IMANAGED OUTCOMES is a collaborative project funded by the 7th Framework Programme. The project explores the assumption that healthcare outcomes and costs are affected by the efficiency of service production, the time/location constrained regional structure of healthcare delivery, and the degree to which people are empowered to participate in the co-production of their care.
These relationships are insufficiently understood and need to be studied to meet the objectives of the new European health strategy. Better healthcare systems can then be planned to meet citizens’ expectations for improved access to, and quality of, healthcare, and hence improved outcomes.
As European healthcare systems are diverse, optimal models will be created drawing from comparative analyses of treatment practices across Europe. Combined with studies of economic, allocative and technical efficiency, these models will illustrate best practices across selected European healthcare systems.
The models will be evaluated using scenario methods to outline potential future development paths for healthcare systems in the next decade. The studies will lead to a better understanding of relationships between the costs and outcomes of healthcare systems. In this way the creation and testing of models of optimized healthcare systems can provide policy and decision makers with a set of tools to support reform of healthcare systems.
The goal of this project is to develop and disseminate theoretically rich - yet practical - conceptual models, and a toolkit for the development of service production processes.
MANAGED OUTCOMES contributes to the objectives of the work programme in the following ways:
The MANAGED OUTCOMES generates the necessary scientific basis to underpin informed policy decisions, and to promote active dialogue between service research, operations management, health economics, and clinical medicine.
Practical impacts are
These results contribute to healthcare reform. This project aims to enhance the cooperation between European healthcare operations management scholars to further promote integration and excellence in European healthcare systems research. The principal research method is comparative case studies and the project aims to develop scenarios and models of future healthcare systems.
Four large patient groups, each representing different health service demand types, are studied: dementia, type 2 diabetes, hip osteoarthritis and stroke. Studies are carried out in six countries with different types of healthcare systems: Finland, Germany, Greece, the Netherlands, Spain and the UK.
The project will provide new knowledge of the relationships between quality of care, costs, efficiency, and accessibility, that can be used by the Commission, in particular the Directorate-General for Health and Consumer Protection, and also WHO and OECD.
Furthermore Health Ministries and Public Health Institutes of the Member States, as well as clinicians and service providers, can find the tools of reforming healthcare service production systems useful in their own planning of more efficient and effective healthcare systems. The project will also strive to make the healthcare services models patient-centered and more responsive to individuals’ needs.