Böbel, Ingo and Martis, Amrita (2009): Value Creation in Health Care: The Case of the Princesse Grace Hospital (CHPG) Monaco.
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Abstract
Health care has to make transitions to be truly effective in the modern world. A change in paradigm is needed. This requires that value - defined as the health outcome for a particular medical condition per unit of cost expended - must be applied and added to health care, and health care itself must be treated as a business that performs in a competitive environment to ultimately provide client or customer satisfaction. Health care today is typically service specific, necessitating that the client or patient visits different medical or clinical departments to get the range of treatment prescribed for his/her condition. We argue – following Porter and Teisberg - that health care should be patient-centric and that organization and treatment should be planned accordingly. Such planning must take into account the provision of a range of services directly accessible or networked regionally taking full advantage of technological advances in the field of medical technology and informational systems. We examine whether such principles are currently being applied in Monaco (specifically in the Centre Hospitalier Princesse Grace) taking into account both Monaco’s unique positioning and its geographical context in relation to the French health system as well as the resulting interaction in networking relationships. We explore how value in healthcare is currently being added and investigate plans for augmenting such efforts. Aspects of preventative and innovative initiatives are also discussed as a means of enhancing value. Finally, we offer a set of recommendations that in the context of the local situation might be successfully applied. Continuous review of performance and the application of best practice and technologies are proposed to ensure that the provision of health care services can compete with the best in the world.
Item Type: | MPRA Paper |
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Original Title: | Value Creation in Health Care: The Case of the Princesse Grace Hospital (CHPG) Monaco |
Language: | English |
Keywords: | Health care; value creation in health care; Monaco; Southern France |
Subjects: | I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health I - Health, Education, and Welfare > I1 - Health > I10 - General |
Item ID: | 19689 |
Depositing User: | Prof. Dr. Ingo Böbel |
Date Deposited: | 05 Jan 2010 11:33 |
Last Modified: | 27 Sep 2019 23:48 |
References: | AMLCMS. (2008). Bienvenue sur le site de l'Association Monégasque de Lutte contre la Mort Subite. Consulté le April 17, 2009, sur Association Monégasque de Lutte contre la Mort Subite: http://www.mortsubitemonaco.org/ ARH PACA. (2009). Schéma régional de santé 2006‐2011. Consulté le March 2009, sur ARH Provence Alpes Côte d'Azur: http://www.parhtage.sante.fr Aspden, P. (2001, June 14‐15). Medical Innovation in the Changing Healthcare Marketplace. Consulté le April 5, 2009, sur The National Academies Press: http://books.nap.edu/openbook.php?record_id=10358&page=1 Boddy, D. (2005). Management an introduction (éd. 3rd Edition). Harlow, England: Pearson Education Limited. Boulay, F. (2009, April). Chef de service du département d'information médicale. (A. Martis, Intervieweur) Brandenburger, A. (2002, May). Porter's added value: High indeed! Academy of Management Executive , 16 (2), pp. 58‐60. Caisses Sociales de Monaco. (s.d.). Caisses Sociales de Monaco. Consulté le March 20, 2009, sur http://www.caisses‐sociales.mc/cadre_principal.html?popul=pre CDC. (1999, April 2). Ten Great Public Health Achievements ‐‐ United States, 1900‐1999. Consulté le March 5, 2009, sur Centers for Disease Control and Prevention: http://www.cdc.gov/mmwr/preview/mmwrhtml/00056796.htm Centre de presse de Monaco. (2006, October 10). The Monaco State Budget: forecasts for 2007. Consulté le March 7, 2009, sur Official Press Center Website: http://www.gouv.mc/304/wwwnew.nsf/1909$/5068db2a5543600ec12572030037c0b2gb?OpenDocum ent&1Gb Centre de Presse. (2007, October 1). Du Centre Hospitalier Princesse Grace à Boston :. Consulté le December 2, 2008, sur Site du gouvernement de Monaco: http://www.gouv.mc/304/wwwnew.nsf/1909$/d7ea57eb7a4a0fb3c12573670046cdbbfr?OpenDocume nt&2Fr Centre Hospitalier Princesse Grace. (s.d.). Centre Hospitalier Princesse Grace. Consulté le 2009, sur http://www.chpg.mc/ Centre Hospitalier Princesse Grace. (2007). Notre projet d'établissment 2007‐2011. Monaco: CHPG. Christensen, C. M., J. H. Grossman, and J. Hwang (2009). The