1 / 35

SPA IS MORE…

SPA IS MORE…. Position of Polish Health Resorts on common European Market Janka Zálešáková 21th Congress of Polish health Resorts Szczawnica , Poland , 17-19, June 2012. Health Systems in Europe and

efuru
Download Presentation

SPA IS MORE…

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SPA IS MORE… PositionofPolishHealthResorts on commonEuropeanMarket Janka Zálešáková 21th CongressofPolishhealthResorts Szczawnica, Poland, 17-19, June 2012

  2. HealthSystems in Europe • and • Western Medicine are in • CRISIS

  3. OECD HealthData 2006 (30 countries) • Investment to preventiontoanaverage3% fromallcostforhealtcare • Budgetsspentforhealthcareorganisation and treatment 97 % • EC • Highnumberofinactivepeoplethroughill-health • WHITE PAPER – TogetherforHealth Healthypopulationisprerequisiteforeconomicproductivity and prosperity

  4. Healthcare systems are under control of pharma-industry and food-processing • In EU in average 20 % ofexpensesforhealthcare are formedicaments (in somecountries more than 30 %) • Medicalreaserchmostlypaid by pharma-industry • Agressiveadvertismentforunhealthyfood(fastfood, soft drinks, sweets, fats) • Advertismentforuniversalpolypillsfor over-55s. • Giving ‘polypills’ containing statins, aspirin and 3 blood-pressure-lowering drugs to everybody over 55 to help prevent heart attacks and strokes would harm a lot of people and be a “waste of money”, a health conference has heard. PREVENTION ?!

  5. Major and chronic diseases EC Public Health • Diseases affecting at least 50 per 100 000 people • Together cause 87 % of deaths in Europe (2009) • Cardiovascular disease (atherosclerosis, stroke) • Cancer • Mental health problems (depression) • Neurodegenerative disorders (vascular dementia, • Alzheimer´s, Parkinson´s) • Metabolic diseases (obesity,diabetes mellitus, • dyslipidemia) • Chronic respiratory diseases (asthma, COPD) • Musculoskeletal conditions (osteoartritis,osteoporosis)

  6. Some facts...

  7. Some facts... European Guidelines on CVD prevention in clinical practise (May 3, 2012) • Cardiovasculardisease • major causeofprematuredeath in Europe • > 80 % ofall CVD mortality in developingcountries • DALYs (disability-adjustedlifeyears) lossof 150 million • in 2020 → leadingcauseoflossproductivity • Annualeconomicburdenof CVD 1 % of GDP • Heartattacks, strokes and othercirculatorydiseasesIncidency41% • Amongelderly (65-84): 42 % ofalldeath • Thehighestdeathrates in Estonia (2 305 men, 318 women per 100 000). Lithuania (2 219/1 335), thelowestFrance (402 m/169 w), Portugal (460m/275w) White Paper : Together for Health, A strategic Aproach for the EU 2008-2013

  8. Risk factors... • Cardiovasculardiseases • Smoking • Dyslipidemia (linkedwithobesity) • Unhealthynutrition • Physicalinactivity • Psychosocialfactors • Hypertension (linkedwithlifestyle) • Diabetes (linkedwithobesity) • Permanentsystemicinflamatory status • (alsolinkedwithobesity) • Abususofalcohol • Obesity

  9. Population attributable risk for myocardial infarction associated with 7 major modifiable risk factors overall and by region in the INTERHEART study. Lonn E et al. Circulation 2010;122:2078-2088

  10. Some facts ... • Cancer • 2 out 10 deaths in women • 3 out 10 deaths in men • Eachyear are 3,2 Mio EU citizensdiagnosed • withcancer • Only in 2005 over 17 Miolostyears in Europe • Incidency25 % • Canceristhebiggestkillerofpeople • aged 45-64 - 41 % ofalldeath • Twothirdsofcancers are preventable, • by avoidingkey risk factors

