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评估面向消费者的远程监测慢性心力衰竭(CHF)患者的商业模式。

Assessment of a Business-to-Consumer (B2C) model for Telemonitoring patients with Chronic Heart Failure (CHF).

机构信息

Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, Netherlands.

Professional Healthcare Services & Solutions, Philips Research, Eindhoven, Netherlands.

出版信息

BMC Med Inform Decis Mak. 2017 Oct 11;17(1):145. doi: 10.1186/s12911-017-0541-2.

Abstract

BACKGROUND

The purpose of this study is to assess the Business-to-Consumer (B2C) model for telemonitoring patients with Chronic Heart Failure (CHF) by analysing the value it creates, both for organizations or ventures that provide telemonitoring services based on it, and for society.

METHODS

The business model assessment was based on the following categories: caveats, venture type, six-factor alignment, strategic market assessment, financial viability, valuation analysis, sustainability, societal impact, and technology assessment. The venture valuation was performed for three jurisdictions (countries) - Singapore, the Netherlands and the United States - in order to show the opportunities in a small, medium-sized, and large country (i.e. population).

RESULTS

The business model assessment revealed that B2C telemonitoring is viable and profitable in the Innovating in Healthcare Framework. Analysis of the ecosystem revealed an average-to-excellent fit with the six factors. The structure and financing fit was average, public policy and technology alignment was good, while consumer alignment and accountability fit was deemed excellent. The financial prognosis revealed that the venture is viable and profitable in Singapore and the Netherlands but not in the United States due to relatively high salary inputs.

CONCLUSIONS

The B2C model in telemonitoring CHF potentially creates value for patients, shareholders of the service provider, and society. However, the validity of the results could be improved, for instance by using a peer-reviewed framework, a systematic literature search, case-based cost/efficiency inputs, and varied scenario inputs.

摘要

背景

本研究旨在通过分析为基于远程监护的慢性心力衰竭(CHF)患者提供服务的组织或企业以及社会创造的价值,评估远程监护的消费者对消费者(B2C)模式。

方法

商业模型评估基于以下类别:警告、风险类型、六因素一致性、战略市场评估、财务可行性、估值分析、可持续性、社会影响和技术评估。为了展示小国、中等国家和大国(即人口)的机会,对三个司法管辖区(国家)——新加坡、荷兰和美国——进行了风险投资估值。

结果

商业模型评估表明,在医疗保健创新框架中,B2C 远程监护具有可行性和盈利性。对生态系统的分析显示,与六个因素的平均到优秀契合度。结构和融资适配性一般,公共政策和技术适配性良好,而消费者适配性和问责制适配性被认为是极好的。财务预测显示,由于工资投入相对较高,该风险投资在新加坡和荷兰具有可行性和盈利性,但在美国则不然。

结论

远程监护 CHF 的 B2C 模式有可能为患者、服务提供商的股东和社会创造价值。然而,结果的有效性可以通过使用经过同行评审的框架、系统的文献搜索、基于案例的成本/效率投入以及不同的情景输入来提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9465/5637089/5720178f0c85/12911_2017_541_Fig1_HTML.jpg

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