The document provides an overview and introduction to the WECAN Academy 2019. The key points are:
1. The WECAN Academy brings together two existing patient advocacy training programs - the SmartStart program for new advocates and the Masterclass for experienced advocates.
2. The 2019 Academy saw 105 patient advocates from 26 countries participate across the two programs, covering topics across 4 knowledge pillars - research and data, healthcare systems and policy, advocacy tools and skills, and disease and care.
3. The document outlines the schedule and sessions covered across the 3 day program for SmartStart and Masterclass participants, demonstrating the increasing complexity and specialization of topics covered each day.
The document discusses the complex history and regulations around drug approval and patient access in Europe, highlighting issues like the need for harmonization across countries and rising drug costs putting pressure on health budgets. It also provides an example of how patient advocacy groups like Myeloma Patients Europe work to monitor access barriers in different countries and support national organizations in addressing issues around timely access to new treatments.
Differences in access to treatment and care exist within the European Union due to several factors:
1) While the EU has harmonized scientific drug approval, reimbursement decisions are made by individual member states according to subsidiarity principles, leading to availability differences.
2) Drugs approved by EMA may not be marketed or available in all member states.
3) Health systems financing (SHI vs NHS), pricing and reimbursement criteria, and pharmaceutical expenditures vary significantly between countries.
4) These differences present challenges for advocacy and developing policies to improve equitable access across the EU.
This document discusses how patient advocates can influence reimbursement decisions for new medical treatments. It explains that regulators like the EMA approve drugs based on safety and efficacy evidence, while reimbursement bodies consider cost-effectiveness. Patient advocates want to be involved in health technology assessments to provide the patient perspective on quality of life impacts and unmet medical needs. The document uses examples to show how patient input could address different assessment domains and criteria around end of life treatments. It also describes challenges with patient involvement in the tight timelines and quantitative nature of assessments.
This document provides an overview of key GDPR concepts and requirements that cancer patient advocates need to know. It discusses how GDPR protects patient data and health information, the rights it provides to patients, and how cancer organizations should comply. This includes only processing data that is necessary, establishing procedures for responding to requests and breaches, designating a data protection officer for consultations, revising IT security, and educating staff on their responsibilities. It also presents a case study where a hospital was fined for excessive access to patient medical records without proper access rights management or security policies.
The document discusses the complex healthcare ecosystem and the importance of stakeholder management. It notes there are many diverse stakeholders in healthcare, including patients, companies, policymakers, educators, funders, third sector groups, and healthcare providers. Each of these stakeholder groups have differing and sometimes competing interests. Effective stakeholder management requires careful coordination, priority setting, and strategic planning to manage relationships between these various groups. Examples provided include establishing community advisory boards to facilitate two-way dialogue between stakeholders.
eHealth Ecosystem - Dr Derick Mitchell - October 2017ipposi
This document discusses structured patient engagement in eHealth. It describes IPPOSI, a patient-led organization that advocates for patient involvement in health innovation, research, and policy. IPPOSI priorities include improved patient access to health innovation and meaningful patient participation. The document outlines challenges to patient engagement and emphasizes trust, education, and frameworks to enable ethical use of patient data. It proposes a roadmap for an electronic health record program that incorporates patient consultation at various stages. Overall, the document advocates for informed, engaged, and empowered patient participation in eHealth.
The document summarizes a patient safety workshop that introduced the Whole Systems Integrated Care (WSIC) programme and Imperial College Health Partners (ICHP) patient safety initiatives in North West London. The workshop aimed to gather feedback on how patients can get more involved in improving safety. It covered the vision for integrated care in NWL and patient stories. Group exercises discussed risks to a safer system and how patients and professionals can work together on safety. The Patient Safety Champion Network was introduced to promote patient engagement in safety work across NWL.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The document discusses the complex history and regulations around drug approval and patient access in Europe, highlighting issues like the need for harmonization across countries and rising drug costs putting pressure on health budgets. It also provides an example of how patient advocacy groups like Myeloma Patients Europe work to monitor access barriers in different countries and support national organizations in addressing issues around timely access to new treatments.
Differences in access to treatment and care exist within the European Union due to several factors:
1) While the EU has harmonized scientific drug approval, reimbursement decisions are made by individual member states according to subsidiarity principles, leading to availability differences.
2) Drugs approved by EMA may not be marketed or available in all member states.
3) Health systems financing (SHI vs NHS), pricing and reimbursement criteria, and pharmaceutical expenditures vary significantly between countries.
4) These differences present challenges for advocacy and developing policies to improve equitable access across the EU.
This document discusses how patient advocates can influence reimbursement decisions for new medical treatments. It explains that regulators like the EMA approve drugs based on safety and efficacy evidence, while reimbursement bodies consider cost-effectiveness. Patient advocates want to be involved in health technology assessments to provide the patient perspective on quality of life impacts and unmet medical needs. The document uses examples to show how patient input could address different assessment domains and criteria around end of life treatments. It also describes challenges with patient involvement in the tight timelines and quantitative nature of assessments.
This document provides an overview of key GDPR concepts and requirements that cancer patient advocates need to know. It discusses how GDPR protects patient data and health information, the rights it provides to patients, and how cancer organizations should comply. This includes only processing data that is necessary, establishing procedures for responding to requests and breaches, designating a data protection officer for consultations, revising IT security, and educating staff on their responsibilities. It also presents a case study where a hospital was fined for excessive access to patient medical records without proper access rights management or security policies.
The document discusses the complex healthcare ecosystem and the importance of stakeholder management. It notes there are many diverse stakeholders in healthcare, including patients, companies, policymakers, educators, funders, third sector groups, and healthcare providers. Each of these stakeholder groups have differing and sometimes competing interests. Effective stakeholder management requires careful coordination, priority setting, and strategic planning to manage relationships between these various groups. Examples provided include establishing community advisory boards to facilitate two-way dialogue between stakeholders.
eHealth Ecosystem - Dr Derick Mitchell - October 2017ipposi
This document discusses structured patient engagement in eHealth. It describes IPPOSI, a patient-led organization that advocates for patient involvement in health innovation, research, and policy. IPPOSI priorities include improved patient access to health innovation and meaningful patient participation. The document outlines challenges to patient engagement and emphasizes trust, education, and frameworks to enable ethical use of patient data. It proposes a roadmap for an electronic health record program that incorporates patient consultation at various stages. Overall, the document advocates for informed, engaged, and empowered patient participation in eHealth.
