Etienne Minvielle
1*1 Ecole des hautes études en santé publique (EHESP), Institut Gustave Roussy, Villejuif, France.
Abstract
Patients want their personal needs to be taken into account. Accordingly, the management of care has long
involved some degree of personalization. In recent times, patients’ wishes have become more pressing in a
moving context. As the population ages, the number of patients requiring sophisticated combinations of longterm
care is rising. Moreover, we are witnessing previously unvoiced demands, preferences and expectations
(eg, demand for information about treatment, for care complying with religious practices, or for choice of
appointment dates). In view of the escalating costs and the concerns about quality of care, the time has now
come to rethink healthcare delivery. Part of this reorganization can be related to customization: what is needed
is a customized business model that is effective and sustainable. Such business model exists in different service
sectors, the customization being defined as the development of tailored services to meet consumers’ diverse and
changing needs at near mass production prices. Therefore, its application to the healthcare sector needs to be
seriously considered.