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

View | 28.09.2018

Coding can change the world

Technology will solve an ever growing aspect of the... » Read more
View | 09.09.2018

“Freedom of choice” reform threatens the continuity of laboratory monitoring

Finnish public procurement legislation prevents public laboratories from offering... » Read more
View | 31.08.2018

Over an hour’s breakdown in the information system is a catastrophe

Tykslab has found through experience that in some respects,... » Read more
View | 23.07.2018

A child’s suspected allergy is often unfounded

Often, children’s ambiguous stomach symptoms disappear if no one... » Read more
View | 11.07.2018

Marketing disease spurs overdiagnosis

Medicine is currently expanding in a way that does... » Read more
View | 26.06.2018

Biohackers take their health into their own hands

In the future, health centres may no longer exist.... » Read more
View | 18.06.2018

Gluten-free diet – just a fad or a valid treatment?

A proportion of the population seems to get symptoms... » Read more
Mylab Nyt View | 13.06.2018

A laboratory under a burning sun

A study by the University of Helsinki aims to... » Read more
Mylab Nyt View | 19.02.2018

A STOP to diabetes?

Diabetes is rapidly becoming more and more common all... » Read more
Mylab Nyt View | 03.10.2017

Laboratory monitoring moves to homes

POC testing by patients to monitor their laboratory values... » Read more
View | 26.05.2017

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

The funding model selected for social services and... » Read more

View | 19.05.2017

Future laboratories will support self-care

Piia Aarnisalo, Director of Laboratory Services at HUSLAB,... » Read more

View | 12.05.2017

Implementing a new patient information system requires grit and creativity

Wouldn’t it be great if you just found... » Read more

View | 28.04.2017

Tomorrow’s Tampere will be an international growth center

According to Tampere Mayor Anna-Kaisa Ikonen, the city... » Read more

View | 14.04.2017

Long and colorful history of information technology

We have come a long way since the... » Read more