The document summarizes a patient safety workshop that introduced the Whole Systems Integrated Care (WSIC) programme and Imperial College Health Partners (ICHP) patient safety initiatives in North West London. The workshop aimed to gather feedback on how patients can get more involved in improving safety. It covered the vision for integrated care in NWL and patient stories. Group exercises discussed risks to a safer system and how patients and professionals can work together on safety. The Patient Safety Champion Network was introduced to promote patient engagement in safety work across NWL.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
UNIAMO FIMR is an Italian association committed to improving the quality of life of people with rare diseases. It represents over 95 member organizations and 600 rare diseases. The "Knowing to Assist" project provided training on rare diseases to Italian doctors to improve diagnosis and care coordination for patients. A pilot course trained 45 general practitioners and pediatricians who then trained other doctors in their regions.
1) The document describes two case studies of surveys conducted to gather evidence on patient experiences with leukemia. The Living with Leukemia survey contacted over 2,300 leukemia patients and published results on their needs and journey.
2) The Acute Leukemia Global Quality of Life Survey was conducted across 10+ languages to identify quality of life issues for patients with acute leukemia. It tested hypotheses about factors impacting quality of life.
3) The document then provides guidance on how to use evidence gathered from such surveys for advocacy impact. It discusses using evidence to define unmet needs, inform strategy, develop new services, run awareness campaigns, and engage in health technology assessments and regulatory processes.
This document discusses the importance of patient preference studies in influencing health system decisions and outlines the role of patient advocates. It notes that patient preferences vary between stakeholders, diseases, and within diseases between subgroups. Developing robust patient preference studies requires expertise in methodologies, avoiding bias, attribute selection, and ensuring scientific rigor. The document advocates that patient organizations work with academics to design scientifically valid preference studies that capture patients' perspectives on treatment risks, benefits, and what constitutes an acceptable outcome for their condition. Ultimately, the document argues that no stakeholder should express preferences on behalf of patients and that data not directly gathered from patients should have limited weight in decision making.
This document provides guidance on using social media and communication tools effectively for patient organizations. It discusses how to create an online voice, examples from successful patient ambassadors, lessons from their experiences, and techniques for working smart with limited resources. Specific strategies and examples are provided for creating a meaningful brand difference, positioning an organization, running typical awareness and advocacy campaigns, and leveraging tools like social media, websites, videos, and crowdfunding campaigns.
The document provides recommendations for developing national plans to address rare diseases in European countries. It discusses key priorities that should be covered in national plans, including research, centers of expertise, information and patient services, gathering expert opinions, and empowering patient organizations. It also outlines elements of methodology for developing, managing, and evaluating national plans, such as governance structures, plan content, indicators, and funding. The overall goal is to build an integrated and comprehensive strategy across Europe to address the needs of rare disease patients.
The document provides guidance on structuring qualitative and quantitative research. It discusses key steps like determining the problem, considering the broader context, and having a clear analysis strategy. It also outlines different types of research like literature reviews, quantitative surveys, and qualitative interviews. The document notes some common research outputs include data tables, written findings, presentations, and films. It concludes by discussing common problems like not involving patients or having an unclear focus, and provides tips to avoid these issues.
mhealth in cancer supportive care - how eSMART can improve quality of lifeKathi Apostolidis
several mhealth apps already in cancer care but lots need still to be done-patients want safely accessible, transferable data everywhere-eSMART project using ASyMS promises to improve the quality of life of cancer patients undergoing chemotherapy- mhealth conference at Bocconi University - Milan
The document summarizes discussions from a breakout group at the EUPATI 2015 Workshop regarding keeping EUPATI initiatives going over the long term and ensuring their success. Key points discussed include:
- Sharing best practices and experiences between national EUPATI initiatives to promote sustainability.
- Engaging local stakeholders through formal structures, promotional materials, transparency, and varied communication strategies.
- Positioning national initiatives as credible sources of information and links to European decision-making.
- Expanding collaboration between stakeholders and developing patient leadership over time.
How Effective is the Public in Influencing HTA Decisions?Kathi Apostolidis
Patients should be involved in HTA process to assure a robust process that embraces patients' needs, preferences, perspectives. ECPC-European Cancer Patient Coalition leverages on European Institutions for a solution to the timely authorization and reimbursement of innovative cancer medicines
The BURQOL-RD project aims to develop a model to quantify the socio-economic burden and health-related quality of life of rare disease patients and caregivers in Europe. The 3-year project will measure these impacts for 10 rare diseases across 8 countries. Associated partners will carry out core activities while collaborating partners provide specific contributions. The project will generate standardized tools, conduct a pilot study, and refine the tools for ongoing rare disease assessment and monitoring across Europe.
Ross McKenna
Portfolio Manager, Health System Infrastructure
Information Strategy and Architecture
National Health Board Business Unit
Ministry of Health
The 9th Annual Patient Summit 2012 in London discussed the emergence of e-patients and their role in medical research and decision making. It highlighted patients' need for information to understand their disease and treatment options. The European Patients' Academy (EUPATI) was presented as a pan-European initiative to train patient advocates and provide educational resources to empower patients and facilitate their involvement in medical research.
ERNs aim to connect healthcare providers of rare diseases across Europe to improve care for patients. They also have a mandate to contribute to research. ERNs provide opportunities to advance research through multistakeholder collaboration, comprehensive disease coverage, and added value to clinical trials. However, realizing their full research potential will require mapping expertise, identifying gaps, supporting registry development, and providing dedicated time and funding for collaborative research activities.
The document discusses a membership meeting held by Eurordis in Amsterdam from May 13-15, 2011. It focuses on providing specialized social services for rare disease patients and integrating rare diseases into social policies. A key topic is the future Joint Action on Rare Diseases, which will address social challenges through a working package on specialized social services. Findings from EurordisCare studies show rare disease families have a high social and economic burden, experiencing lower income, stopping work, and relocating. National conferences highlighted the need to support specialized services and develop national plans or strategies for rare diseases.
