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Danish-Japanese Healthgeneering – What is a hospital?

15.10.2018  07:43

The Three Healthineers + One – Hospital Design & Role. Tokyo 12th October 2018
Denmark support Japan as the government prepares health and social reform to meet future socio-demographic requirements and financial sustainability. The Japanese government is pursuing the creation of a comprehensive regional care system and the relocation of hospital beds by 2025. That means rethinking the role of the hospital, and innovative ways of organising the scope of medical services to supply and demand in a way that makes best use of new technology, while ensuring hospitals adopts patient-centric treatment and care delivery.

The Role of Health and Social Care Reform on Productivity

The Danish and Japanese health and social security structures are different, yet both nations face similar socio-demographic challenges and needs for financial sustainability.
Denmark implemented a significant structural and quality reform in 2007, reorganising healthcare. For example, the number of acute hospitals was reduced from about 40 to 21, and the acute care services were re-organized into fewer centralized “joint acute care facilities” with specialist doctors in the front line. Medical specialties was centralized at fewer hospitals to achieve an increase in quality. At the same time, a larger government investment scheme initiated the construction process of new regional hospitals, in addition to comprehensive projects to renew or enlarge existing hospitals.
The performance trends after the reform in 2007 are positive. Activity levels continue to increase, and the system has shown positive results in terms of ongoing productivity increases:

Intentional Health and Social Integration can Fuel Innovation

Denmark has been at the forefront in the efforts to reduce average lengths of bed stay and to shift care from inpatient to outpatient settings. The administrative reforms of 2007 also aimed to reduce number of beds (currently 2.2 hospital beds per 1000 persons (OECD 2017), where Japan for example has 13.1 hospital beds per 1000 persons (OECD 2016)), intentionally fuelling alternative care designs and innovative solutions, better integrating with outpatient and home care settings as the patients leave the hospital.

Rethinking the role of a hospital, moving from inpatient to outpatient settings, from a strongly biomedical paradigm to include the evidence of health enforcing life-environment paradigms and social wellbeing, has prompted intentional innovation and new identity to hospitals role in society supporting clinical treatment, medical innovation and population health. The hospital integration with community and home health, move care closer to the patient and demands new ways of providing health care, including change in health provider roles, use of rehabilitating and assistive technologies, and secure exchange of health data for research and among treatment and care providers, patients and family members.

The Danish experience suggests that the reforming and innovating the hospital sector can improve productivity and quality, while capping costs, among others associated with decreased number of hospital beds and shorter hospital stays. Further, patient satisfaction has not suffered and is generally high at 93%.

Source: Healthcare Denmark
The Three Healthineers + One Offered Perspectives on Hospitals New Identity

At the Deloitte Healthcare Seminar – ‘What Japan can learn from hospital building and innovation in Denmark’, Danish stakeholders shared perspectives and four cases on the role, context and purpose of new hospitals. (Helle Gaub, Koege University Hospital) shared insights on project planning for the new regional university hospital; and (Christian Etgen, a healthineer from Siemens Health) shared learnings on public-private partnership to bring emergency care innovation and technologies to one of Denmark’s largest hospitals. The Danish government health reform programs - leading for intentional innovation in health provisions – was presented by the (Royal Danish Embassy, Tokyo), gave introduction to an academic lecture on hospitals role in health innovation by the Sam Kondo Steffensen, the Technical University of Denmark.
The meeting offered a platform for experience exchange, needs identification and explored bilateral opportunities for collaboration. The goal is to achieve a reformed health care system offering a human centered and economically sustainable health and social care system, based on current evidence, innovative technologies and integrated medical practice.
Thank you to Deloitte Tohmatsu Group to host the Healthcare Seminar Series

What Japan can learn from hospital building and innovation in Denmark, October 12th 2018. Tokyo, Japan
Mr. Joakim Steen Barron-Mikkelsen, Economic Diplomacy in Health, Royal Danish Embassy, Tokyo, Japan

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