Innovative approaches for chronic illness in public health and healthcare systems

1. Innovative approaches for chronic illness in public health and healthcare systems

2. Chronic diseases Date: 19 -20 October 2010, Brussels 19 October: Two pre-events in collaboration with the European League Against Rheumatism (EULAR) and the European Respiratory Society (ERS) 20 October: Ministerial conference 1 December: discussion in the European Parlement on the conclusions of the conference

3. Ministerial conference Main objective : concrete initiatives to stimulate innovative approaches related to prevention of chronic diseases and to the organisation of healthcare systems Participants: Member States, Commission, International organisations (WHO, OECD, …), Representatives of patient and professional organisations.

4. Ministerial Conference not limited to major chronic conditions account for 45.9% of the global burden of disease growing with the ageing population 86% of all deaths in 2005 expected increase of deaths due to chronic diseases by 17% between 2005 and 2015 need for a coherent and integrated approach

5. Main Themes Patient involvement and perception Perception of chronic ill people Patient empowerment Prevention of common risk factors Life style and general environment Innovative, effective and evaluated prevention policies Stakeholders commitment Health care systems Challenges for primary care, hospital care and residential care Patient related new technologies Management of chronic diseases

6. Conclusions:Patient involvement and perception • stimulate and improve the participation of chronic ill people in policy making • special action/attention for increasing literacy of vulnerable groups • social inclusion to ensure a life as normal as possible in various environments • focus on the capacity of chronic ill people instead of their incapacity

7. Conclusions:Patient involvement and perception Empowerment to increase awareness and information of all chronic diseases Shared responsability and shared decision making E-health (including social media) as a tool to increase patients empowerment Improve patient friendly e-health applications

8. Conclusions:Prevention of common risk factors • The socio-economic status as one of the most significant determinants of health • Link between individual behaviour and society: make healthy choices easy • Prevention works and there are cost-effective programs • Monitoring and evaluation of prevention programs

9. Conclusions: Prevention of common risk factors A collective, global and goal-oriented approach is needed within a HIAP framework Need for involvement of the citizens/patients. Prioritisation and setting targets is important to ensure consistency and continuity in policy and strategy Importance of the commitment of stakeholders

10. Conclusions:Health care systems Chronic disease requires a pro-active, planned, accountable, effective and comprehensive approach, which encompasses self care Chronic care model is more than a disease management approach The whole person approach is important: do not reduce chronic disease to only the medical aspects

11. Conclusions:Health care systems New technologie approachintegrated in already available services Patient/stakeholder involvement in developing chronic care policy Role of Health in EU2020 Need for stronger EU collaboration on research for prevention and care of chronic illness.

12. Conclusions: summary Need for EU work on all chronic diseases Patient involvement is key Holistic approach to prevention: Make healthy choice easy Better coordination of health care to allow patient participation Integrated research