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Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
Consumer Driven Healthcare
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Consumer Driven Healthcare

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Delivered by Mr John Church, CEO Arthritis Ireland at the Irish Pharmaceutical Healthcare Association Annual Meeting 2009.

Delivered by Mr John Church, CEO Arthritis Ireland at the Irish Pharmaceutical Healthcare Association Annual Meeting 2009.

Published in: Health & Medicine
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  • As in the previous two surveys, respondents were asked whether they have personally experienced any of a list of eleven serious conditions, in addition to ‘other mental illness’ and ‘other serious illness’… When the study initially commenced in 2005 about 36% of the adult population indicated that they suffered from one of these conditions. Of those surveyed in the current study in 2008 the level experiencing any of these conditions has risen to 40%. *It is worth pointing out that the adult population has risen between 2005 and 2008, so we have gone from just under 1.2 million claiming experience of one of these conditions to almost 1.4 million over the 3 year period. * Heart disease and osteoporosis incidences notably up, off admittedly low bases. MEN Men are marginally less likely to report experience of any serious illness but the increase in claims over the past three years has been greater. The incidence of illness has risen from 30% to 38% of men over 3 years.
  • Transcript

    • 1. Consumer Driven Healthcare John Church CEO Arthritis Ireland
    • 2. Arthritis – a Major Population Health Issue Source: 2008 Pfizer Health Inde x Any Condition Blood Pressure Arthritis High Cholesterol Asthma Chronic Pain Infections Heart Disease Diabetes Depression Cancer Osteoporosis Other Mental Illness Other Serious Illness 2008 2005 1,370,000 1,185,000 355,000 339,000 349,000 310,000 245,000 218,000 196,000 177,000 99,000 137,000 135,000 98,000 156,000 90,000 138,000 87,000 75,000 78,000 55,000 48,000 102,000 46,000 16,000 9,000 98,000 95,000 2008 2005 2008 2005 2008 2005 2008 2005 2008 2005 2008 2005 2008 2005 2008 2005 2008 2005 2008 2005 2008 2005 2008 2005 2008 2005
    • 3. Duplication of Conditions Source: 2008 Pfizer Health Inde x All Adults Blood Pressure Arthritis High Cholesterol Asthma Chronic Pain Heart Disease Diabetes % % % % % % % % Blood pressure 10 100 25 39 8 14 36 30 Arthritis 10 25 100 24 9 24 39 29 High Cholesterol 7 27 17 100 12 11 22 15 Asthma 6 4 5 9 100 17 6 5 Chronic pain 3 4 7 5 9 100 7 4 Infections 4 5 2 1 5 14 2 - Heart Disease 5 16 17 14 4 11 100 19 Diabetes 4 12 11 8 3 6 17 100 Depression 2 3 4 4 4 4 2 3 Cancer 2 * - 3 1 - - - Osteoporosis 3 8 11 6 3 4 9 10
    • 4. 12 Months Early Diagnosis Essential
    • 5. What Do we Do? Supporting People living with Arthritis Finding a Cure Voice of Rheumatology in Ireland
    • 6. Board Make-Up <ul><li>4 Patients </li></ul><ul><li>4 Medics </li></ul><ul><li>7 Co-opted members </li></ul>
    • 7. The Challenging Environment <ul><li>Healthcare Budget Cuts </li></ul><ul><ul><li>More for Less </li></ul></ul><ul><ul><li>Decisions made Now!! </li></ul></ul><ul><li>Current Rheumatology service issues </li></ul><ul><li>Ageing Population </li></ul><ul><ul><li>More dependency on system </li></ul></ul><ul><ul><li>Increased chronic diseases </li></ul></ul><ul><li>The Patient’s voice </li></ul><ul><ul><li>Hierarchy of Medicine </li></ul></ul><ul><li>Managing Patient expectations </li></ul>
    • 8. Consumer Driven Healthcare <ul><li>Listening to the Consumer </li></ul><ul><li>Active involvement in care pathway development </li></ul><ul><li>Education and Health Promotion </li></ul><ul><li>Promoting active self-management </li></ul><ul><ul><li>Taking more Responsinility for their health </li></ul></ul><ul><ul><li>Monitor consumer expectations over the years </li></ul></ul><ul><li>“ An Informed patient is a better self manager” (PARE) </li></ul>
    • 9. Consumer’s Role OLD NEW Defer to Providers Authority Share Responsibility for own Health Be Passive Be Active. Self-manage health & condition Share History, when asked Share goals, history, values, beliefs and preferences. Be Assertive Learn about condition from provider Learn from provider, inform self. Access reliable information Don’t worry about medications (it’s all in the medicine cabinet) Share responsibility for keeping medication list up to date Respond to provider questions about progress during clinical visits Keep track of own progress between visists, share duirng visits
    • 10. Consumer Driven Healthcare Best Practice <ul><li>Arthritis Self-Management Programmes </li></ul><ul><ul><li>Stanford Model </li></ul></ul>
    • 11.  
    • 12.  
    • 13.  
    • 14. Consumer Driven Healthcare Case Histories <ul><li>Arthritis Self-Management Programmes </li></ul><ul><ul><li>Stanford Model </li></ul></ul><ul><li>Let’s Talk Arthritis </li></ul>
    • 15. Let’s Talk Arthritis
    • 16. Consumer Driven Healthcare Case Histories <ul><li>Arthritis Self-Management Programmes </li></ul><ul><ul><li>Stanford Model </li></ul></ul><ul><li>Let’s Talk Arthritis </li></ul><ul><li>Patient as Educator </li></ul>
    • 17. Consumer Driven Healthcare Some Early Wins <ul><li>Consumer role in HTA </li></ul><ul><li>Better Care = Reduced drug dependency = less cost </li></ul><ul><li>Reform HSE budget system </li></ul><ul><ul><li>PCCC versus Hospital Pharmacy </li></ul></ul><ul><li>Innovative thinking on Resource deployment </li></ul>
    • 18. Thank You

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