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Shaping the future of health together

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Shaping the future of health together

About the Future Health Index


The Future Health Index (FHI) is a research-based platform designed to help determine the readiness of countries to address global health challenges and build sustainable, fit-for-purpose national health systems.


In 2016 the FHI measured perceptions to produce a snapshot of how healthcare is experienced on both sides of the patient-professional divide. In 2017 it compared these perceptions to the reality of health systems in each country researched.


In 2018, the FHI builds on the increasing consensus that, with the rise of chronic diseases and healthcare costs, the value-based care model is the best approach to address these challenges. In addition, the FHI identifies key challenges that form a barrier to the large-scale adoption of value-based care and improved population access; and assesses where connected care technology – data collection and analytics, and telehealth – can help speed up the healthcare transformation process.


The 2018 Future Health Index is split into three reports, the first of which measures and assesses the value present in 16 health systems of developed and developing markets through a Value Measure.

A total of 45 different metrics are analyzed using a combination of third-party data and original research collected via a survey in partnership with a global market research firm.  A full list of sources is included in report 1 of 2018.


Furthermore, our analysis and various metrics have been grouped into pillars. Within each pillar, the metrics are normalized to ensure comparability across countries and are scored to fit onto a 0 to 100 scale. Through grouping and comparing metrics, the 2018 FHI provides actionable analysis across 16 markets and is representative of about 50% of the global population.


The second report of the 2018 FHI focuses on data collection and analytics – an area that has the potential to significantly drive change through connected care technologies. This latest report contains interviews with experts, practitioners and opinion leaders from across the healthcare spectrum – people that are making value-based healthcare happen on the ground. These interviews lead to the collation of points of views underpinned by the Future Health Index data to produce practical insights that healthcare leaders can apply in their day-to-day lives.


The 2018 FHI’s third report examines the major barriers to telehealth implementation – with a focus on teleradiology, telepathology, general practice and the tele-intensive care unit – and identifies key recommendations that can accelerate adoption and move countries towards value-based care. It follows the same structure as the second report, combining points of view with Future Health Index data to produce a set of practical insights.


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Research methodology

In the first report of the 2018 FHI, 45 different metrics are analyzed and grouped together in key pillars:


1. Value Measure
2. Current State (of Data and Care Delivery)


The Value Measure is the first pillar. The Value Measure is a new indicator of the value delivered by healthcare systems of developed and developing markets. It combines factors associated with value based healthcare and access to care, arguably the ultimate goals of modern healthcare. It consists of three parts:


1. Access (i.e. how universal, and affordable, is access to healthcare in the designated market?)

2. Satisfaction (i.e. to what extent do the general population and practitioners in the designated market see the healthcare system as trustworthy, and effective?)

3. Efficiency (i.e. does the system in the given market produce outcomes at an optimum cost?)


The second pillar, Current State measures current levels of adoption of key digital enablers:

1. Data (collection and analytics) (including wearables, Electronic Health Records (EHRs), Intelligent Care)

2. Care Delivery (Telehealth and Diagnostic & Treatment Solutions)


Each pillar consists of several sub-metrics (see metrics graphic on pg.26 of report 1 2018). Within each pillar, the metrics are normalized to ensure comparability across countries and are scored to fit onto a 0 to 100 scale. Specifically, metrics related to market size are normalized per capita, per hospital bed or per physician in each country. The market size metrics were scored relative to the highest scoring country (with a population over 1,000,000) among the available dataset. For other metrics, including those for the Value Measure and technology infrastructure metrics, scoring is either relative to the highest scoring country (with a population over 1,000,000) among the available dataset, or based on any optimal baseline number set by global authorities e.g. standards/goals set by the United Nations Sustainable Development Goals (SDGs). By excluding countries with populations of less than 1,000,000, we exclude outliers that may create unrealistic potential to reach 100.


A metric which does not follow this pattern of normalization is:

The risk of impoverishment due to surgical care – this metric is reported as a percentage, so it is simply inversed and no further normalization is needed.

In a next step, the scores for each metric are then averaged to calculate each sub-index score and those sub-indices averaged to create each pillar. The 45 different metrics analyzed use a combination of third party data and original research collected via a survey in partnership with a global market research firm.

The survey data was collected January 18, 2017 to March 3, 2017 for 15 of the 16 countries analyzed in 2018 (Australia, Brazil, China, France, Germany, Italy, The Netherlands, Russia, Saudi Arabia, Singapore, South Africa, Spain, Sweden, the UK and the US) in their native language. The survey had an average length of 25-30 minutes. A combination of online, face-to-face (computer-assisted) and phone (computer assisted) interviewing was used. Survey data for India was collected during February 16, 2018 to March 26, 2018 in a manner consistent with the other countries in 2017.


The total sample from the survey includes:

• 3,244 healthcare professionals (defined as those who work in healthcare as a doctor, surgeon, nurse practitioner, registered nurse, licensed practical nurse or nurse across a variety of specializations)

• 24,654 adults (representative of each country’s respective adult population).Third-party data was sourced from a number of organizations including the World Health Organization, The Commonwealth Fund, and the World Bank. A full list of sources is available in report 1 of 2018.

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