The University of Victoria coordinates knowledge mobilization through the Office of Research Services, working with campus and community partners. The KMb Unit promotes applying research results for societal benefit. Tools include a Research Help Desk connecting experts to community research needs, and courses involving students in applied projects. The initial Help Desk collaboration between UVic and VIHA involved developing a more effective patient charting system. The Help Desk was successful and expanded to other ministries, demonstrating research's real-world impact.
International Primary Care Conference - Walter Kmet March 2016Walter Kmet
This document discusses innovations in connected eHealth and integrated care. It summarizes Walter Kmet's presentation on WentWest's work using shared care planning tools like LinkedEHR to improve coordination between primary care providers, hospitals, and patients. The presentation outlines challenges like increasing demand and changing patient needs, and emphasizes building primary care leadership and capabilities through tools, partnerships, and investment in technology that can achieve integrated care through shared care plans and teams.
The document introduces the WECAN Academy, a training program for cancer patient advocates in Europe. It provides background on WECAN (Workgroup of European Cancer Patient Advocacy Networks), which aims to increase collaboration between pan-European cancer patient organizations. The 2019 WECAN Academy saw 105 advocates from 26 countries participate in 24 training sessions across two programs (SmartStart and Masterclass) delivered by 22 speakers and supported by 12 sponsors. It highlights the importance of advocates gaining knowledge across key areas like research, healthcare systems, advocacy skills, and disease information to effectively support patients and influence policy through evidence-based advocacy.
UNIAMO FIMR is an Italian association committed to improving the quality of life of people with rare diseases. It represents over 95 member organizations and 600 rare diseases. The "Knowing to Assist" project provided training on rare diseases to Italian doctors to improve diagnosis and care coordination for patients. A pilot course trained 45 general practitioners and pediatricians who then trained other doctors in their regions.
1) The document describes two case studies of surveys conducted to gather evidence on patient experiences with leukemia. The Living with Leukemia survey contacted over 2,300 leukemia patients and published results on their needs and journey.
2) The Acute Leukemia Global Quality of Life Survey was conducted across 10+ languages to identify quality of life issues for patients with acute leukemia. It tested hypotheses about factors impacting quality of life.
3) The document then provides guidance on how to use evidence gathered from such surveys for advocacy impact. It discusses using evidence to define unmet needs, inform strategy, develop new services, run awareness campaigns, and engage in health technology assessments and regulatory processes.
This document discusses the importance of patient preference studies in influencing health system decisions and outlines the role of patient advocates. It notes that patient preferences vary between stakeholders, diseases, and within diseases between subgroups. Developing robust patient preference studies requires expertise in methodologies, avoiding bias, attribute selection, and ensuring scientific rigor. The document advocates that patient organizations work with academics to design scientifically valid preference studies that capture patients' perspectives on treatment risks, benefits, and what constitutes an acceptable outcome for their condition. Ultimately, the document argues that no stakeholder should express preferences on behalf of patients and that data not directly gathered from patients should have limited weight in decision making.
This document provides guidance on using social media and communication tools effectively for patient organizations. It discusses how to create an online voice, examples from successful patient ambassadors, lessons from their experiences, and techniques for working smart with limited resources. Specific strategies and examples are provided for creating a meaningful brand difference, positioning an organization, running typical awareness and advocacy campaigns, and leveraging tools like social media, websites, videos, and crowdfunding campaigns.
The document provides recommendations for developing national plans to address rare diseases in European countries. It discusses key priorities that should be covered in national plans, including research, centers of expertise, information and patient services, gathering expert opinions, and empowering patient organizations. It also outlines elements of methodology for developing, managing, and evaluating national plans, such as governance structures, plan content, indicators, and funding. The overall goal is to build an integrated and comprehensive strategy across Europe to address the needs of rare disease patients.
The document provides guidance on structuring qualitative and quantitative research. It discusses key steps like determining the problem, considering the broader context, and having a clear analysis strategy. It also outlines different types of research like literature reviews, quantitative surveys, and qualitative interviews. The document notes some common research outputs include data tables, written findings, presentations, and films. It concludes by discussing common problems like not involving patients or having an unclear focus, and provides tips to avoid these issues.
mhealth in cancer supportive care - how eSMART can improve quality of lifeKathi Apostolidis
several mhealth apps already in cancer care but lots need still to be done-patients want safely accessible, transferable data everywhere-eSMART project using ASyMS promises to improve the quality of life of cancer patients undergoing chemotherapy- mhealth conference at Bocconi University - Milan
The document summarizes discussions from a breakout group at the EUPATI 2015 Workshop regarding keeping EUPATI initiatives going over the long term and ensuring their success. Key points discussed include:
- Sharing best practices and experiences between national EUPATI initiatives to promote sustainability.
- Engaging local stakeholders through formal structures, promotional materials, transparency, and varied communication strategies.
- Positioning national initiatives as credible sources of information and links to European decision-making.
- Expanding collaboration between stakeholders and developing patient leadership over time.
How Effective is the Public in Influencing HTA Decisions?Kathi Apostolidis
Patients should be involved in HTA process to assure a robust process that embraces patients' needs, preferences, perspectives. ECPC-European Cancer Patient Coalition leverages on European Institutions for a solution to the timely authorization and reimbursement of innovative cancer medicines
The BURQOL-RD project aims to develop a model to quantify the socio-economic burden and health-related quality of life of rare disease patients and caregivers in Europe. The 3-year project will measure these impacts for 10 rare diseases across 8 countries. Associated partners will carry out core activities while collaborating partners provide specific contributions. The project will generate standardized tools, conduct a pilot study, and refine the tools for ongoing rare disease assessment and monitoring across Europe.
Ross McKenna
Portfolio Manager, Health System Infrastructure
Information Strategy and Architecture
National Health Board Business Unit
Ministry of Health
The 9th Annual Patient Summit 2012 in London discussed the emergence of e-patients and their role in medical research and decision making. It highlighted patients' need for information to understand their disease and treatment options. The European Patients' Academy (EUPATI) was presented as a pan-European initiative to train patient advocates and provide educational resources to empower patients and facilitate their involvement in medical research.
ERNs aim to connect healthcare providers of rare diseases across Europe to improve care for patients. They also have a mandate to contribute to research. ERNs provide opportunities to advance research through multistakeholder collaboration, comprehensive disease coverage, and added value to clinical trials. However, realizing their full research potential will require mapping expertise, identifying gaps, supporting registry development, and providing dedicated time and funding for collaborative research activities.