  11. Risk factors... • CANCER • Lifestyle • unhealthynutrition, physicalinactivity, obesity – 35 % • Smoking– 30 % • Infections (HPV) – 10 % • Geneticfactors– 15 %

  12. Risk factors... • DIABETES MELLITUS • Obesity • 90 % peoplewith DM type 2 are obese! • New term DIABEZITY • BMI 27 – 3x higher risk • BMI 35 – 93x higher risk • Physicalinactivity • Unhealthynutrition

  13. BMI a diabetes typ 2 Zvýšené riziko diabetu typ 2 (x-krát) BMI Source: New Engl. J. Med. 2001,345, 790-797

  14. Dramatic global increase in diabetes (millions) 300 221 151 30 Source: Ann.Rev. Nutr. 2003;23: 345-3777

  15. Risk factors... • Osteoartritis • Risk factors • Olderage • Sex (women are more likedevelop OA) • Bone deformation • Jointinjuries • Obesity • Sedentarylifestyle • Certainoccupations • Otherdiseases(DM, underactivethyroid, gout)

  16. Risk factors... • OBESITY • Inactivity • Unhealthydiet and eatinghabits: fastfood, soft drinks, oversizedportions, skippinngbreakfast • Familylifestyle:similareating and activityhabits • Lackofsleep • Certainmedications: antidepressants, • DM-medications, steroids, beta-blockers, antiepileptics, contraceptives • Age: obesitycanoccuratanyage, but in ageinghormonalchangescanincrease risk • Social and economicissues • Psychologicalaspects: stress, depression, insipidity • Genetics Spain, Portugal and Italy report overweight and obesity levels exceeding 30% among children aged 7-11.

  17. Depression In Europeprevalency 6,0 % Costfordepression 28 EU countries (460 Mioinhabitants) – direct 118 Billions, indirect 76 Billions Euro In 2020 depressionwillbeafter CVD secondleadingcausesofDisabilityAdjastedLifeYears (DALYs) Risk foratleastoneepisodeforwomenis 20 %

  18. 7 risk factors for main chronic diseases by European Public Health Alliance (2006) • high blood pressure • tabacco use • hazardous alcohol use • high cholesterol • overweight and obesity • low fruit and vegetable intake • physical inactivity POOR DIETARY HABITS ( toomuchenergy, toomuchsimple (sweet) sacharides, saturatedfats, lackof omega-3 fattyacids and lackofphytochemicals)

  19. „Health by Design – TheRoad to WELLBEING“ (Gastein, Austria, October 2011) Wemusthave WELLNESS astheoverarchingobjectiveofourpolicies. Wemustkeeppeoplewell. WemustkeepourpeopleOUT ofhospitalbeds. Therefore, wemustpush more and more resources and more and more politicalgumptiontowardsPREVENTION. Ouraimisto addtwohealthylifeyearstotheaveragelifespanofEuropeans. EUROPE NEEDS INNOVATION ! ! !

  20. EUROPE NEEDS INNOVATION ! ! ! • Howwespendmoney on health ? • Insteadofinvesting more, • weneed to investbetter.

  21. Active and healthy Ageing: The European Perspective (University of Siena, Italy, 11 May 2012) 50 % of Europeans 65-74 year old have selfreported a health problem. 20% of lifespan is spent in ill-health. People 65+ are unwell for half of their remaining life. Total spending on healthcare is already high John Dalli EU Commissioner for Health and Consumer Policy 2012 isthe EUROPEAN YEAR for ACTIVE AGEING and SOLIDARITY between GENERATIONS

  22. Ageing Europe • In 2050 peopleaged 65+ willgrow by 70 % • People 80+ willgrow by 170 % • Heathcarespending by 1-2 % of GDP, • on average = increase 25 % in healthcarespending • BUT: ifpeopleremainhealthyastheylivelonger • Healthcarespendingdue to ageingwouldbehalved(Special Report 1/2006, EPC and EC)

  23. Prevention • primary prevention the first level of health care, designed to prevent the occurrence of disease and promote health. • secondary prevention the second level of health care, based on the earliest possible identification of disease so that it can be more readily treated or managed and adverse sequelae can be prevented • tertiary prevention the third phase or level of health care, concerned with promotion of independent function and prevention of further disease-related deterioration.

