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THE DESIGN OF NEW HEALTHCARE BUSINESS MODEL: NA INTERDISCIPLINARY APPROACH

THE DESIGN OF NEW HEALTHCARE BUSINESS MODEL: NA INTERDISCIPLINARY APPROACH

Nabuco, Renato Basso; Ribeiro, Anderson Orzari; Pereira, Luciana;

Poster:

Should not health insurance “ensure” health? Should not it promote health rather than calculate the price of the disease? Health Promotion is a process and encompasses the physical, mental and social well-being. Besides, demands a multidisciplinary approach to its development. Big companies have understand that promoting workers health, through workplaced wellness programs, is the right path to have healthier people been more productive, and there is a positive return of investment instead. However, small business, that employs more than a half of the work-force, do not have the power to play the game of Health Insurers and also do not have established health promotion programs for their members. So what should be the design of a new health insurance business model, centered in small businesses employees, that simultaneously promotes health and be economically viable? To answer this question, this paper analyses a collection of articles about health promotion programs, social ecological models of health promotion, service design and uses the triangulation to evaluate and examine how the three field of knowledge could contribute to the process. As a result, the authors present a new business concept for health care, designed for small businesses employees. The preliminary conclusions are that health promotion needs a multimethod and interdisciplinary approach, and the combining of education, environmental improvement, behavioral changing and technology are the players of a new business model concept. This paper is organized as follows. Section 2 describes the theoretical foundation that drives the research. Section 3 introduces the theory triangulation used. Sections 4 then combines the results from the individual sections to present the new concept. Finally, Section 5 presents our conclusions.

Poster:

Should not health insurance “ensure” health? Should not it promote health rather than calculate the price of the disease? Health Promotion is a process and encompasses the physical, mental and social well-being. Besides, demands a multidisciplinary approach to its development. Big companies have understand that promoting workers health, through workplaced wellness programs, is the right path to have healthier people been more productive, and there is a positive return of investment instead. However, small business, that employs more than a half of the work-force, do not have the power to play the game of Health Insurers and also do not have established health promotion programs for their members. So what should be the design of a new health insurance business model, centered in small businesses employees, that simultaneously promotes health and be economically viable? To answer this question, this paper analyses a collection of articles about health promotion programs, social ecological models of health promotion, service design and uses the triangulation to evaluate and examine how the three field of knowledge could contribute to the process. As a result, the authors present a new business concept for health care, designed for small businesses employees. The preliminary conclusions are that health promotion needs a multimethod and interdisciplinary approach, and the combining of education, environmental improvement, behavioral changing and technology are the players of a new business model concept. This paper is organized as follows. Section 2 describes the theoretical foundation that drives the research. Section 3 introduces the theory triangulation used. Sections 4 then combines the results from the individual sections to present the new concept. Finally, Section 5 presents our conclusions.

