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Case study:
A new model for care
How a Brazilian start-up is using innovative models to improve healthcare
Case study:
A new model for care
How a Brazilian start-up is using innovative models to improve healthcare
As low- and middle-income countries seek to expand access to healthcare, a new breed of innovators is starting to bring health services to previously under-served populations.
One success story is dr.consulta, a Brazilian health-tech firm launched in 2011 in Heliópolis, which is one of the biggest favelas in São Paulo. Initially, its aim was to offer services at a low cost, based on flat fees, to make care more affordable for some of the city’s poorer residents.
Affordability and convenience are the goals
In the years since, dr.consulta has expanded dramatically. It now provides an extensive range of services and care through 31 medical centres across São Paulo), while also offering online appointments and home care assistance for some lab tests, exams and vaccines.
These improvements allow our patients to take care of their health anytime, anywhere, online and offline.
Low-cost monthly subscriptions and more recently a partnership with a health insurance plan startup are also available for patients. These enable patients to spread the costs of treatment, which is crucial for those with low incomes and especially those with chronic conditions.
dr.consulta’s approach is based on finding efficiencies among the complexities that traditionally face healthcare providers. It designs its medical centers so that it can provide a wide range of services under one roof, which enables patients to see the doctor and do exams in one visit. That is an important factor for patients with low incomes because it minimises the inconvenience and expense of attending multiple appointments.
Technology and data analysis play an important role by helping the company to anticipate and manage demand. “We use artificial intelligence to see the demand from patients and put doctors where we need them,” explains Tin Hung Ho, Medical Director, Quality and Clinical Intelligence at dr.consulta. This helps centres to meet patient demand while ensuring that resources are used as effectively as possible – and it keeps costs down.
At dr.consulta technology is proprietary and allow us to direct patient to a health planning that is relevant to its moment. One example of the use of technology is to identify patients who have not yet had the HPV vaccine and, through the channels, bring health content that will help them to engage in their care.
Reducing women’s cancer rates
Recently, dr.consulta has focused on tackling the significant challenge of HPV and cervical cancer. Almost 18,000 women in Brazil are diagnosed with cervical cancer every year, which makes it the fourth most common cancer among women. And about 5.4% of women in the general population are estimated to have a cervical HPV infection at any given time.
Brazil’s publicly funded healthcare provider, the Unified Health System (SUS), launched a vaccination programme for girls aged 9–14 in 2014 and expanded it to boys aged 11–14 three years later. But dr.consulta recognised the importance of encouraging uptake of vaccination against HPV among women who fell outside the scope of that programme.
Today, it offers the vaccine at three centres, and is licensed to vaccinate patients during home visits within São Paulo. It has identified a lack of awareness about HPV and the potential benefits of vaccination as a critical barrier and has developed a range of communications to help women in particular learn more. The firm hopes to use social media to capitalise on the emphasis on women’s health during ‘Pink October’, the annual campaign backed by the Ministry of Health’s National Cancer Institute.
Partnerships promise future growth
dr.consulta has developed an innovative partnership model to generate further company growth. It recently announced substantial new funding from investors, and plans to expand to 45 health centres over the next three years. “We are evolving our business model,” says Tin. “Now, we can really say that we are a complete health ecosystem, because we have all the services.”
One successful example is its partnership with MSD that is designed to improve vaccine affordability. It is a relationship that has flourished, suggests Tin, because of shared values and purpose. “We have the same beliefs in terms of what we need to do with people's health,” he says. “dr.consulta has a strong purpose around saving lives, and MSD also has this purpose in its organisation.”
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Copyright 2022 Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc., Rahway, N.J., U.S.A., All rights reserved.