Difference between revisions of "2. Abandoning collective base insurance"

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Keywords:<br>
Keywords:<br>
- strong differentiation against market price<br>
- home care<br>
- insurance screens more severe<br>
- home operations<br>
- selection at the entrance of the hospital<br>
- telemonitoring<br>
- teleprevention<br>
- personal health information (PHI)<br>
- decentralisation<br>
- decentralisation<br>
- care activities take place at home -> custom made<br>
- genetic screening<br>
- virtual hospital<br>
- Teleprevention -> doctors advises and communication is based on the implanted chip that shows current status<br>
- genetic screening-> downside: labelling and discrimantion<br>
- conditions of use of technology need to be optimalized <br>
<br>
<br>
Story:<br>
Story:<br>
In the early years of this century various trends can be spotted. Electronic devices became simpler to use and had more functions. Additionally, the electronic devices were getting smaller and cheaper. This trend, in combination with an increase of the hospital related diseases, like infections due to extremely resistant bacteria, led to a new kind of health care. In 2012, the invention of an inflatable sterile operation room balloon, dramatically changed health care between 2012 and 2015. Ordinary living rooms can now be turned into operation rooms in less than one hour. Therefore, almost 50% of the basic operations can be done at the private home of the patient. The patient is given home care and recovery of is monitored through telemonitoring.<br>
"I want to admit you for five days in our hospital to replace your right hip" Operation? In our hospital? five days? Unbelievable items nowadays. Health care in all its aspects changed so dramatically the last 20 years since the beginning of this millennium. br><br>
Since that time, also the prevention of illnesses is also done by telemonitoring. The condition a patient is constantly monitored by his hospital via an online service company and in case of any health threats preventive actions are suggested to the patient. The preventive actions can vary from online tips (via e-mail, telescreens), service call or visits from doctors.<br>
 
Because the DNA profile and family history of every patient is known from before the birth and because the on-line condition monitor provides continuous real-time information on the health of a patient, continuous care can be given to a patient. More than in the early days patients are not “patients” in the definition of in 2009. They are healthy human beings operated upon before they get ill; preventing a life-threatening situation. Health is made personal. <br>
Since the late seventies of the last century electronic devices became smaller, cheaper, simpler and have more functions. This trend, in combination with the developments of the [[low cost of internet connections|internet]] and especially the invention of an inflatable sterile operation room balloon in 2015, dramatically [[Innovation in health care|changed health care]]. <br><br>
Because costs of health care were not payable anymore, health insurance companies eagerly followed and initiated the development of the DNA data bank and availability of the on-line personal health information (PHI). Because the costs vary so much between patients to be the former collectivity system is abandoned. This process was speeded up by the marketing techniques of health insurance companies. Due to the strict privacy agreements personal health information, is only available for the patients and the doctors. However, people who were willing to share this information with health insurance companies could get significant discounts on their health insurance. Therefore more and more people agreed to share this information with their health insurance companies, which in turn supplied them with personal, custom made insurance products. This reduced the cost substantially, despite abandoning our loved Dutch solidarity system.  
 
<br>
In 2000 Amsterdam counted eight major hospitals. The hospital buildings were between 40 and 100 years old. The existence of extremely resistant bacteria in these buildings was known at that time, but this did not cause problems and therefor was not paid any attenttion to. Somehow, since 2013, the existence of these bacteria started to cause major problems. They seemed to be everywhere and became more aggressive than ever experienced before. Two major hospitals in Amsterdam had to be demolished in 2015 because the situation could not be controlled anymore. <br><br>
 
Since the invention of the inflatable sterile operation room balloon, ordinary living rooms can be turned into operation rooms in less than one hour. Therefore, almost 50% of the basic operations can be done at the private home of the patient. The patient is given home care and recovery of is monitored through [[Consumer health informatics in the information age|telemonitoring]] via the internet. This home care system relieved the pressure on hospitals that were coping with the extremely resistant bacteria.<br><br>
 
Nowadays also the prevention of illnesses is also done through telemonitoring. The condition a patient is constantly monitored by his hospital via an online service company and in case of any health threats preventive actions are suggested to the patient. The preventive actions can vary from online tips (via e-mail, telescreens), service call or visits from doctors. <br><br>
 
