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Rationalizing the New Healthcare Paradigm

Rationalizing the New Healthcare Paradigm. Scientific Agenda vs. Patient Imperatives. Research Performance Measurement. Are we winning the war against Pca: How do we know How do we measure Black Population: Disproportionate negative impact Greatest short term need

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Rationalizing the New Healthcare Paradigm

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  1. Rationalizing the New Healthcare Paradigm Scientific Agenda vs. Patient Imperatives

  2. Research Performance Measurement • Are we winning the war against Pca: • How do we know • How do we measure • Black Population: • Disproportionate negative impact • Greatest short term need • What is the “low hanging fruit”: • Education • Access • Early Detection • Comparative funding: • Parity among cancers

  3. Question #1 • Will access to care solve the issue of racial health disparity

  4. Pathways to Cancer • Awareness • Access • Environment • Lifestyle • Culture • Genetics • Every cancer is different

  5. Early Disease Detection • U.S. vs European conflict on screening • No U.S. consensus • Lack of “Risk” determination • Government agency imbalances • Focus: • Promote Wellness • Treat Illness

  6. Primary Care Impact • Decline in doctors entering into Primary Care Medicine • Resistance to greater use of nurse practitioners • Continuing shortage of nurses • Closing of ER’s • Resistance to “Convenient Care” clinics

  7. Complicating the Issue • Women vs. Men • Comparable incidence and mortality • Research funds - 3X for breast cancer • Public health staffing - inconsistent • Government commitment - no agencies • Media focus - inordinately female focus • Men don’t communicate

  8. Question #2 • Does your doctor provide you with information on your risk of your cancer progressing • Yes • No • I don’t ask because I fear the answer • I don’t think my doctor can give me the answer

  9. The First Clinical Trial

  10. Question#3 • Blacks don’t participate in clinical trials because: • Their insurance won’t pay for it • They don’t have insurance • Their doctors won’t be able to provide care • They don’t want to be “guinea pigs” • Clinical trials don’t work • There is not enough information on trials

  11. Why Participate • Health Disparities • Different drug reactions • First Benefit from a New Therapy • Opportunity for treatment years before • Best Standard of Care • Regular health testing • Current approved standard plus new protocol • Protecting the Future

  12. Question #4 • What would cause you to support more funding for prostate cancer research: • Information from my doctor • Information from TV, newspapers • Results of current research studies • Patient advocacy group information • Change in government policies • Patient success stories

  13. Research Accountability • ImpactIMMEDIATE: • What are our Tax Dollars Buying • Communicate: • What does research mean to the patient • Eliminate redundancy: • Support creativity outside of established centers • Building infrastructure and intellectual Capital

  14. Expectations • Survivorship: • What is being done to extend my life NOW • Focus: • On the patient, not the system • Results: • Need balance between the future and present • Think Globally: • Utilize data and results from the rest of the world

  15. Thank You! WWW.THEPROSTATENET.ORG www.youtube.com/user/vhsimons/ www.facebook.com/vhsimons http://twitter.com/vhsimons www.linkedin.com/in/virgilsimons/ 1.888.477.6763

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