The document discusses a membership meeting held by Eurordis in Amsterdam from May 13-15, 2011. It focuses on providing specialized social services for rare disease patients and integrating rare diseases into social policies. A key topic is the future Joint Action on Rare Diseases, which will address social challenges through a working package on specialized social services. Findings from EurordisCare studies show rare disease families have a high social and economic burden, experiencing lower income, stopping work, and relocating. National conferences highlighted the need to support specialized services and develop national plans or strategies for rare diseases.
The University of Victoria coordinates knowledge mobilization through the Office of Research Services, working with campus and community partners. The KMb Unit promotes applying research results for societal benefit. Tools include a Research Help Desk connecting experts to community research needs, and courses involving students in applied projects. The initial Help Desk collaboration between UVic and VIHA involved developing a more effective patient charting system. The Help Desk was successful and expanded to other ministries, demonstrating research's real-world impact.
International Primary Care Conference - Walter Kmet March 2016Walter Kmet
This document discusses innovations in connected eHealth and integrated care. It summarizes Walter Kmet's presentation on WentWest's work using shared care planning tools like LinkedEHR to improve coordination between primary care providers, hospitals, and patients. The presentation outlines challenges like increasing demand and changing patient needs, and emphasizes building primary care leadership and capabilities through tools, partnerships, and investment in technology that can achieve integrated care through shared care plans and teams.
The document introduces the WECAN Academy, a training program for cancer patient advocates in Europe. It provides background on WECAN (Workgroup of European Cancer Patient Advocacy Networks), which aims to increase collaboration between pan-European cancer patient organizations. The 2019 WECAN Academy saw 105 advocates from 26 countries participate in 24 training sessions across two programs (SmartStart and Masterclass) delivered by 22 speakers and supported by 12 sponsors. It highlights the importance of advocates gaining knowledge across key areas like research, healthcare systems, advocacy skills, and disease information to effectively support patients and influence policy through evidence-based advocacy.
CORD Rare Drug Conference: June 8-9, 2022
Global, International, and National Rare Disease Networks
WHO-RDI Global Rare Disease Network - Matt Bolz-Johnson, EURORDIS
Tripartite dimension of interaction of patients, regulators and industry (Jan...jangeissler
This document discusses the importance of interaction and partnership between patients, regulators, and industry in medicine research and development. It acknowledges that patient involvement enhances the quality of research, evidence, transparency, and mutual respect. The document outlines some challenges to interaction, including siloed thinking and lack of trust, and notes that EUPATI has helped improve collaboration but long-term sustainability is key. The objectives of the event are to share experiences of pilot projects involving these stakeholders and ensure their interaction is understood and trusted.
The document summarizes the key outcomes of 15 national conferences on developing national plans for rare diseases held in European countries. The conferences discussed recommendations for defining strategic plans, indicators for monitoring plans, and delivering suggestions. Key messages focused on the need for socioeconomic research, empowering patient associations in research, developing quality registries, strengthening centers of expertise, training healthcare professionals, and empowering patients in decision-making.
New Models of Care Strategy for Vanguards and PioneersHIMSS UK
This document summarizes a presentation on new care models in the NHS. It discusses the integrated care pioneers program involving 25 sites integrating health and social care. It also discusses the 50 vanguards developing new models of care across 5 categories. Finally, it provides an overview of the technology support offered to vanguards and pioneers in 2016/17, focusing on 7 core themes like digital strategy and information sharing.
EUPATI 2013 Conference: Vision on Patient involvement in medicines R&D: Here...EUPATI
This document discusses increasing patient involvement in medical research and development. It notes that the medical landscape is transforming rapidly through innovations like personalized medicine and biomarkers. While this benefits patients, it also means smaller trial populations and a need for more post-marketing data. The document advocates for increasing patient involvement in areas like clinical trial design, setting research priorities, measuring quality of life, and pharmaceutical policy. It highlights the European Patients' Academy (EUPATI) project, which aims to empower patients through education on medical research and development processes in order to facilitate greater patient engagement.
This document discusses stakeholder engagement at the European Medicines Agency (EMA). It provides an overview of EMA's engagement with patients and consumers, healthcare professionals, and academia. EMA has engaged with these stakeholders since its creation in 1995, and has developed frameworks to facilitate interaction and collaboration. Key milestones in EMA's engagement include establishing working parties for patients and healthcare professionals, and creating a dedicated department for stakeholder relations. Challenges in stakeholder engagement include finding and training suitable experts, and measuring the impact of involvement. EMA addresses these through criteria for eligible organizations, support and training resources, and transparency around its engagement activities.
The document discusses the European Medicines Agency's (EMA) engagement with stakeholders such as patients, healthcare professionals, and academia. It outlines how EMA has built relationships with these groups since its creation in 1995, establishing frameworks and working groups to systematically involve them. It also describes challenges in stakeholder participation and how EMA addresses these, including providing support, training, and transparency around its processes. Overall, the document emphasizes how engagement with diverse perspectives has improved EMA's regulatory decisions.
University of Limerick - Person Centred Healthcare - Derick Mitchellipposi
IPPOSI is a patient-led organization in Ireland that advocates for meaningful patient involvement in health research and policy. It works with patient groups, government, industry, and science to promote patient-centered healthcare. IPPOSI provides education programs to train patient experts and engages patients in initiatives like conferences, workshops, and working groups. Its goal is to empower patients and have their voices influence innovation and decision-making in healthcare.
Evidence-based advocacy requires structuring research to support goals. It is important to work out the problem, consider existing research, and have a clear analysis strategy. Both qualitative and quantitative data can be generated through literature reviews, surveys, interviews, and focus groups. Common challenges include not involving patients, having an unclear focus or use of results. Overall, well-designed research can help predict outcomes, explain causes, evaluate policies, and develop good practices to empower patients.
This document discusses the work of the International Decision Support Initiative (iDSI) in partnering with national governments to improve health systems and promote universal health coverage through several strategies:
1. Providing expertise in health technology assessment, clinical guidelines development, and quality improvement to help countries make more efficient and equitable funding decisions.
2. Establishing regional hubs in the UK, Thailand, South Africa, and China to deliver practical support and build capacity for evidence-informed decision making within countries.