Also since 2015, the DNA profile and family history of every patient is known from before the birth. Due to this and the on-line condition monitor, which provides continuous real-time information on the health of a patient, it is now possible that continuous care can be given to a patient. Hence, in 2020 patients are not patients anymore in the definition of in 2009. They are healthy human beings operated upon before they get ill, preventing a life-threatening situation. Health is made personal. <br><br>
 
Not only the way that health care is provided to patients dramatically changed over the last 20 years, but also the way that health care is financed. Due to the [[aging population|aging]] of the population in Amsterdam and the enormous costs that were made in the attempt to control the bacteria problems in hospital buildings, health care was almost not [[Financing and costs of the Dutch health care system|payable]] anymore in 2015. In a reaction to this situation health insurance companies initiated the development of the DNA data bank and eagerly followed the availability of the on-line personal health information (PHI). In 2015 collectivity system for health insurance was abandoned. This process was speeded up by the marketing techniques of health insurance companies. Patients who were willing to share their personal health information and DNA data with health insurance companies could get significant discounts on their health insurance. Therefore more and more people agreed to share this information with their health insurance companies, which in turn supplied them with personal, custom made insurance products. This reduced the cost substantially but killed the loved Dutch solidarity system. <br><br>

Latest revision as of 14:03, 18 October 2009

Keywords:
- home care
- home operations
- telemonitoring
- teleprevention
- personal health information (PHI)
- decentralisation
- genetic screening

Story:
"I want to admit you for five days in our hospital to replace your right hip" Operation? In our hospital? five days? Unbelievable items nowadays. Health care in all its aspects changed so dramatically the last 20 years since the beginning of this millennium. br>

Since the late seventies of the last century electronic devices became smaller, cheaper, simpler and have more functions. This trend, in combination with the developments of the internet and especially the invention of an inflatable sterile operation room balloon in 2015, dramatically changed health care.

In 2000 Amsterdam counted eight major hospitals. The hospital buildings were between 40 and 100 years old. The existence of extremely resistant bacteria in these buildings was known at that time, but this did not cause problems and therefor was not paid any attenttion to. Somehow, since 2013, the existence of these bacteria started to cause major problems. They seemed to be everywhere and became more aggressive than ever experienced before. Two major hospitals in Amsterdam had to be demolished in 2015 because the situation could not be controlled anymore.

Since the invention of the inflatable sterile operation room balloon, ordinary living rooms can be turned into operation rooms in less than one hour. Therefore, almost 50% of the basic operations can be done at the private home of the patient. The patient is given home care and recovery of is monitored through telemonitoring via the internet. This home care system relieved the pressure on hospitals that were coping with the extremely resistant bacteria.

Nowadays also the prevention of illnesses is also done through telemonitoring. The condition a patient is constantly monitored by his hospital via an online service company and in case of any health threats preventive actions are suggested to the patient. The preventive actions can vary from online tips (via e-mail, telescreens), service call or visits from doctors.

Also since 2015, the DNA profile and family history of every patient is known from before the birth. Due to this and the on-line condition monitor, which provides continuous real-time information on the health of a patient, it is now possible that continuous care can be given to a patient. Hence, in 2020 patients are not patients anymore in the definition of in 2009. They are healthy human beings operated upon before they get ill, preventing a life-threatening situation. Health is made personal.

Not only the way that health care is provided to patients dramatically changed over the last 20 years, but also the way that health care is financed. Due to the aging of the population in Amsterdam and the enormous costs that were made in the attempt to control the bacteria problems in hospital buildings, health care was almost not payable anymore in 2015. In a reaction to this situation health insurance companies initiated the development of the DNA data bank and eagerly followed the availability of the on-line personal health information (PHI). In 2015 collectivity system for health insurance was abandoned. This process was speeded up by the marketing techniques of health insurance companies. Patients who were willing to share their personal health information and DNA data with health insurance companies could get significant discounts on their health insurance. Therefore more and more people agreed to share this information with their health insurance companies, which in turn supplied them with personal, custom made insurance products. This reduced the cost substantially but killed the loved Dutch solidarity system.