  24. Europeanspas • Spas and spa facilities are inthe most European countries the part of a healthsystem • Inseparable part of a health system and thehealth tourism • Local natural healing source(healing water, healing peloids, healing gases, natural healing sources of sea, climatic conditions suitable for healing, recognisednatural system of cure – Kneipp, Priesnitz • Specific and protected spa placewithhigh quality environment • Medical backgroundfor rehabilitation and cure, primary,secondary and tertiaryprevention

  25. NewDirective 2011/24/EU of the European Parliamentand of the Councilon patients rights in cross-border healthcare • Establish rules for facilitating access to safe high-quality • cross-border healthcare in the EU • Ensure patient mobility in accordance with the principles • established by the Court of Justice. • Should be apply to individual patients who decide • to seek healthcare in a member state other than state of • affilation It is clear that the obligation to reimburse costs of cross- border healthcare should be limited to healthcare to which the insured person is entitled according to the legislation of the Member State of affiliation (14)

  26. Spas with strong medical background is especially European fenomenon • Spas and spa facilities are inthe most European countries the part of a healthsystem and spatreatment/healthcareispaid by social/healthinsurence. • Cross-borderhealthcarefortraditionalspatreatmentisgoodknownmanyyears, mainly by selfpaidpatients/clients • In somecountriesfull/partlyreimbursethis type ofhealthcare • Whatproductsof spas and in whichspafacilitycanbepaidascross-boardhealthcareinothermemberstates

  27. MEDICAL SPAS in EU • ● License of thestate authorityprovidingspatreatmentas part ofhealthcare • ●Naturalhealing sources/alltreatments • recognised by state authority • ● Strong medical background (highqualified • personel, e.g. physicians, physioterapists, • masseursetc.) • ● Implementation of new treatments based on • scientificresultsand specialized services • (e.g. diagnostics, laboratory tests, • healthconsulting) • ●Cureand preventive packages • ●Length of stay

  28. Products in common european market in spa-healthcare • SPA rehabilitation (Anschlussheilbehandlung) more and more after high-tech. operations, after acute stages of illness, direct linked with specialised clinics • Products of tertiary prevention for chronicaly ill patients to promote independent life • Products of secondary prevention for risk groups of population with specific program • Primary prevention with education in healthy lifestyle – young people

  29. Mainproductsof European Spas Relax Wellness Weekend Breaks > Relaxation Stays • Prevention - primary • Recuperation • Regeneration Spa In some countries as a part of healthcare Postacute rehabilitation Chronic diseases- secondary prevention > Medical Spa Stays HEALTHCARE

  30. Prevention in spa – lower costs for illness in future • Multimodalbehaviouralinterventions • healtheducation • physicalactivitiesundercontrolofqualified • personel • healthynutrition and eatinghabits • managementofpsychosocialfactors • Recognitionof risk formainchronicdiseases – risk score • ENHANCE HEALTH RELATED QUALITY OF LIFE

  31. Motivation to personalresponsibilityforownhealthduringspastay • Avoidinghealth risk (tabacco, drugs) • Healthydiet • Adequateexercise and rest • Positiveoutlooks on life • Succesfullymanagestress

  32. Polish Health Resorts • recognition by state authority • natural healing sources (healing water, peat, climatic congitions, healing sources from the sea) • very strong medical backgrounds, one of the strongiest i n Europe • high quality medical spa products • very strong spa medicine • research on balneology • 44 recognised spa places • 2010 – 572900 stationary clients • 7,4 % from foriegn countries

  33. „ Preventionisbetterthantherapy“ Desiderius Erasmus Spastayforhealthpreventionisbetterthanbestunned by illness

  34. THANK YOU FOR YOUR ATTENTION

More Related