CONNECTING HEALTH PROFESSIONALS TO EXPERTISE AND EVIDENCE Keri Wachter Director of Strategy and Programs Global Health Delivery Project at Harvard University June 25, 2016
Disclosure Keri Wachter There is no actual or potential conflict of interest in relation to this presentation.
TAKEAWAYS • Challenges • Terms: Health Care Delivery, Value • Public Goods for Global Health Delivery • GHDonline.org (Global Health Delivery Online) • Global Health Delivery Case Collection • UpToDate Donation Program The Global Health Delivery Project at Harvard
Source: Bill and Melinda Gates Foundation
Source: Council on Foreign Relations (2015). Vaccine-Preventable Outbreaks. Retrieved from: http://www.cfr.org/interactives/GH_Vaccine_Map/#map
Price Quality Supply • Affordable • Assured quality • Products price adapted to • Information needs • Equitable price about Quality available • Adequate • Market transparently production sustainable capacity price • Short lead- times • Uninterrupted supply 6
Low demand due to affordability gap or poor awareness Poor availability and Low market size=weaker divergence between incentives to invest in price-point and ability supply to pay Low volume and lack of supply investment= Higher per-unit costs and poor availability
http://www.healthdata.org/research-article/global-health-development-assistance-remained-steady-2013-did-not-align-recipients%E2%80%99
IMPLEMENTATION BOTTLENECK + • Vaccines • Primary Health Care • Drug therapies • Maternal Child Health Care • Basic Surgery New Developments: • Microbicides • Malaria and TB diagnostics • Chemotherapy • Drugs for neglected diseases • >10 new vaccines
www.ghdonline.org/cases
HOW CAN PROVIDERS FIND ANSWERS JUST IN TIME? HEALTH BEST ANSWER PROFESSIONAL’S AVAILABLE QUESTION The Global Health Delivery Project at Harvard
GLOBAL HEALTH DELIVERY ONLINE, GHDONLINE.ORG Moderated Discussions Global Searchable Perspective Archives Crowd- Sourced Insights The Global Health Delivery Project at Harvard
COMMUNITIES OF PRACTICE Diversity of Opinion Independence Decentralization Aggregation
PUBLIC AND PRIVATE COMMUNITIES Malaria Treatment & Prevention HIV TB Treatment & Infection Prevention Control Global Quality & Nursing & YP-CDN Safety Midwifery 70+ Private Population Health IT Communities Health MDR-TB Endemic Treatment & NCDs Prevention Global Surgery & Anesthesia The Global Health Delivery Project at Harvard
GHDONLINE MEMBERSHIP The Global Health Delivery Project at Harvard
MODERATORS GHDonline communities are expert-led • Nearly 40 moderators bring subject matter expertise, guidance, and structure to our communities • Moderators facilitate conversation and encourage participation, bringing together organizations and individuals around the world The Global Health Delivery Project at Harvard
GHDONLINE DISCUSSIONS Members collaborate Responses highlight During Pakistan’s to develop a mapping resources from floods, a member seeks tool to track and resources to track relief Kenya, China and share relief efforts efforts Haiti online
GHDONLINE EXPERT PANELS
GHDONLINE EXPERT PANELS
GHDONLINE EXPERT PANELS
TOP DISCUSSIONS Available as GHDonline Discussion Briefs The Global Health Delivery Project at Harvard
Click “Join” on the homepage www.ghdonline.org The Global Health Delivery Project at Harvard
HOW TO SIGN UP To join GHDonline: 1. Visit ghdonline.org and click “Join Today.” 2. Complete step 1 “About you.” 3. Complete step 2 “Organization.” 4. At step 3 “Communities,” please add any other public communities that interest you. 5. After signing up, you’ll receive an activation e -mail. Follow the instructions to confirm your GHDonline account. 6. Once confirmed, upload a profile photo and join the discussions! The Global Health Delivery Project at Harvard
FOR GHDONLINE MEMBERS: HARVARD BUSINESS PUBLISHING, TEACHING CASES
FOR GHDONLINE MEMBERS: EVIDENCE BASED CLINICAL RESOURCE, UPTODATE US hospitals with UpToDate have lower mortality (Isaac et al., 2012) An individual UpToDate subscription costs ~$500/year. Tanzania spent ~$50/person on healthcare in 2014
EXPANDING THE NETWORK The Global Health Delivery Project at Harvard
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