Innovator's Prescription: A Disruptive Solution for Health Care, McGraw‐Hill. Cohn, K. H., & Hough, D. E. (2008). The business of healthcare (Vol. 1). Greenwood Publishing Group. Croix‐rouge monégasque. (2008, May 12). RAPPORT DES ACTIVITES DE LA SECTION INFIRMIERES. Consulté le April 3, 2009, sur Croix‐rouge monégasque: http://www.croixrouge. mc/croixrouge/wwwnew.nsf/e89a6190e96cbd1fc1256f7f005dbe6e/e8a6c4401da5de66c1257545 00293ffb/$FILE/Rapport%20de%20la%20Section%20Infirmieres%202008(2).pdf Dartmouth Atlas of Health Care. http://www.dartmouthatlas.org/ DeFenzo. (2009, April). Restauration. (A. Martis, Intervieweur) Département des affaires sociales et de la santé. (2009, January). Le journal de l'administration. Consulté le March 2, 2009, sur Site du gouvernement: http://www.gouv.mc/devwww/wwwnew.nsf/e89a6190e96cbd1fc1256f7f005dbe6e/95c807a5b4e82c02 c12574780052ed21/$FILE/00_JDA_5.pdf DRASS. (2008, December). Diagnostics territoriaux. Consulté le March 5, 2009, sur http://paca.sante.gouv.fr/territoires/accueil.swf DUMONTAUX, N., LE RHUN, B., LEGENDRE, M.‐C., & Villeret, S. (2007). Indicateurs de suivi économique et financier. Paris: DRESS. Dupre. (2008). Chef de service, pathologie. (A. Martis, Intervieweur) Encyclopedia of American History. (s.d.). Consulté le January 28, 2009, sur Answers.com: http://www.answers.com/topic/health‐care Europe‐Cities. (s.d.). Healthcare in Monaco. Consulté le March 5, 2009, sur Monaco by Europe‐cities: http://www.europe‐cities.com/en/633/monaco/health/?page=3 Fédération Hospitalière de France. (s.d.). hopital.fr. Consulté le March 2009, sur http://www.hopital.fr/ G.A. (2008, January 17). On adore naître à la maternité du Centre Hospitalier. Nice Matin , p. 9. Giordano, D. (2008, avril 17). Monaco dévoile son nouvel hôpital. MonacoHebdo , p. 17. Gouvernement de Monaco. (2009). Portail officiel du Gouvernement Princier. Consulté le 2009, sur http://www.gouv.mc/devwww/wwwnew.nsf/Home HAS. (2006, June). Réunion de concertation pluridisciplinaire. Consulté le December 18, 2008, sur Haute Autorité de Santé: http://www.hassante. fr/portail/upload/docs/application/pdf/traceur_fiche_epp_rcp.pdf Haute Autorité de santé. (2007, May). COMPTE‐RENDU DE CERTIFICATION DU CENTRE HOSPITALIER PRINCESSE GRACE. Consulté le December 2008, sur Haute Autorité de santé: http://www.hassante. fr/portail/jcms/j_5/home Hogg, W., Lemelin, J., & Baskerville, N. (2005, March 9). Cost savings associated with improving appropriate and reducing inappropriate preventive care: cost‐consequences analysis. Consulté le December 22, 2008, sur BioMedCenteal: http://www.biomedcentral.com/1472‐6963/5/20 Horizon 2011. (2006, Decembre). pp. 56‐61. Institute of Medicine, Committee to Design a Strategy for Quality Review and Assurance in Medicine. (1990). Medicare: a strategy for quality assurance / Committee to Design a Strategy for Quality Review and Assurance in Medicare, Division of Health Care Services, Institute of Medicine. Lohr KN. IRDES. (2007, october 2). Données de cadrage. Consulté le April 17, 2009, sur IRDES: http://www.irdes.fr/EspaceEnseignement/ChiffresGraphiques/Cadrage/Depense/depocde.htm Joffe, S., Manocchia, M., Weeks, J. C., & Cleary, P. D. (2002). What do patients value in their hospital care? An empirical perspective on autonomy centred bioethics. Journal of Medical Ethics (29), 103‐108. Joumard, I., André, C., Chantal, N., & Chatal, O. (2008, August 4). Health status determinants: lifestyle, environment, health care resources and efficiency. ECONOMICS DEPARTMENT WORKING PAPERS No. 627 . Organisation for Economic Co‐operation and Development. Karsten, S. G. (1995, April). Healthcare: private good vs. public good. Consulté le October 6, 2008, sur BNET Business Network: http://findarticles.com/p/articles/mi_m0254/is_n2_v54/ai_16864507/?tag=content;col1 La gazette de Monaco. (2008, May 14). Le nouveau CHPG à la pointe dans un site privilégié. La gazette de Monaco , p. 12. Le CHPG développe son offre à destination des femmes de Monaco et de la Côte d’Azur. (2006, November 3). Consulté le December 18, 2008, sur Monaconet: http://www.monacolive.com/cms/article274.html Le secteur hospitalier engagé dans un vaste mouvement de réforme, Interview de M. Guy Nervo. (2007, July,August,September). Monaco business news , p. 4. Le secteur hospitalier engagé dans un vaste mouvement de réforme, Interview de M. Jean‐Jacques Campana. (2007, July/August/September). Monaco business news , p. 2. Les Echos. (2009, March 3). 