3. Supporting several countries in adopting health technology assessment and developing quality standards to guide priority setting, treatment guidelines, and pay-for-performance programs aimed at strengthening primary care.
1. Improving efficiency in cancer care is urgently needed to help relieve budgetary pressures and ensure equal access to advances in treatment for all patients. Up to 20% of healthcare spending is estimated to be wasted on ineffective interventions.
2. Advances in cancer diagnosis and treatment promise to transform outcomes, but without improving efficiency, governments may not be able to afford these innovations. Variations in cancer outcomes between countries suggest there is room for improvement.
3. Reducing inefficiencies could free up resources to provide more effective care and ensure all patients who could benefit have access to innovative new treatments in a timely manner. This will require new forms of collaboration between
Barbara Wood - Partnership working patients, public & the community #hcs15NHShcs
This document discusses partnership between patients, the public, and healthcare professionals and scientists. It argues that true partnership requires equal participation from all parties in planning and delivering healthcare. The future patient will be more informed about their health through technology, will manage their own care through access to online records and test results, and will have more choices. Healthcare scientists can partner with patients by making complex medical data understandable and by codesigning new models of integrated care delivery. Examples of current partnership initiatives include PatientView, which allows patients to access test results online, and a patient-held record developed together for thalassemia patients. Moving forward will require embracing new roles for healthcare scientists that leverage their skills and involving all stakeholders in redesigning healthcare systems
A experiência do Reino Unido sobre as Práticas Avançadas em Enfermagem foi tema da última reunião virtual, que aconteceu nesta quarta (24/11), do ciclo de intercâmbio promovido pela Organização Pan-Americana da Saúde no Brasil, pelo Conselho Federal de Enfermagem (Cofen) e pelo Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem da Universidade de São Paulo/Ribeirão. As palestrantes foram a diretora e a presidente do International Council of Nurses (ICN) do Reino Unido, Melaine Roger e Daniela Lehwaldt, respectivamente. Elas abordaram os avanços globais nas práticas em enfermagem, trouxeram casos do que acontece no Reino Unido e o porquê da importância dos enfermeiros e enfermeiras em práticas avançadas para os sistemas universais de saúde.
Connected health data meets the people: Diversity, Standards, and Trustchronaki
Using health data in a connected world requires new competencies, a personal digital health compass calibrated to individual personalities and needs. Patients and clinicians able to collect and manage data, data-operational informatics professionals able to analyze data, and cutting-edge researchers, innovators, and educators able to apply knowledge, will take learning health systems to the next level.
In this EFMI-HL7 event using innovative technology and surprises to engage the audience, we will discuss strategies for empowering and activating people to engage, share and use their health data. We will point to diversity, trust and open standards like HL7 FHIR to open up access and capacities to manage data safely for patients, care-givers, and the health system.
The Maturing Telemedicine Infrastructure in Denmark: Building the Human Capital, Morten Bruun-Rasmussen, CEO MEDIQ
Health Professional Education in Biomedical & Health Informatics: the EFMI AC2 approach, Professor John Mantas, University of Athens, Greece, EFMI Past President
Digital health literacy: a necessity for Activating Citizens, Professor Anne Moen, University of Oslo, Norway, VP for IMIA, European Federation for Medical Informatics
“Internet of People”: Elements of Trust and Risk, Eva Turk, DNVGL.
Workforce meets volumes of electronic information: Why and how HL7 FHIR creates value for stakeholders in learning health systems. Doug Fridsma, President and CEO, American Medical Informatics Association, US
This document discusses evidence-based advocacy and generating data for patient advocacy through research. It provides examples of focused patient advocacy research conducted by different organizations. It outlines key steps in generating data such as determining the problem, considering the broader context, and having a clear analysis strategy. The document also discusses different types of research methods including literature reviews, quantitative research, and qualitative research. It notes some common challenges with patient advocacy research and provides recommendations to address them.
Similar to 0103 Ananda Plate - Welcome to the WECAN Academy - and advocacy principles (20)
Bettina Ryll, a medical doctor and PhD working with the Melanoma Patient Network Europe, gave a presentation on clinical benefit from the patient's perspective. She declared potential conflicts of interest related to past and present funding and consulting work for pharmaceutical companies. Her key messages were that from a patient's perspective, clinical benefit means how a treatment impacts pain, function and normalcy, rather than just anatomical outcomes, and that capturing variability is important to understand full benefit. She thanked her audience and provided contact information.
Ariane Weinman presents at ESMO 2021 on how the integration of a specific section on rare cancers into NCCPs can support patients' from diagnosis to treatment
The document provides guidance on structuring qualitative and quantitative research. It discusses key steps like determining the problem, considering the broader context, and having a clear analysis strategy. It also outlines different types of research like literature reviews, quantitative surveys, and qualitative interviews. The document notes some common research outputs include data tables, written findings, presentations, and films. It concludes by discussing common problems like not involving patients or having an unclear focus, and provides tips to avoid these issues.
The document discusses how to identify pseudoscience and separate it from legitimate science. It provides examples of common tactics used in pseudoscience articles, such as making extraordinary claims without evidence, citing a single case study as proof, and avoiding peer review. Two examples of medical myths debunked are the claims that sugar feeds cancer and that the Rigvir treatment is effective against cancer without evidence. The document stresses the importance of maintaining scientific standards and evaluating all medical claims critically.
This document discusses major advancements in precision oncology and immuno-oncology, including increasing the number of targeted drugs and biomarkers to expand rational treatment approaches. It also addresses combining therapies like PD1/PD-L1 inhibitors with chemotherapy or novel immune modulators to increase efficacy. As biomarkers proliferate, challenges arise around conducting clinical trials in fragmented populations and relying on liquid biopsies. Ongoing questions center on balancing earlier access to treatments with stronger evidence requirements in regulatory approval.
This document discusses different perspectives on pricing medicines and value-based pricing approaches. It covers the dilemmas of international reference pricing which can lead to price convergence around the lower end and delays in access to medicines in less wealthy markets. It also discusses the need to consider a holistic perspective of the value of medicines that incorporates economic and social benefits, not just health system costs. Transparency in pricing and procurement is discussed as both an opportunity and risk depending on how it is implemented.
