Dental Asia May/June 2021

C: Telemedicine business model archetypes
Trends
Addressing and resolving the risks such
High
Standalone
Integrated
as the potential loss of data or incorrect
data input may help to change their
Asset light
provider
mindsets.
Care impact
O2O
connector
Primary
care access
Primary
care+
access
Health
ecosystem
orchestrator
EVOLVING SYSTEMS AND ROLES
TO WORK HAND IN HAND
To advance telemedicine from a service
to an ecosystem enabler, the roles of
the healthcare stakeholders and system
Low
Health
information
would need to evolve and keep up with
today’s challenges.
Integrated Standalone
Low
D: Service coverage along patient journey by business model [non-exhaustive]
Fig. 1: Source: Telemedicine Roland Berger business model archetypes
Telemedicine
business models
Health
information
Primary
care access
Primary care+
access
O2O
connector
Health
ecosystem
orchestrator
Asset light
provider
Fig.
Source:
2: Service
Roland
coverage
Berger
along patient journey by business model (non-exhaustive)
CHALLENGES AND LIMITATIONS
OF TODAY’S TELEHEALTH
SYSTEMS
The study raised three challenges and
limitations of today’s telehealth systems.
Operating solely on an episode-based
model amplifies that telehealth is not a
one-size-fits-all solution.
The current telehealth models are built
for acute episodic care and may not
be effective on patients that require
constant reviews and chronic care, such
as ageing societies.
Patient journey
> Healthy lifestyle advice
Teleconsultations are also not able to
deliver the best results without physical
examinations and updated images.
Prevention Diagnosis Treatment
Follow-up
In almost 20% of the orthopaedic cases,
physicians expressed a need for physical
Complexity to achieve
> Health information platform
(symptom driven)
> Doctor & hospital rating
> GP teleconsultation (ediagnosis,
e-Rx)
> Specialist teleconsultation
> Online booking
> Telehealth kiosks, etc.
> Provider education
platform (diagnosis,
disease detection, referral)
> Online drug delivery
> Specialist teleconsultation
> Online drug delivery
> e-ICU
> Provider education
platform (Tx)
All of the standalone services integrated in one app; coverage is limited to own providers network to achieve cost reduction
High
> Remote patient monitoring
> Self-tracking app
Data from all standalone services collected in one app to be analyzed and push health advice (prevention and wellness) to patients
examination follow-ups to assess several
motor tests more accurately. A lack of
centralised access to imaging repositories
also delayed accessibility to patients’
records.
More efforts need to be invested in
infrastructure development for telehealth
systems in the Asia Pacific.
Various markets are underserved and
suffering from a shortage of diagnostic
facilities such as the DEXA scan
machines, which detect bone disorders.
It is also crucial to obtain the buy-in
of telemedicine from sceptical key
decision-makers and renowned doctors,
as they can influence patients to adopt
telemedicine.
Six telemedicine business model
platforms were identified in South East
Asia (SEA), namely: Health Information,
Primary Care Access, Primary Care+
Access, Organisation-to-Organisation
Connector, Health Ecosystem
Orchestrator and Asset-light Healthcare
Provider (Figs. 1-2).
Popular model archetypes implemented
in Asia Pacific include the Primary Care+
Access, a platform that provides an
amplified care model.
In addition to GP (general practitioner)
services, they provide referrals or
assistance with patient’s access to
tertiary care including diagnostic centres,
specialty care providers, hospitals,
rehabilitation centres and pharmacies.
The platform in most cases, however,
does not have full integration with the
rest of the healthcare stakeholders.
An integrated option is the Health
Ecosystem Orchestrator, a telemedicine
model which coordinates more complex
interactions and transactions between
patients, providers, payors and other
healthcare stakeholders (Fig. 3).
The orchestrator usually enables care by
going beyond the traditional channels
and partnering with adjacent players
who have stakes in a healthier population
such as banks, telecoms and retail.
DENTAL ASIA MAY / JUNE 2021 13