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Tienie Stander President: ISPOR SA Interim Steering Committee. QUESTION. How confident are you that you are equipped to allocate scarce healthcare resources (money) wisely, fairly, and efficiently?. OBJECTIVES. Global context South African context The reason why. GLOBAL CONTEXT. Scarcity
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Tienie Stander President: ISPOR SA Interim Steering Committee TheBHFSouthern African Conference22-25 July’07 Sun City
QUESTION How confident are you that you are equipped to allocate scarce healthcare resources (money) wisely, fairly, and efficiently? TheBHFSouthern African Conference22-25 July’07 Sun City
OBJECTIVES • Global context • South African context • The reason why TheBHFSouthern African Conference22-25 July’07 Sun City
GLOBAL CONTEXT • Scarcity • Economic action • Choices • Opportunity costs • Competition and collaboration TheBHFSouthern African Conference22-25 July’07 Sun City
GLOBAL HEALTHCARE CONSUMPTION (% of GDP) Source: http://www.who.int/countries/en/ TheBHFSouthern African Conference22-25 July’07 Sun City
SA CONTEXT • Private-Public mix: 20% vs. 80% • Healthcare resource consumption: R4 200 vs. R700 per capita per annum • Lack of a social insurance structure • Medical inflation • Mature market with slow growth • Regulatory intervention TheBHFSouthern African Conference22-25 July’07 Sun City
WHO rates SA 175th out of 191 countries with regards to efficiency in healthcare TheBHFSouthern African Conference22-25 July’07 Sun City
No society in the world has the resources to provide all the health services from which its population can potentially benefit – choices have to be made William Kissick TheBHFSouthern African Conference22-25 July’07 Sun City
QUESTION In your opinion, are you convinced that private healthcare resources are allocated fairly, equitably and scientifically in SA? TheBHFSouthern African Conference22-25 July’07 Sun City
RESOURCE ALLOCATION Human + • Ethics • Philosophy • Fairness • Perspective • Science • Efficiency • Patients • Practitioners Fin - Fin + Human - TheBHFSouthern African Conference22-25 July’07 Sun City
ISPOR Mission Statement Promoting the science of pharmacoeconomics and health outcomes research. Act as a scientific leader relevant to research in pharmacoeconomics, health outcomes assessment, and related issues of public policy. Represents healthcare researchers and practitioners including pharmacists, physicians, economists, nurses and researchers from academia, pharmaceutical industry, government, managed care, health research organizations, and purchasers of healthcare. To translate pharmacoeconomics and outcomes research into practice to ensure that society allocates scarce healthcare resources wisely, fairly, and efficiently. TheBHFSouthern African Conference22-25 July’07 Sun City
ISPOR SA • ISPOR South Africa Limited incorporated as an Article 21 Company • Launched on on 2 May 2007 • Steering committee • Sponsors across the industry • Membership: ≈ 80 • http://www.ispor.org/local_chapters/Southafrica/index.asp TheBHFSouthern African Conference22-25 July’07 Sun City
FOUR CHOICES HIV vaccine Anti-depressant with 90% long term cure Anti-smoking drug with 90% success rate CHOICE Breast cancer mortality reduction of 50% TheBHFSouthern African Conference22-25 July’07 Sun City
LEARNING POINTS • Rationing is a reality • Different perspectives • No common language • Regulatory intervention TheBHFSouthern African Conference22-25 July’07 Sun City
ROLE OF ISPOR SA • Act as a forum • Stimulate debate • Find common ground • Mutual understanding • Repository of knowledge • Training and education • South African answers • Links with Global stakeholders • Skills development and transfer TheBHFSouthern African Conference22-25 July’07 Sun City
FUTURE • AGM 2 August 2007, 15h00, Midrand • New Board • Mandate from members • Future activities • Contact info@isporsa.co.za • Fax 086 661 3449 TheBHFSouthern African Conference22-25 July’07 Sun City
THANK YOU TheBHFSouthern African Conference22-25 July’07 Sun City