Sick Healthcare: Symptoms, Causes, and Cure
Ort: Prater 1+2+3+4 - 05.03.25, 09:00 - 05.03.25, 09:30 (Europe/Vienna) (30 Minuten)

Madis Tiik (Estonian eHealth Foundation)

Madis Tiik is an MD and PhD, known as an eHealth innovator and evangelist. He expresses a desire to change the healthcare environment for better accessibility and personal health management. Tiik is a family doctor, entrepreneur, and health innovator, involved with organizations that aim to reform healthcare systems. Additionally, he is an ultramarathon runner, a green energy enthusiast, and manages his organic farm. He's also a family man, married and a father of 6 children



Symptoms of a Sick Healthcare
System:  The presentation identifies several key problems affecting healthcare systems globally, including:
  • Access to Care: Limited access due to financial constraints, geographic barriers, and inadequate infrastructure.
  • Affordability: High costs of services, prescriptions, and insurance prevent many from seeking care.
  • Quality of Care: Significant variations in quality exist due to factors like inadequate training and outdated practices.
  • Chronic Diseases: The rise of non-communicable diseases strains healthcare resources.
  • Mental Health: Underfunding and stigmatization hinder access to crucial mental health services.
  • Health Inequities: Disparities persist based on socioeconomic status, race, and geography.
  • Aging Population: Aging populations increase demand and require specialized care.  These symptoms are illustrated with specific examples from Finland.

Causes of the Problems: The presentation points to several root causes:

  • Outdated funding models: Leading to a preference for treating illness rather than prevention.
  • Preference for inpatient care: Overemphasis on hospital care over outpatient or preventative services.
  • Underfunded prevention and primary care: Lack of investment in preventative measures and primary care weakens the system.
  • Lack of innovation: In work organization, processes, and human resources.
  • Counter work: Legislative hurdles, resistance from health politicians to innovation, and slow adoption of digital solutions and AI hinder progress.
  • Current Healthcare System (Demand-Based): A diagram depicts the current system, where a large proportion of citizens with health concerns navigate through various steps to reach a medical professional.

Proposed Cure:  The proposed solution focuses on several key areas:

  • Empowering individuals: Providing tools for self-tracking of health data.
  • Shifting focus: Enabling family doctors to focus on health maintenance rather than just treating illness.
  • Improving access: Facilitating consultations regardless of geographic location.
  • Accelerating digital adoption: Utilizing digital solutions to improve efficiency and accessibility.
  • Regional cooperation: Integrating different levels of healthcare within regions.
  • Needs-based assessment:  Starting all interactions with a needs assessment to direct patients to the most suitable service.

Future Vision (Personalised and Need-Based): A future model is presented that uses a digital needs assessment, symptom checkers, and AI to personalize and improve the efficiency and effectiveness of care.  The system incorporates a national EHR and aims to streamline communication between different levels of care.

Benefits of the Proposed System: The presentation concludes by highlighting several benefits:

  • Improved service quality: Through structured data collection and improved metrics tracking.
  • Increased contact resolution: Resulting in valuable insights for improving service quality and planning.
  • Optimized labour costs: By delegating tasks and enabling remote work options.
  • Improved work environment: Reducing disruptions through decreased phone calls.

The presentation concludes with a visualization of how the new system will work using different software tools for the patient, health analyst, scheduler, and family health center staff.