变革的拥护者：政府如何领导医疗改革

in collaboration with World Government SummitThe World Government Summit (WGS) is a global platform dedicated to shaping thefuture of governments worldwide. Each year, the Summit sets the agenda for the nextgeneration of governments with a focus on how they can harness innovation andtechnology to solve universal challenges facing humanity.The WGS is a knowledge exchange center at the intersection of government, futurism,technology, and innovation. It functions as a thought leadership platform andnetworking hub for policymakers, experts and pioneers in human development.The Summit is a gateway to the future as it functions as the stage for analysis of futuretrends, concerns, and opportunities facing humanity. It is also an arena to showcaseinnovations, best practice, and smart solutions to inspire creativity to tackle thesefuture challenges.2To Inspireand EnableThe Next Generationof Governments Table of ContentsForewordSetting the Stage for GovernmentExecutive SummaryConclusion - A Unique Opportunity to Transform HealthcareAbout KPMGHistorical Context - Barriers to ChangeHow COVID-19 has Reframed the DebateWhat Role should Government Play?Flipping the Pyramid of CareHealthcare’s Digital Revolution has ArrivedGovernment in Action: Principles and PoliciesThe Founding Principle – Ensure Universal Coverage and AccessPrinciple 2 – Care Should be Built Around the PersonPrinciple 3 – Give Patients more Ownership of Their HealthPrinciple 4 – Think Holistically about the Determinants of Physicaland Mental HealthPrinciple 5 – Incentivize the Best Outcomes for PatientsPrinciple 6 – Build Systems that are Resilient in Good Times and BadPrinciple 8 – Engender Creative Partnerships: The Only Way Forward 061208707213151516192021243236404654Principle 7 – Plan Long-Term to Unleash the Power of Digital62 Published in collaboration with the WGS, this KPMG paperidentifies what governments need to do to addresscurrent healthcare challenges and prepare for thoseahead.The report examines health system transformation from individual patientsand citizens to global institutions, identifying changes required for optimaleffectiveness and stakeholder buy-in. While challenges are common acrossmost health systems, the dynamics, stakeholders, and infrastructure do notallow a one-size-fits-all policy blueprint. So rather than prescribe a narrowset of ruleswe offer a principles-based approachwhich each governmentcan interpret according to its unique circumstances, needs, skills andresources. We hope that by taking stock of these principles, governmentscan obtain alignment and support among their partners – such as clinicians,providers, insurers, industry and regulators – to deliver on a common vision.Using examples from across the globe, we trust our paper captures thismoment of reflection to guide the transformation needed to improve healthoutcomes in the wake of COVID-19 and address challenges on the horizon.The publication examines the implications of the pandemic for the world’shealth systems. It outlines the role of government action in healthcare andthe principles that should underpin it. These include cooperation with theprivate sector and helping systems reimagine the role of patients.Finally, the report presents a framework for action encompassing allstakeholder groups. It explains how stakeholders can: build an agileworkforce, implement digital technologies, use financial reforms to offerincentives for value creation, and empower patients to take ownership oftheir own health.The aim is to ensure the findings and recommendations have long,interactive lives, with continued media debate, regularly updated reports,and thematic panel discussions. As a result, this stimulates a collaborativeeffort that enhances debate and informs policymaking.Foreword Many healthcare systems came close to beingoverwhelmed by the COVID-19 pandemicas it forced us to confront a key challengein healthcare. We had to meet the growingdemand despite intensifying constraints onresources such as public spending and theclinical workforce. COVID-19 has given us aglimpse of the future if we do not heed thelesson that we need to transform.Executive Summary Governments Have a Leading Role to Play in HealthcareTransformationThe Covid-19 pandemic has demonstrated the need for transformation inhealth systems globally. Governments had to coordinate the response, mobilizethe public and private sectors, and develop dynamic policies to execute andenforce that plan. This has shown that skills, ingenuity and resources candeliver healthcare transformation when they are brought together with the rightleadership. Having led the way out of this crisis, governments have a lasting roleas leaders in healthcare transformation.Governments Should Construct their Healthcare PoliciesAround Eight Principles:12Ensure Universal Coverage and AccessThe health of the population is served best when peoplecan get the right care at the right time in the right place,without cost being a barri