Brommels: Funding model is key to health and social services reform

Published 26.05.2017

Brommels: Funding model is key to
health and social services reform

The funding model selected for social services and healthcare will direct what kind of services are available to us, according to Mats Brommels, Professor and Director of Medical  Management at the Karolinska Institutet in Stockholm.

Brommels talked about Finland's health, social services and regional government reform and shared experiences from other Nordic countries in Mylab’s 30th anniversary seminar. He encouraged Finland to learn from the health and social services reforms implemented by other Nordic countries – there is no need to reinvent the entire wheel.

– In particular, we should pay attention to developing a funding system that produces the right well-being policy outcomes, Brommels summed up.

Brommels supports the capitation-based funding model being planned in Finland, since it does not reward service providers for individual appointments with physicians but for promoting the health of customers. However, other incentives are still needed.

A good example is Sweden, where compensation for surgical procedures performed on back pain patients is based on efficiency. The pain experienced by the patient six months after their surgery is used as the measuring stick.

– I would like to see new experiments like this in Finland as well, Brommels says.

Digital services save resources

According to Mats Brommels, digital services are key to renewing health and social services – regardless of what happens in the administrative reform.

– It is only through digital services that we can achieve those well-being policy goals that the health and social services reform is also based on, he points out.

How could digital services then make health care more efficient and promote the health of the population?

Brommels offers Sweden as an example here as well: the quality register for rheumatic diseases there has evolved into a communications channel between patients, rheumatologists and nurses.

– This enables joint planning of care and follow-up. The patients themselves enter their data into the system and are also allowed to issue laboratory referrals.

There are no regular follow-ups; instead, patients monitor their own condition and contact their rheumatologist if their symptoms get worse.

– This saves resources and also leads to better results, Brommels says.

Click here for Professor Mats Brommels’ full presentation

Text Virpi Ekholm, photos Olli-Pekka Latvala

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