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RESEARCH AND DEVELOPMENT IN HEALTH CARE

Explore the latest healthcare innovations at the HOPE Seminar in Pärnu, Estonia, focusing on the evolution of personalized, predictable, and preventive medicine. Join international experts as they discuss collaborations between universities, industry partners, and healthcare providers. Learn about the impact of new technologies on employment, care for the elderly, and the future of healthcare. With a mission to improve collaboration, exchange knowledge, and set priorities for research, this seminar aims to shape the future of healthcare. Don't miss this opportunity to be part of the revolution in healthcare development!

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RESEARCH AND DEVELOPMENT IN HEALTH CARE

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  1. RESEARCH ANDDEVELOPMENTIN HEALTH CARE HOPE SEMINAR PÄRNU, ESTONIA, MAY 6-7, 2007 Carine Boonen, MD Health Care Policy Expert with the Minister-President of the Flemish Government

  2. Flanders, Region in Belgium, Western Europe • Belgium 10,3 million inhabitants • 30,500 sq km • Independent since 1830 • Federal State since 1980 • Member of EU and NATO • Euro currency since 2002 • 416 000 employees in social profit sector HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  3. Belgium: Federal State since 1980 • Flanders in the North (58%) Flemings, speaking Flemish • Walonia in the South (31,5%) Walloons, speaking French (31 %) and German (0,5 %) • Brussels Capital (10%) Bilingual Flemish and French HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  4. Flanders • 6 Million inhabitants • Excellent geographic location • Extensive road system • International seaports • International airports • Few natural resources • World-class knowledge-based economy • World-wide export HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  5. Flemish social profit • 21,3 billion euro per year = 13,1 % GDP 17,1 billion: public financing = 10,5 % GDP 4,3 billion: out of pocket money and private insurances = 2,6 % GDP HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  6. Lissabon Strategy • Europe most competitive knowledge-based economy in the world in 2010 • Increasing importance of Expenditure in Health Care Development in Life Sciences: Bio-technology Pharmaceutical Industry Medical technology HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  7. Near future • Breathtaking (R)evolution: Knowledge-based economy Evolution in Medecine: 3 P’s Personalized, Predictable, Preventive HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  8. Evolution in Medecine • 3 P’s: Personalized, Predictable, Preventive Gene Therapy Early diagnosis by molecular imaging Selective medication by nano-particles HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  9. Innovativiness in health caredemands multidisciplinary collaborationand partnership betweenuniversities and their researcherscare-givers and health care providersindustrial partners HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  10. Industrial Partners • Pharmaceutical Industry • Medical Technology Providers • Bio-technology • Life Sciences Service Providers • Software Providers • Insurance Companies • Logistics HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  11. Mission Statement • Improving collaboration between partners • Exchanging know-how • International bench-marking best cases • Evidence based application of new technologies • Defining priorities for research short term goals long term perspectives HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  12. Employment Flanders Social Profit • 295 455 FTE direct employment - health care sector - field of welfare - social and cultural work = 15 % of total employment in Flanders • 123 600 FTE roundabout employment - supply companies = 6 % of total employment in Flanders HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  13. Employment due to new technologies • Creating new jobs in suply companies in industry • Improving quality of life by improving quality of health care HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  14. Alarming demographic evolution going onnext 15 years • People over 85: + 79 % • Elderly people needing care: + 30 % • Seniors with dementia illness: + 50 % HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  15. New profile of elderly people • Old no longer synonym for sick, weak and silent in the sofa • Positive image of the active, emancipated, participating, well-off senior • Standing up for their own rights • Growing mobility • Increasing spending power • Growing political awareness HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  16. New profile seniordemands new types of care • Aspire to keep their autonomy • Prefer to stay home as long as possible • Used to modern technology in daily life • Appeal to external provision of services - domestic help housekeeping - nursing at home - delivered meals HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  17. Changing society results in decreasing possibilities for delivering family care • Less children per family • Living far away from parents • Outdoors working women no longer available for elderly care at home during the day • Increasing number of divorces with newly composed families no longer able to take care for former parents or parents in law HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  18. Gap between the necessary care at home and the care the families really could offershould be bridged: - by professional care-takers - by integrating home care and residential care - by using new technologies supporting autonomy in daily life HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  19. Integrating facilities supporting home care • Geriatric day-care centres offer necessary care during the day while the family is working outdoors • Geriatric night-care centres host people who cannot stay home alone during the night • Short-stay centres offer family temporarily relief in case of illness, accident, holiday or crisis HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  20. Integrating hospital care • Clinical pathways for geriatric patients - In collaboration between hospitals and nursing homes for elderly people or home care - Connect high tech geriatric hospital expertise and warm elderly care at home or in the nursing home • Geriatric rehabilitation short-stay or day-treatment centres - Can host elderly who need to recover after e.g. day- surgery or day-treatment - Offer adapted individual training schedules in order to restore autonomy and prepare return home in good conditions HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  21. Long stay residential unit for somatic problems • May be the only solution for multiple disabled elderly • Who need a permanent and complex care approach • Focus on somatic care • Creation of a warm and friendly home replacing environment HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  22. Long stay unit for sheltered living • Can be the only solution for elderly with dementia illness • Living in small groups in accordance with different stages of illness • Focus on psychiatric care • Creation of a warm and friendly home replacing environment HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  23. Palliative care unit • When the end is near • Antidote against therapeutic obstinacy • Alternative for euthanasia • Focus on dignity • Collaboration with palliative care at home HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  24. What does it take ? HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  25. Governmental policy • Solidarity based elderly care funded by public financing • Out-of-pocket part of the bill should stay affordable for the elderly • Social debate on the ageing society should result in social choices concerning public funding corresponding to preferences of society HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  26. World Health Organization supports: • Development of international ethical codes in medicine • Refining ethical standards for research and clinical studies • Anticipating on bio-ethical implications of new medical discoveries in a globalizing world • Dealing with possibilities of gene therapy according to international rules of conduct HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  27. Big challenge in a globalizing world !How to deal with: • Ethical constraints of innovative medicine ? • Does availability of therapy always mean it should be implemented ? • Lack of accessibility to health care for poor people in developing countries ? • The longing for the creation of a tailor-made man ? HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  28. More detailed information on: • www.belgium.be • www.flanders.be • www.wallonie.be • www.brussel.be HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  29. Carine Boonen • Health Care Policy Expert • Cabinet of the Minister-President • Martelaarsplein 19 • 1000 Brussels • BELGIUM • carine.boonen@vlaanderen.be HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

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