Palavras-chave: health promotion, service design, business model, innovation,

Palavras-chave: health promotion, service design, business model, innovation,

DOI: 10.5151/cbgdp2017-011

Referências bibliográficas
  • [1] ____.Agência Nacional de Saúde Suplementar (Brasil). Resolução Normativa n. 264, de 19 de agosto de 2011 da Diretoria de Normas e Habilitações de Produtos – DIPRO.
  • [2] ALDANA, S.G.; MERRILL, R.M.; PRICE, K., et al. Financial impact of a comprehensive multisite workplace health promotion program. Prev Med. 2005;40:131–137.
  • [3] ASHFORD, N.A. Federal regulation of occupational health and safety in the workplace.
  • [4] Occupational health: recognizing and preventing work-related disease, 2nd edition. Boston: Little, Brown 1988;135-48.
  • [5] BAICKER,K.; CUTLER,D.; SONG,Z. Workplace wellness programs can generate savings. Health Aff.2010;9:1-8.
  • [6] BAUM, A.; GATCHEL, R.J.; SCHAEFFER, M.A. Emotional, behavioral, and physiological effects of chronic stress at Three Mile Island. J Consult Clin Psychol 1983;51:565-72.
  • [7] BOYLE, D.; HARRIS, M. The Challenge of Co-Production. 2009 London: NESTA.
  • [8] CAL/OSHA. Model injury and illness prevention program for workplace security.
  • [9] Sacramento, California: State of California, Department of Industrial Relations, Division of Occupational Safety Health, 1995.
  • [10] CHAPMAN, L. Meta-evaluation of worksite health promotion economic return studies. Am J Health Promot. 2003;17(3):1-
  • [11] CHAPMAN, L. Meta-evaluation of worksite health promotion economic return studies: 2005 Update. Am J Health Promot. 2005;19(6):1-10.
  • [12] DENZIN, N.K. Sociological Methods. New York: McGraw-Hill, 1978.
  • [13] DENZIN, N. K. Triangulation 2.0. Journal of Mixed Methods Research, v. 6, n. 2, p. 80-88, 201.
  • [14] FREIRE, K.; SANGIORGI, D. Service design and Healthcare innovation: from consumption, to co-production to co-creation, Nordic Service Design Conference, Linkoping, Sweden, 2010.
  • [15] HENDERSON, D.A.; SCUTCHFIELD, F.D. Point-counterpoint: the public health versus
  • [16] medical model of prevention. Am J Prevent Med 1989;5:113-9.
  • [17] HENKE, R.M.; GOETZEL, R.Z.; MCHUGH, J.; ISAAC, F. Recent experience in health promotion at Johnson & Johnson: lower health spending, strong return on investment. Health Aff (Millwood). 2011;30:490 499.
  • [18] GOETZEL,R.Z.; OZMINKOWSKI,R.J. The health and cost benefits of worksite healthpromotion programs. Annu. Rev. Public Health 2008,29:303–23
  • [19] INTERNATION CONFERENCE ABOUT HEALTH, 1, 1986, Ottawa. Ottawa Charter. Ottawa, 1986.
  • [20] KAISER FAMILY FOUNDATION, Health Research and Educational Trust. Employer health benefits: 2011 annual survey. Menlo Park (CA): KFF; 2011 Sep.
  • [21] KAISER FAMILY FOUNDATION, Health Res. Educ. Trust, NORC Univ. Chicago. 2012. Employer Health Benefits— 2012 Annual Survey. Menlo Park, CA: Kaiser Family Found.
  • [22] KIMBELL, LUCY. Designing for Service as One Way of Designing Services. International Journal of Design, suppl. Special Issue; Taipei5.2 (Aug 15, 2011)
  • [23] KIMBELL, L.; SEIDEL, V., P. Designing for Services – Multidisciplinary Perspectives: Proceedings from the Exploratory Project on Designing for Services in Science and Technology-based Enterprises, Saïd Business School - 2008. Available at http://www.sbs.ox.ac.uk/D4S/essayArchive/index.html
  • [24] McCOY, K.; STINSON, K.; SCOTT, K.; TENNEY, L.; NEWMAN, L. S. Health Promotion in Small Business: A Systematic Review of Factors Influencing Adoption and Effectiveness of Worksite Wellness Programs. Journal of Occupational and Environmental Medicine / American College of Occupational and Environmental Medicine, 2014;56(6), 579–587.
  • [25] MURRAY, R.; BURNS, C.; VANSTONE, C.; WINHALL, J. RED, 2006, Report 01: Open Health. London: Design Council.
  • [26] O’DONNELL, M.P: Definition of Health Promotion 2.0: Embracing Passion, Enhancing Motivation, Recognizing Dynamic Balance, and Creating Opportunities. American Journal of Health Promotion: September/October 2009, Vol. 24, No. 1, pp. iv-iv, updated from Michael P. O'Donnell (1986), Definition of Health Promotion, American Journal of Health Promotion, June 1986; vol. 1, 1: pp. 4-5.
  • [27] OZMINKOWSKI, R.J.; GOETZEL, R.Z.; WANG, F., et al. The savings gained from participation in health promotion programs for Medicare beneficiaries. J Occup Environ Med. 2006;48:1125–1132.
  • [28] PATTON, M.Q. Enhancing the quality and credibility of qualitative analysis. HSR: Health Services Research. 1999 34 (5) Part II. pp. 1189-1208.
  • [29] SORENSEN, G.; BARBEAU, E.; STODDARD, A.M.; HUNT, M.K.; KAPHINGST, K., WALLACE, L. Promoting Behavior Change Among Working-Class, Multiethnic Workers: Results of the Healthy Directions—Small Business Study. American Journal of Public Health: August 2005, Vol. 95, No. 8, pp. 1389-1395.
  • [30] SANDERS, E.; STAPPERS, P. J. Co-creation and the new landscapes of design. Co-design, 2008, p.1-16.
  • [31] SEGELSTRÖM, F.; HOLMLID, S. Visualization as tools for research: Service designers on visualizations. InNorDes 2009–Engaging artifacts, Nordic Design Research Conference 2009 Aug 30.
  • [32] STOKOLS, D. Establishing and maintaining healthy environments: toward a social ecology of health promotion. American Psychologist.1992b;47:6-22.
  • [33] STOKOLS, D. Translating social ecological theory into guidelines for community health promotion. Am J Health Promotion 1996;10:282-298.
  • [34] TIMOTHY, S. J. Employers and the Exchanges under the small business health options program: examining the potential and the pitfalls. Health Affairs 31 n°2 (2012):267-274.
  • [35] WALLERSTEIN,N. Powerlessness, empowerment, and health: implications for health promotion programs. Am J Health Promot 1992;6:197-205.
  • [36] WORLD HEALTH ORGANIZATION. Action plan for the global strategy for the prevention and control of noncommunicable diseases 2008-2013. Geneva, 2008.
Como citar:

Nabuco, Renato Basso; Ribeiro, Anderson Orzari; Pereira, Luciana; "THE DESIGN OF NEW HEALTHCARE BUSINESS MODEL: NA INTERDISCIPLINARY APPROACH", p. 101-111 . In: . São Paulo: Blucher, 2017.
ISSN 2318-6968, DOI 10.5151/cbgdp2017-011

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