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Precision and Personalization in Healthcare – by Discovery Health CEO, Dr. Ron Whelan

During the recent FOH summit, Dr Ron Whelan, CEO of Discovery Health, delivered a powerful keynote speech, shedding light on the nuanced challenges and innovative strategies re-shaping healthcare at Discovery Health.

Ron highlighted the transformative potential of precision and personalization in healthcare and the various strategic initiatives underway at Discovery Health to advance these areas. He proudly reflected on the significant progress made in global health metrics, such as increased life expectancy and reduced mortality rates across high, middle and low-income countries over the past 20 years. However, he pointed out the unsustainable trajectory of healthcare costs, noting, “Healthcare costs per capita are outpacing GDP per capita across almost all countries globally, and that wedge continues to grow.”

Cost Dynamics and Investment Disparities

One of the more striking elements of his talk was the discussion on cost-effectiveness in healthcare provision across different economic contexts. He provided a stark comparison, “There’s almost a 70-fold cost-differential between reducing DALYs in very high-income countries versus low-income countries.” This highlighted the exponentially greater investment required in healthcare to achieve improved outcomes in high and middle-income countries and the significant relative return on investment for investing in healthcare in low-income countries.  

Ron highlighted the inherent rise in healthcare demand driven by aging populations, which in turn fuelsan increased supply of healthcare services, enhances healthcare outcomes, and further extends longevity – creating a positive perpetual cycle. While this dynamic fosters positive advancements in healthcare, he also underscored its downside: the inevitable escalation of healthcare costs.

Supply-Driven Healthcare Dynamics

He continued to highlight the inefficiencies within the healthcare system, especially in the management of chronic diseases which are often exacerbated by lifestyle choices. He highlighted the complex interplay of conditions such as cardiovascular diseases and diabetes, which complicate the healthcare landscape. “While 54% of people living with cardiovascular disease across our client population only have cardiovascular disease, that means 46% of people living with cardiovascular disease also have other disease such as diabetes, a mental health condition or cancer.”

Strategic Insights on Healthcare Provision

Ron shared insights into Discovery Health’s strategic use of data and technology to enhance healthcare delivery.  “Discovery Health has a range of disease prediction models that help us identify people at risk of chronic disease, re-admission to hospital post-discharge and other conditions. These models help us intervene early and support our clients in preventing chronic diseases or other health-related complications”. 

The Importance of Behaviour and Healthy Habits

He concluded by underscoring the importance of behavioral changes in healthcare.  According to the Vitality Health Index, a study that looked at the habits of more than 1 million Vitality members across South Africa and the United Kingdom over ten years, 40-50% of our lives are controlled by habits. This means that changing personal habits will not only change our health but also our lives. The report shows the direct impact that habits have on our health and the transformative power of healthy habits, as outlined in the following examples: 

  • Sustaining a healthy habit for 3 years can add up to 5 years to your life expectancy.
  • Sustaining a habit of 10,000 steps 3 or more days every week, for 3 years, can reduce your type 2 diabetes risk by 41%.
  • Healthy exercise habits are 15% more impactful for life expectancy at age 65+ than at age 45 to 65.
  • Engaging in physical activity three times a week for three years can decrease mortality risk by 27% and cut healthcare costs by up to 13%.

Ron illustrated how personalized and predictive healthcare can significantly impact health outcomes and cost-efficiency, stating, “Leveraging big data and a patented AI-platform built by Discovery Health, we deliver precise and personalized health recommendations for 2.1 million adult clients of the Discovery Health Medical Scheme. Each client has their own Personal Health Pathway that dynamically updates based on their needs and health data. Additionally, clients earn a range of rewards for completing their recommended actions, driving increased uptake and sustained engagement in personalized healthy behaviors.” 

Ron’s address was a powerful call for the continued evolution of healthcare systems through precision and personalization. His insightful commentary highlighted that with recent exponential advances in big data and AI, the need for precision and personalization in health has converged with the data and technology required to achieve it.  

 

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