This document outlines the topics covered in a four-day WECAN education strategy program, including research and data, healthcare systems and policy, advocacy tools and skills, and disease and care. It encourages participants to provide feedback, make use of what they learned, continue networking across cancers and countries by following WECAN, and get involved in future programs. The document thanks the sponsors, speakers, organizers, and participating organizations and individuals for their contributions to the program.
The document discusses how patients can find, select, and shape clinical trials in order to identify research that is most beneficial. It emphasizes that patients should: understand their treatment options and scientific landscape; carefully evaluate trial design and motivations; and recognize that various stakeholders have competing interests. The goal is not just increasing the number of trials, but improving trial quality so they answer patients' needs. Patients are encouraged to engage with research groups long-term to help guide trial design toward options that offer meaningful benefit.
There are different models for determining the price of medicines, but value-based pricing that considers the outcomes a treatment provides relative to its cost is likely the most appropriate approach. However, current pricing and reimbursement systems face challenges in applying value-based pricing due to uncertainties in data, combination therapies, multi-indication drugs, and ensuring treatments are both cost-effective and affordable for healthcare systems. Fair pricing requires balancing incentives for pharmaceutical innovation with improving access and affordability for patients.
The document discusses how patient advocacy groups can avoid being used to further other organizations' agendas. It provides examples of how groups are sometimes asked to endorse projects or collaborate in ways that do not truly prioritize patient input or perspectives. The document suggests patient groups have principles, policies and procedures in place to guide discussions and consider transparency. It also proposes the idea of advocacy groups rating clinical trial protocols or requiring meaningful discussions about patient priorities in exchange for data or other requests. Overall, the document advises patient groups to negotiate from a position of power by earning the right to authentically represent their communities.
Patient-generated data is health-related data created by patients to help manage their condition, including symptoms, medication adherence, and biometric data from wearable devices. This data is distinct from clinical data as it is recorded by patients outside of healthcare settings. Technologies allow widespread collection of patient data to improve monitoring and research. However, ensuring high quality, standardized data sharing while protecting patient privacy and engaging patients requires governance plans and may require significant resources from patient organizations.
This document discusses biobanks and registries, their value for research, and opportunities for patient involvement. It describes how biobanks store biological samples and associated data to support research. Registries collect standardized clinical data on patient populations over time. Both require governance and quality management. The document presents two cases where patient organizations were involved in biobank and registry co-creation and governance to help advance research.
This document discusses challenges in interpreting health-related quality of life (HRQOL) findings across cancer clinical trials. Two hypothetical trials that tested the same treatment showed conflicting HRQOL results. This was because the trials may have assessed different HRQOL areas, endpoints, handling of missing data, and analysis populations. To address this, international collaboration is needed to set standards for HRQOL analyses in cancer trials. This would help ensure HRQOL questions, designs, analyses and interpretations are consistent across trials.
This document discusses patient-reported outcomes and quality of life measures that are important for evaluating the impact of disease and treatment from the patient's perspective. It provides background on common quality of life domains assessed and examples of generic, disease-specific, and symptom-specific patient-reported outcome measures. The document also describes Myeloma UK's experience developing a myeloma-specific patient-reported outcome scale called MyPOS to capture aspects beyond just symptoms that are important to myeloma patients' quality of life.
This document discusses early access to new cancer therapies. It provides an overview of different access options such as clinical trials, early access programs, and risk sharing agreements. Specifically, it notes that clinical trials can provide access when standard therapies are ineffective. Early access programs, like compassionate use programs, allow access to therapies not yet reimbursed. Risk sharing agreements, like managed entry agreements, can help provide access while collecting data on a therapy's effectiveness. The document emphasizes advocating across different access options and considering country-specific models.
This document provides guidance on how to give effective presentations as a patient advocate. It discusses the four Ps of planning - Purpose, Plan, Prepare, Present. For the Purpose, it is important to know your goal and intended audience. When Planning, consider your audience, create an outline with a beginning, middle and end, and anticipate questions. To Prepare, design slides with minimal text, relevant visuals, and rehearse your timing. For presenting, conquer nerves through preparation, slow speech, eye contact, and being aware of time. Tips are given for answering questions and using body language effectively. Overall, the key is knowing your expertise as an advocate and enjoying the experience.
This document discusses the importance of transparency and integrity in patient advocacy organizations. It notes that transparency implies openness, communication, and accountability. All stakeholders, including patient advocacy groups, are responsible for operating transparently. The document then discusses some examples of non-transparent behavior that can undermine credibility, such as undisclosed payments or gifts from industry. It provides guidance on disclosure of interests versus conflicts of interest, and properly obtaining and limiting consent when participating in industry-sponsored activities or research. Existing transparency codes and guidelines from organizations like EMA and EPF are also referenced.
This document discusses good governance practices for non-profit organizations. It explains that patient organizations are typically founded by a small committed team that later grows into a larger association. As organizations grow, they may need paid staff to manage operations. The document outlines different board typologies and issues that can arise like micromanagement and founder's syndrome as organizations evolve. It emphasizes the importance of establishing governance rules early, like defining board roles and policies, to facilitate healthy growth and prevent problems. Good governance involves transparent decision making according to shared values.
The document discusses the importance of real world evidence (RWE) in oncology. RWE is useful because real patient populations differ from clinical trial populations, limiting the external validity of trial results. Patient advocates are interested in RWE because it can avoid randomization, has already been used for regulatory approval, and allows more efficient and systematic learning from large real-world data sets which is important for personalized medicine. The document provides further reading on the use of RWE in regulatory approval and health technology assessments.
More from Workgroup of European Cancer Patient Advocacy Networks (20)
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2. ESO for handing over the ESO
Masterclass to WECAN and for ESO’s
continued support
SPAEN for doing the same with
SmartStart
Jan for the programme coordination
WECAN members and
WECAN Programme Committee
Michi for the logistics
Speakers
Sponsors
12/07/2019 2
Thank you for supporting the
WECAN Academy 2019!
