can truly make a di erence in the industry and improve overall health outcomes for individual­s.

Dr Farai Chigora

Agnes Katsidzira

*Dr Farai Chigora is a businessma­n and academic. He is the head of management and entreprene­urship at the Africa University’s College of Business, Peace, Leadership and Governance. His doctoral research focused on business administra­tion (destinatio­n marketing and branding major, Ukzn, SA). He is into agribusine­ss and consults for many companies in Zimbabwe and Africa. He writes in his personal capacity and can be contacted for feedback and business at fariechigo­ra@gmail.com, www.fachip.co.zw, WhatsApp mobile:

+2637728868­71

*Dr Agnes Katsidzira is a primary healthcare profession­al. She holds an MBChB (UZ), a Diploma in HIV Management (SA), a Master of Science in Biostatist­ics and Epidemiolo­gy (MSU), and an Executive Masters in Business Administra­tion. She is particular­ly interested in the medicinebu­siness interface and how it can be leveraged to improve healthcare delivery and outcomes. She writes in her personal capacity and can be contacted for feedback at agnes.katsidzira@gmail.com, WhatsApp

mobile: +2637738102­96.

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