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Slovenia

Slovenia. Jelka Zaletel MD, PhD, diabetologist. Prevention in healtcare system. The Bismarck model, single payer Prevention run by Family doctors and Prevention centers, primary care Preventive programmes: Cardiovascular diseases Cervical cancer Breast cancer Colorectal cancer. Slovenia.

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Slovenia

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  1. Slovenia Jelka Zaletel MD, PhD, diabetologist

  2. Prevention in healtcare system The Bismarck model, single payer Prevention run by Family doctors and Prevention centers, primary care Preventive programmes: • Cardiovascular diseases • Cervical cancer • Breast cancer • Colorectal cancer

  3. Slovenia Jelka Zaletel MD, PhD, diabetologist SO WHY AM I HERE

  4. Diabetes Prevention and Care Development Programme 2010 - 2020, Slovenia

  5. EMPOWERED PATIENT/PERSON COORDINATED HEALTHCARE SYSTEM ACTIVATED SOCIETY

  6. New concepts

  7. New providers’ qualifications • New roles of old professions: SHIFT and EXPAND • Evolution of the professions and role of the patient

  8. “Triple aim”, D. Berwick + one more Providers’ satisfaction

  9. Social movement appproach

  10. New structure

  11. Restructuring primary care105 Model Practices, 2011 Team: • 1 medical doctor • 1 nurse (secondary school) • 0,5 registred nurse • 0,5 administrative staff

  12. Restructuring primary care40 Teaching Practices, 2011-2012 Team: • 1 medical doctor in training, 30% capitation • 1 nurse (secondary school) • 0,5 registred nurse • 0,5 administrative staff

  13. New views

  14. Traditional education methods are not enough

  15. New challenges

  16. National chronic disease strategy • Determinants of health • Risk factors • Prevention • Early dgn • Highest possible quality of care, incl. rehabil. • Integrative strategies

  17. Upgrade the healthcare system to serve prevention and chronic care

  18. Slovenia Jelka Zaletel MD, PhD, diabetologist SO WHY AM I HERE

  19. 1995 First attempt of the N’tl Diabetes Programme(inspired by St. Vincent Declaration)

  20. 2005 Second attempt,boosted in 2007 (WG)CRASHand starting new way in May 2009 - new (J. Z.) andold (M. P.) proactive WG members ONE CAN NOT CHANGE THE WORLD...- introducing interactive and communicative atmosphere- linking stakeholders (people & institutions & interests) RESPECT

  21. You are important MM: one writer Draft, where colleagues could find their phrases Central question: what could I do for my patient We go first for strategy Right or wrong Marketing inside institutions Joint events to discuss NP Commitment of institutions The payer joined WG Joint event of institutions, public debate Advisory board to Minister of Health approval for NP and AP Governance approval – April 2010 Action Plan ahead of plan

  22. Diabetes Prevention and Care Development Programme 2010 - 2020, Slovenia

  23. EMPOWERED PATIENT/PERSON COORDINATED HEALTHCARE SYSTEM ACTIVATED SOCIETY

  24. Healthcare upgrade (reform) Many focuses Coordination – building the network leadership Restructuring the primary care Re-positioning of secondary care Still silosing of primary care Fast change – still same structure/organisation Fatigue Priority settings Short term vs long term goals

  25. DIABETES

  26. National chronic disease strategy

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