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Hållbara scenarier och affärsmodeller för specialistkliniker i Sverige folksjukdomen artros i Stockholms läns landsting som exempel -

Berninger, Amanda and Karlsson, Viktor (2012) MIO920
Production Management
Abstract
Ten per cent of the population in the western world suffer from
osteoarthritis – a widespread endemic disease that is estimated to cost the Swedish society equivalent to two per cent of the Swedish GNP annually, corresponding to over 50 billion SEK in 2009 in treatments and lost productivity. With an increasing aging population the incidence of osteoarthritis is expected to be further enhanced.
In the United States and many European countries it is common that patients with osteoarthritis are treated at specialty clinics. In Sweden there is no equivalent today but changing politics allow for more freedom to establish private specialty clinics. This thesis is therefore designed to investigate whether the establishment of a specialist... (More)
Ten per cent of the population in the western world suffer from
osteoarthritis – a widespread endemic disease that is estimated to cost the Swedish society equivalent to two per cent of the Swedish GNP annually, corresponding to over 50 billion SEK in 2009 in treatments and lost productivity. With an increasing aging population the incidence of osteoarthritis is expected to be further enhanced.
In the United States and many European countries it is common that patients with osteoarthritis are treated at specialty clinics. In Sweden there is no equivalent today but changing politics allow for more freedom to establish private specialty clinics. This thesis is therefore designed to investigate whether the establishment of a specialist clinic treating osteoarthritis patients is a possible solution to decrease the societal costs and treat all the osteoarthritis patients who currently does not get the treatment they need.
Purpose: This master thesis aim to develop a sustainable business model for specialty clinics niched to treat patients suffering from osteoarthritis in the Stockholm County Council. Objectives include understanding the market for specialty clinics in Sweden and available treatment methods for osteoarthritis today, as well as identifying best practices at foreign clinics that could be exported to possible Swedish equivalents.
Theoretical framework: The problem discussions have initiated from Matheson and Matheson’s Appropriate Frame in order to find the most suitable approach whilst staying focused on the thesis purpose. Collected data has been analysed by using PESTEL-analysis and Porter’s Five Forces Framework. Finally, Oster alder’s Business Model Canvas and the Four Actions Framework, originated from Blue Ocean Strategy, have been applied in a scenario analysis with the intention to create and visualize potential sustainable business models for this field.
4
Methodology: Essentially, experts within different fields have been interviewed. Collected data from expert interviews have been complemented by literature studies, quantitative surveys and case studies in order to highlight select problem areas of concern for further analysis.
Conclusion: The privatization of the Swedish health care sector is intensifying and the number of specialty clinics is increasing. The county with the largest number of specialty clinics in Sweden is the Stockholm County Council. The health care areas with the largest number of specialty clinics are highly correlated to health care areas within which the compensation systems are customized and approving of new establishments. However, the autonomy of the Swedish counties has led to great distinctions between the different regions.
Health Care Choice (sv. Vårdval) for hip and knee replacement surgeries in the Stockholm County Council has led to low margins and signs of consolidation within the market for specialty clinics in orthopaedics. A possible new entrant on the market must therefor find a new demand and new customer segments, for example by reaching out to patients with early osteoarthritis symptoms that currently do not sense that they receive appropriate care.
A future sustainable business model for treatment of osteoarthritis has to be modified to fit existing government reimbursement models in order to provide care to all customer segments, not only to insured and privately paying patients which are very small segment. A sufficiently large number of patients are needed to compensate for the low prices and lowered profit margins that characterize the industry. To gain profit requires focus on relationship based networking with remittent, patient associations, politicians and insurance companies among others. Aligning with a larger health care player to get access to preferable public compensation, internal synergies, gain legitimacy and to be able to meet the administrative requirements is therefor an attractive doable alternative to an establishment on its own. (Less)
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author
Berninger, Amanda and Karlsson, Viktor
supervisor
organization
course
MIO920
year
type
M1 - University Diploma
subject
keywords
health care, specialty clinics, health care choice, business model, arthritis, and osteoarthritis
other publication id
12/5418
language
Swedish
id
2857079
date added to LUP
2012-07-02 10:43:40
date last changed
2012-07-02 10:50:41
@misc{2857079,
  abstract     = {Ten per cent of the population in the western world suffer from
osteoarthritis – a widespread endemic disease that is estimated to cost the Swedish society equivalent to two per cent of the Swedish GNP annually, corresponding to over 50 billion SEK in 2009 in treatments and lost productivity. With an increasing aging population the incidence of osteoarthritis is expected to be further enhanced.
In the United States and many European countries it is common that patients with osteoarthritis are treated at specialty clinics. In Sweden there is no equivalent today but changing politics allow for more freedom to establish private specialty clinics. This thesis is therefore designed to investigate whether the establishment of a specialist clinic treating osteoarthritis patients is a possible solution to decrease the societal costs and treat all the osteoarthritis patients who currently does not get the treatment they need.
Purpose: This master thesis aim to develop a sustainable business model for specialty clinics niched to treat patients suffering from osteoarthritis in the Stockholm County Council. Objectives include understanding the market for specialty clinics in Sweden and available treatment methods for osteoarthritis today, as well as identifying best practices at foreign clinics that could be exported to possible Swedish equivalents.
Theoretical framework: The problem discussions have initiated from Matheson and Matheson’s Appropriate Frame in order to find the most suitable approach whilst staying focused on the thesis purpose. Collected data has been analysed by using PESTEL-analysis and Porter’s Five Forces Framework. Finally, Oster alder’s Business Model Canvas and the Four Actions Framework, originated from Blue Ocean Strategy, have been applied in a scenario analysis with the intention to create and visualize potential sustainable business models for this field.
4
Methodology: Essentially, experts within different fields have been interviewed. Collected data from expert interviews have been complemented by literature studies, quantitative surveys and case studies in order to highlight select problem areas of concern for further analysis.
Conclusion: The privatization of the Swedish health care sector is intensifying and the number of specialty clinics is increasing. The county with the largest number of specialty clinics in Sweden is the Stockholm County Council. The health care areas with the largest number of specialty clinics are highly correlated to health care areas within which the compensation systems are customized and approving of new establishments. However, the autonomy of the Swedish counties has led to great distinctions between the different regions.
Health Care Choice (sv. Vårdval) for hip and knee replacement surgeries in the Stockholm County Council has led to low margins and signs of consolidation within the market for specialty clinics in orthopaedics. A possible new entrant on the market must therefor find a new demand and new customer segments, for example by reaching out to patients with early osteoarthritis symptoms that currently do not sense that they receive appropriate care.
A future sustainable business model for treatment of osteoarthritis has to be modified to fit existing government reimbursement models in order to provide care to all customer segments, not only to insured and privately paying patients which are very small segment. A sufficiently large number of patients are needed to compensate for the low prices and lowered profit margins that characterize the industry. To gain profit requires focus on relationship based networking with remittent, patient associations, politicians and insurance companies among others. Aligning with a larger health care player to get access to preferable public compensation, internal synergies, gain legitimacy and to be able to meet the administrative requirements is therefor an attractive doable alternative to an establishment on its own.},
  author       = {Berninger, Amanda and Karlsson, Viktor},
  keyword      = {health care,specialty clinics,health care choice,business model,arthritis,and osteoarthritis},
  language     = {swe},
  note         = {Student Paper},
  title        = {Hållbara scenarier och affärsmodeller för specialistkliniker i Sverige folksjukdomen artros i Stockholms läns landsting som exempel -},
  year         = {2012},
}