3. What is WECAN?
WECAN stands for Workgroup of European Cancer Patient
Advocacy Networks
It is an informal workgroup which aims to act as a well-
coordinated cancer patient community towards all
stakeholders
Increasing the level of collaboration, alignment and
mutual support between pan-European cancer patient
umbrella organisations
It aims to share workload when contributing to different
stakeholder initiatives
WECAN is based on the principle of subsidiarity
12/07/2019 3
4. What are the objectives of WECAN?
Share workload for meetings and/or send only 1-2 advocates, in close alignment,
consultation and feedback structure with wider workgroup
Coordinate and align our representation and community input into advisory boards,
expert groups and cancer initiatives
Ensure communication and “reporting mechanisms” between leaders
Form a "think tank" to develop ideas on how to cross bridges in advocacy
Share resources and concepts on joint patient-driven evidence
Map the current European scene on initiatives/political actions/organisations
12/07/2019 4
5. Who is part of WECAN?
1. Acute Leukemia Advocates
Network (ALAN)
2. Childhood Cancer
International (CCI, formerly
ICCCPO)
3. CML Advocates Network
4. Digestive Cancers Europe
5. EuropaDonna
6. EuropaUomo
7. European Men's Health
Forum
8. European Organisation for
Rare Diseases
9. European Waldenström's
Macroglobulinemia Network
10. International Brain Tumour
Alliance
11. International Kidney Cancer
Coalition
12. International
Neuroendoncrine Cancer
Alliance
13. Lung Cancer Europe
14. Lymphoma Coalition
15. MDS Alliance
16. Melanoma Patients Network
Europe
17. Myeloma Patients Europe
18. MPN Advocates Network
19. Pancreatic Cancer Europe
Network
20. Sarcoma Patients Euronet
Association (SPAEN)
21. Thyroid Cancer Alliance
22. Youth Cancer Europe
12/07/2019 5
7. Current ongoing WECAN activities and projects
12/07/2019 7
Reasonable
Agreements
between Patient
Advocates and Pharma
Companies
Fair Market Value
project
WECAN
Academy
ESO Masterclass and
SmartStart
HTA Workgroup
WECAN position on further
EU integration of Health
Technology Assessment
The contracts provided to patient
advocates are often too long and
contain ambiguous clauses.
Myeloma Patients Europe (MPE)
on behalf of the WECAN and in
close partnership with PFMD is
leading this project that involves
12 pharmaceutical companies:
• Guiding principles
• 4 contract templates:
consultancy, collaboration,
advisory board and community
speaker agreement
• Toolbox to guide patient
organisations to analyse and
shape their contracts
The contribution of patients
provides tangible value to other
stakeholders and society that
should be fairly compensated.
Compensation in this context
means honoraria or other
financial compensation by third
parties (no patient organisations)
for individual tasks such as
advisory boards, doing
presentations, providing
substantial feedback, reviewing
complex documents etc.
Reimbursement of travel cost,
daily allowances for expenses etc.
do not count as financial
compensation for tasks.
The WECAN Academy 2019
combines two leading capacity
building programmes in patient
advocacy:
• WECAN Smart Start:
Starting and Building a
National Non-Profit Patient
Group focuses on
“beginners” in patient
advocacy,
• WECAN Masterclass on
Patient Advocacy will focus
on experienced patient
advocacy leaders.
WECAN position statement on
further EU integration of HTA
supporting the European
Commission plans for joint
HTA clinical assessment and
the proposal for a regulation of
the European Parliament and
of the Council on Health
Technology Assessment (HTA)
and amending Directive
2011/24/EU (COM(2018)0051
– C8-0024/2018 –
2018/0018(COD)).
8. What do we as patient
advocates do and why do
we need knowledge?
9. Patient advocacy operates on three levels
12/07/2019 9
Patient Support
• Inform, support, navigate
• Support patients and their families affected
by a dreadful disease to make the right
choices
Research
• Engage in meaningful research in
partnership with academia, industry and all
other relevant stakeholders
Health Policy
• Influence health policy, patient care
• Influence regulators and payors to make sure they
are basing their decisions on patient preferences
• Tell politicians to do policy for patients, not just
about patients
10. However, we have a tendency to waste our energy with...
Barking up the wrong tree – advocating at the wrong place
(e.g. EU vs national level)
Keeping chairs warm – going to meetings that are
“interesting“, not contributing and not taking any of the
learnings back to our community
Being territorial and waste our energy with infighting and
rivalry
Blaming others that things are not happening, while not
thinking about what I can do myself to change things
Disqualifying ourselves by just being emotional,
off-topic, and not well informed
Duplicating efforts and reinventing the wheel, instead of
joining forces in common interest areas
12/07/2019 10
11. To achieve our goals, it is not enough to just be on a
mission...
12/07/2019 11
Evidence-based
advocacy
Advocating in a targeted, evidence-based,
well-educated and professional manner, and
measure impact and outcomes of what we do
is key to our success
12. The WECAN Academy is key to building that
knowledge and skills of the cancer patient community
12/07/2019 12
4 knowledge
pillars of
successful
patient
advocacy
- and why they
matter to you
12
Source:WECAN/MPNE(2019)
RESEARCH &
DATA
• How Research &
development works
• Patient-reported
outcomes
• Reading scientific
papers and interpreting
scientific data
• Evidence-based
advocacy
HEALTHCARE
SYSTEMS,
POLICY AND
ACCESS
• Access to treatment &
care
• Regulatory processes
• Navigating healthcare
system, differences,
EU vs country level
• Patients rights
• How industry works
ADVOCACY
TOOLS &
SKILLS
• Accessing information
• Project management
• Presentation skills
• NGO governance
• Financial management
• Managing volunteers
DISEASE &
CARE
• Prevention
• Understanding the
disease
• Therapeutic landscape
• Care pathways
• Living with the disease
13. 13
RESEARCH &
DATA
• How Research &
development works
• Patient-reported
outcomes
• Reading scientific
papers and interpreting
scientific data
• Evidence-based
advocacy
HEALTHCARE
SYSTEMS,
POLICY AND
ACCESS
• Access to treatment &
care
• Regulatory processes
• Navigating healthcare
system, differences,
EU vs country level
• Patients rights
• How industry works
ADVOCACY
TOOLS &
SKILLS
• Accessing information
• Project management
• Presentation skills
• NGO governance
• Financial management
• Managing volunteers
DISEASE &
CARE
• Prevention
• Understanding the
disease
• Therapeutic landscape
• Care pathways
• Living with the disease
The WECAN Academy is key to building that
knowledge and skills of the cancer patient community
12/07/2019 13
Medium level
Starters level
Expert level
4 knowledge
pillars of
successful
patient
advocacy
- and why they
matter to you
14. The WECAN Academy brings together two of the key
existing training programmes
12/07/2019 14
3-day course for patient advocates
• who are in the process of starting a group/organisation
• who have already started an organisation and are
seeking to improve their skills
• who are relatively new in existing groups/organisations
and who would like to take future responsibility as
Chair, Board Member or Director
The 3-day training course provides…
• basic knowledge to set up and maintain a national
cancer patient group in their own country
• networking with experienced patient group leaders and
trainers
• balanced mix of practical advocacy and support “tools”
3-day Masterclass for experienced patient advocates
• Help participants improve their advocacy and leadership skills
• Discuss ways of improving organisational impact, effectiveness
and efficiency
• Review state-of-the-art approaches to evidence-based advocacy
There are many other cross-disease
educational programmes out there. What is
novel about the WECAN Academy is that it
ensures continued education that tackles
knowledge gaps in a systematic way for
the whole cancer patient community
15. 105 patient advocates
( SmartStart, Masterclass)
22 speakers ()
24 sessions
26 countries
22 European cancer patient
umbrella organisations
12 sponsors ()
12/07/2019 15
The WECAN Academy is a
unique initiative and quite an
achievement for the
community!