100 millions d'euros de déficit pour les Hôpitaux de Paris. Consulté le March 25, 2009, sur LesEchos.fr: http://www.lesechos.fr/info/sante/4840387‐100‐millions‐d‐euros‐de‐deficitpour‐ les‐hopitaux‐de‐paris.htm Lucas‐Gabrielli, V., Nabet, N., & Tonnellier, F. (2001). Les soins de proximité : une exception française ? Paris: CREDES. Martis, N. (2009, March). Medical intern at the CRHU in Nice. (A. Martis, Intervieweur) Miller, A., & Dess, G. (1993). Assessing Porter's (1980) model in term of its generalizability, accuracy and simplicity. Journal of Management Studies , 553. Montagne, D. (Réalisateur). (2009). En direct de l'hôpital [Film]. France: France 2. Neuberger, J. (1999, June 26). Do we need a new word for patients? Consulté le February 5, 2009, sur British Medical Journal: www.bmj.com Oncazur. (s.d.). Oncazur. Consulté le March 15, 2009, sur http://213.30.181.69/oncazur/index.htm Parkin, M. (2005). Economics. United States: Pearson Education. Pathologie de la cellule au diagnostic. (2008). La gazette de Monaco , pp. 29‐31. Perrot, R. (2008, April 12). Hôpital: 386 chambres vue mer. Nice matin , p. 9. Pôle santé. Monaco: Direction du tourisme et des congrès de la Principauté de Monaco. Porter, M. E., & Teisberg, E. O. (2006). Redefining Health Care. Boston: Harvard Business School Press. Porter, M.E. (1996). What is strategy? Harvard Business Review , 61‐78. Porter, M.E., Yasin, Z.M., Baron, J.F. (2009). Global health partner: obesity care. Boston: Harvard Business School Publishing. Porter, M.E., Guth C, Dannemiller E. (2007) The West German Headache Center: integrated migraine care. Boston: Harvard Business School Publishing. Porter M.E., Value‐based health care delivery. Ann Surg (2008) 248, 503‐509 Porter, M.E. (2009a). A Strategy for Health Care Reform‐Toward a Value‐Based System, The New England Journal of Medicine 361, 2: 109‐112 Revue hospitalière de France. (2009, February 20). Pôles et performance hospitalière : Retour d’expérience du CH de Carcassonne. Consulté le March 17, 2009, sur Revue hospitalière de France: http://rhf.fhf.fr/Editions/Revue‐Hospitaliere‐de‐France/Revues/526/Gestion‐des‐poles‐quellegouvernance/ Poles‐et‐performance‐hospitaliere‐Retour‐d‐experience‐du‐CH‐de‐Carcassonne Robinson, M. L. (1997, February). Finding the value in health screening ‐ testing healthy people to promote early detection ‐ includes related article on common screening programs for various diseases. Consulté le March 6, 2009, sur bNET: http://findarticles.com/p/articles/mi_m0903/is_n2_v15/ai_19131788/ Rouison, D. D. (2008). chef de service du Centre de Dépistage Anonyme et Gratuit. (A. Martis, Intervieweur) Rubolini, M. (2009, April). Coordination générale des soins. (A. Martis, Intervieweur) Rugman, A., & Collinson, S. (2006). International business. Harlow, England: Pearson Education Limited. Sandier, Paris, & Polton. (2004). Healthcare systems in transition: France. Consulté le December 6, 2008, sur World Health Organisation Regional Office for Europe: http://euro.who.int/document/e83126.pdf Saoudi. (s.d.). Chef de service, cardiologie. (A. Martis, Intervieweur) SROS/IRCT. (2005). Enquête nationale schéma régional d’organisation sanitaire de l’insuffisance rénale chronique terminale (SROS/IRCT) – Juin 2003. Paris: Caisse Nationale de l’Assurance Maladie des Travailleurs Salariés. Staccini. (2003). Santé publique. Nice, France: Faculté de médecine, université de Nice Sophia‐Antipolis. Starfield, Hyde, Gérvas, & Heath. (2008). The concept of prevention: a good idea gone astray? Consulté le April 15, 2009, sur Journal of Epidemiology and Community Health: http://jech.bmj.com/cgi/reprint/62/7/580 Suhrcke, M., McKee, M., Arce, R. S., Tsolova, S., & Mortensen, J. (2006). Investment in health could be good for Europe's economies. British Medical Journal , 333, 1017‐1019. Teisberg, E. (2009). Statement of E. Teisberg before the Seante Health, Education, Labor and Pensions Committee, January 29, 2009 Teperi, J., Porter, M., Vuorenkoski, L., and Baron, J. (2009). The Finnish HealthCare System: A Value‐ Based Perspective. Helsinki: Sitra. The Bangkok Charter for Health Promotion in a Globalized World. (2005, August 11). Consulté le April 15, 2009, sur The World Health Organisation: http://www.who.int/healthpromotion/conferences/6gchp/hpr_050829_%20BCHP.pdf Verany, C. (2008, August 5). Apprendre les gestes qui sauvent. Monaco‐matin , p. 7. Vergély, B. (2007). Santé: le modèle monégasque. The Best of Monaco , pp. 12‐103. WHO. (2008). Fostering innovation for global health. United Kingdom: Pro‐book publishing limited. WHO. (2000). The world health report 2000 ‐ Health systems: improving performance. Williams, K., & Johnson, B. (2003). Introducing management, a development guide. Butterworth‐ Heinemann. |
URI: | https://mpra.ub.uni-muenchen.de/id/eprint/19689 |