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The new healthcare landscape

Healthcare reforms are leading towards a market-oriented approach where identification of a patient need releases a fund with which to address that need.  It will then be up to the patient, in partnership with his or her GP, to purchase the appropriate healthcare services in the marketplace.  Whether these are supplied by the National Health Service, semi-independent Foundation Hospitals , or the private sector (at home or abroad) should make no difference.  Patient Choice means exactly what it says.

However, for a market to work successfully, information must flow.  It is no use offering patient choice if the patient is unable to find out about the options and alternatives available.  Traditional markets, involving a physical gathering of buyers and sellers at a single location, cannot solve this problem.  What is needed is a virtual marketplace, managed by information technology, to put the information into the hands of the patient and his or her GP.

An electronic market for healthcare resources

Electronic marketplaces flourished briefly during the dot com boom of the 1990s, and some commodity market places are still highly successful.  Most are centred around auction mechanisms, which work well to resolve supply and demand for homogeneous commodities, where price is the main distinguishing feature. 

Healthcare services are not homogeneous – there are often alternative ways of addressing clinical need, and geographical location can play an important part in determining the suitability of an option.  An elderly or seriously ill patient may not wish or be able to travel a long distance for an operation.  Others may have no problem with this, perhaps even preferring to travel some distance in exchange for quicker treatment.   Supply of healthcare resources is also more complex than that of commodities.  A service may consist of multiple services – a hospital bed, surgeon, anaesthetist, operating theatre, post-operative care facilities – all of which may or may not be available on the dates they are required.  

Dynamic solution composition with Matching Systems

A virtual market created with Matching Systems facilitates:

comparison beyond price - taking into account a patient's individual circumstances and needs to find the best solution, considering location, resource availability, quality of case and other additional services

knowledge-based advice - the storage and application of knowledge in the context of a patient's situation as part of the selection process.  Service provides can supply the business rules together with the descriptions of their services when making those services available to the market

dynamic decisions - each potential service can configure itself to suit an individual patient's circumstances.  External information, held in existing systems or databases, can be included in the process, so checking resource availability, or calculating the current prices of a service, can be achieved dynamically, using up-to-the minute information.

management by healthcare professionals - Healthcare service providers can describe their services, prices and features by completing online forms and supplying simple business rules.  GPs and their patients will be able to seek services based on a combination of clinical need and patient preference, and compare the resulting service offers, not just by price, but across a range of features appropriate to their requirements.

© Matching Systems 2007 Ltd., July 2007