A value chain analysis of digitalizing hospital-at-home services in Finland

芬兰居家医院服务数字化价值链分析

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Abstract

BACKGROUND: In recent years, increasing numbers of elderly people and cuts to the health budget have led health care providers to search for alternative plans to balance the quality of care and the health budget. HaH is growing as an alternative model for hospital wards, with the emergence of its own value chain activities and digitalization as a differentiated strategy to provide cost-effective services. PURPOSES: The aim of this study is to explore the value of digitalization in the hospital-at-home (HaH) value chain in Finland. This qualitative study used both deductive and inductive methods to map the HaH value chain and find out how digitalization can help improve value-added activities. METHODOLOGY/APPROACH: In total, 25 semistructured single and paired interviews from all well-being service counties in Finland were carried out in September to October 2023. FINDINGS: This study highlights the value of data interoperability, remote and real-time digital solutions, data analytics in enhancing coordination and efficiency, optimizing service delivery, improving patient experience, and supporting cost-effectiveness across the HaH value chain. PRACTICAL IMPLICATIONS: This study provides HaH leaders with an overview of what, where, and how digitalization can improve the quality of care and highlights the strategic importance of investing in digital infrastructure and leveraging digitalization to restructure costs. It also offers ICT companies actionable insights into the specific digital care needs within HaH service delivery, guiding the development of digital health solutions that align with frontline requirements and fostering cocreation in digital health and communication technologies.

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