16. 105 patient advocates
( SmartStart, Masterclass)
22 speakers ()
24 sessions
26 countries
22 European cancer patient
umbrella organisations
12 sponsors ()
12/07/2019 16
The WECAN Academy is a
unique initiative and quite an
achievement for the
community!
Increasing complexity
from day to day
17. Saturday, 6 July 2019 (SmartStart only)
12/07/2019 17
ADVOCACY TOOLS & SKILLS
TRACK
11:00-12:00 (0103)
Setting the scene, advocacy principles
HEALTH-CARE SYSTEMS,
POLICY, ACCESS TRACK
14:00-15:00 (0104)
How to develop good content and patient materials – online and offline
14:00-15:00 (0105)
Healthcare ecosystem and stakeholder management
RESEARCH
AND DATA
TRACK
15:30-17:00 (0106)
Regulatory system. Overview of access pathways – why is access to treatment, care and diagnostics an
issue?
17:00-18:00 (0107)
How does therapy development work. Drug development lifecycle. Endpoints, trial design. Patient engagement
in research.
18. Sunday, 7 July 2019 (SmartStart and Masterclass)
12/07/2019 18
ADVOCACY TOOLS &
SKILLS
TRACK
8:30-8:45 (0200)
Welcome– setting the scene after the Masterclass attendants have joined
8:45-10:00 (0201)
Evidence-based advocacy (use of 3rd party data to create advocacy impact, and generating your own data e.g. surveys)
10:30-11:15 (0202)
Basics of Financial management: in PO: Requirements, sources, budgeting, grant writing
11:15-12:00 (0203)
Project management
building project plans, tracking progress
HEALTH-CARE
SYSTEMS, POLICY,
ACCESS TRACK
14:00-15:00 (0204)
Basics of health economics.
14:00-15:00 (0205)
How and why does access to treatment and care differ between EU Member States, how to address it in advocacy and
policy?
RESEARCH
AND DATA
TRACK
15:30-17:00 (0206)
Basics of statistics; reading scientific data and publications;
introduction to molecular biology
17:00-18:00 (0207)
Hot topics in oncology: Precision medicine, immuno-oncology, genomics, big data, real-world data
19. Monday, 8 July 2019 (SmartStart and Masterclass)
12/07/2019 19
ADVOCACY TOOLS &
SKILLS
TRACK
8:30-10:00 (0301)
Good NGO governance, and ensuring transparency and integrity
10:30 – 11:15 (0302)
Presentation skills – how not to bore your audience to death
11:15-12:00 (0303)
GDPR and data protection, how this applies to trials, registries, big data and patient orgs data
HEALTH-CARE SYSTEMS,
POLICY, ACCESS TRACK
13:00-14:00 (0304)
Affordability and sustainability. Difference between HTA and payer perspective. What is Europe's challenge? How to influence
reimbursement decisions as a patient advocate?
14:00-15:00 (0305)
Pre-approval access: to clinical trials (including cross-border, pre-approval, post-approval, and advocacy action
RESEARCH
AND DATA
TRACK
15:30-17:00 (0306)
Patient-reported outcomes, and other patient-relevant measures and endpoints
17:00-18:00 (0307)
Basics of biobanks and registries – types, value, challenges, relevance for patient advocacy
20. Tuesday, 9 July 2019 (Masterclass only)
12/07/2019 20
ADVOCACY TOOLS & SKILLS
TRACK
8:30-9:30 (0401)
Evidence-based advocacy for experts – new technologies to gather data, patient preference studies
10:00-11:15 (0402)
Not being the victim of hidden agendas: case discussions and strategy
11:15-12:30 (0403)
Models to value and pricing; emerging areas; challenges of combination pricing.
HEALTH-CARE SYSTEMS,
POLICY, ACCESS TRACK
13:30-15:00 (Session 0405)
How to improve patient relevance of clinical trials, and reviewing trial protocols
15:00-16:15 (0406)
Interpreting scientific data - identifying gaps, flaws and cheats
RESEARCH
AND DATA
TRACK
16:15
Farewell & departures
22. Instructions
Take 5 coloured papers, one from each colour
Write on each of them
• Your Name
• Your Organisation
• The topic that interests you most in the
WECAN Academy Programme
12/07/2019 22
23. Do not only focus on learning the theory presented at the
WECAN Academy – interact with people (the ones you don’t
know too) and above all….
12/07/2019 23
….get out of your
comfort zone!
Editor's Notes
Each participant has a paper. Each participant to write their name, disease and organisation and one key fact we should know about him/her
After they finish writing, participants to crumple up their papers
They should select their target carefully. Someone they would like to talk with, have drink with or maybe have always wanted to punch since the first time they saw them
At the signal everyone should through their paper at the selected target.
For a whole minute, everyone can continue to throw ‘snowballs’, but when the time is up, everyone should end up with a ‘snowball’
After one minute, everyone sits down again and reads the paper they ended up with aloud