The role of self care in a
sustainable healthcare
system
Deon Schoombie
Australian Self Medication Industry
Overview
• Defining self care
• Sustainability of healthcare system – challenges
• UK experience with self care
• Consumer...
Self care - common themes
• Individuals, children, families, friends, communities &
carers
• Promote health, prevent illne...
Defining self care
Definitions:
• WHO: 1983,1998 & 2013
Self care is the ability of individuals, families and communities ...
Self care – what it isn’t
• Self care doesn’t mean no care
• It doesn’t mean diverting people away from
healthcare service...
Person-centred care – key themes
• Respect for values, needs & preferences but
also capacity, capabilities & skills
• Part...
Challenges
Australian Health Policy Institute report (2001):
• There is far more that we can do than we can afford to
do.
...
UK Self Care Policy
• 2000 - Self care on national health agenda
• 2000 – Pharmacists positioned on frontline of
self care...
Consumer perspectives
Eppossi Barometer (2013):
• Understand the concept
• Understand the benefits
• See it as vital part ...
Recommendations
• New policies needed to define the role of healthcare
professionals in self care
• Greater emphasis on sh...
Impact of self medication
• Current & potential value of non-Rx meds:
– GP visits: $5bn
– Productivity - $7.5bn
• Every $ ...
The case for self care in Australia
• Translating greater personal responsibility into
practice
• Recognise consumers as a...
A new population health strategy
Zollner & Lessof:
• Securing a champion
• Constructing partnerships
• Engaging with priva...
Thank you
deon@asmi.com.au
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Dr. Deon Schoombie - Australia Self Medication Industry (ASMI) - The role of self-care in a sustainable healthcare system

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Dr. Deon Schoombie delivered the presentation at the 2014 Health Insurance Summit.

The 2014 Health Insurance Summit focused on how legislative changes affect the future of health insurance in funding, membership and services.

For more information about the event, please visit: http://bit.ly/HISummit14

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Dr. Deon Schoombie - Australia Self Medication Industry (ASMI) - The role of self-care in a sustainable healthcare system

  1. 1. The role of self care in a sustainable healthcare system Deon Schoombie Australian Self Medication Industry
  2. 2. Overview • Defining self care • Sustainability of healthcare system – challenges • UK experience with self care • Consumer perspectives on self care • Impact of non-prescription medicines • An Australian Self Care Alliance
  3. 3. Self care - common themes • Individuals, children, families, friends, communities & carers • Promote health, prevent illness & accidents, cope with illness & disability • With and without support of healthcare professionals • Encompassing all aspects of daily living - hygiene, nutrition, lifestyle, environmental & socio-economic factors & cultural beliefs 3
  4. 4. Defining self care Definitions: • WHO: 1983,1998 & 2013 Self care is the ability of individuals, families and communities to promote health, prevent disease and maintain health and to cope with illness and disability with our without the support of a healthcare provider. • UK Dept. of Health paper: Self Care – Real Choice (2005) • Health policy perspective (Segall & Goldstein 1989): Self care is the basic level of healthcare in all societies. 4
  5. 5. Self care – what it isn’t • Self care doesn’t mean no care • It doesn’t mean diverting people away from healthcare services • It doesn’t mean individuals are left to look after themselves • Self care is not what individuals do instead of going to the doctor, it’s what they do between visits.
  6. 6. Person-centred care – key themes • Respect for values, needs & preferences but also capacity, capabilities & skills • Partnership & responsibility – collaborating & sharing • It requires a supportive environment
  7. 7. Challenges Australian Health Policy Institute report (2001): • There is far more that we can do than we can afford to do. • There is a problem with rising community expectations • The ageing population • Increasing willingness to pay for expansion of medical care through government spending alone • All of us need to be better informed about health so our choices can be more intelligent & demands for healthcare becomes more restrained than they are.
  8. 8. UK Self Care Policy • 2000 - Self care on national health agenda • 2000 – Pharmacists positioned on frontline of self care strategy • 2000 – Wanless report: – Fully engaged patient in all aspects of healthcare – The patient as partner & resource – Self care a prime example of effective partnership – Evolutionary strengthening of patient responsibilities
  9. 9. Consumer perspectives Eppossi Barometer (2013): • Understand the concept • Understand the benefits • See it as vital part of managing health & disease • Acknowledge responsibility and willing to take on more • Minority feels confident to do so • Health literacy is pivotal • Don’t view self care as partnership with healthcare professional
  10. 10. Recommendations • New policies needed to define the role of healthcare professionals in self care • Greater emphasis on shared care • Government must make self care integral to health policy • Government should seek improved partnerships with stakeholders to improve outcomes by sharing data & resources • Key role of health insurers & healthcare providers need to integrate incentives for self care
  11. 11. Impact of self medication • Current & potential value of non-Rx meds: – GP visits: $5bn – Productivity - $7.5bn • Every $ spent by consumers on 8 OTC medicines saves $4
  12. 12. The case for self care in Australia • Translating greater personal responsibility into practice • Recognise consumers as a healthcare resource, not just users • Making better use of professional healthcare resources
  13. 13. A new population health strategy Zollner & Lessof: • Securing a champion • Constructing partnerships • Engaging with private health sector • Meaningful consultation • Promoting accountability – monitoring progress & empowering citizens An Australian Self Care Alliance
  14. 14. Thank you deon@asmi.com.au

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