GHF2012 – PL02 – Redesigning Healthcare Services for Chronic Diseases: Beyond Silos

Session Outline

Plenary session PL02, Thursday, April 19 2012, 09:00-10:30, Room 2
Chair: Marcel Tanner, Swiss Tropical and Public Health Institute, Basel, Switzerland
Tackling NCDs: A Different Approach is Needed
Jan De Maeseneer, Department of Family Medicine and Primary Health Care, Gent University, Gent, Belgium
Efficacy of Therapeutic Patient Education
Alain Golay, Division of Therapeutic Education for Chronic Diseases, Geneva University Hospitals, Geneva, Switzerland
Integrating Cervical and Breast Cancer Screening in HIV/AIDS Services: MSH Experience
Jennifer Francesca Acio, STAR-E Project, Management Sciences for Health, Kampala, Uganda
Chronic Diseases: from Policy to Action
Rafael Bengoa, Regional Minister for Health, Basque Government, Spain

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One Response to GHF2012 – PL02 – Redesigning Healthcare Services for Chronic Diseases: Beyond Silos

  1. David Beran 19/04/2012 at 08:32 #

    So how do we redesign health systems, the recipe proposed by the speakers this morning includes:
    – focus on communities
    – reorganise delivery
    – focus on the individual not the disease, people centered care
    – empower patients
    – use innovative approaches, think outside the box
    – look at the underlying causes
    – strengthen primary heslth care
    – the role of research and pilots
    – provision of health care goes beyond the health system, cultural and societal issues need to be addressed
    – use of existing resources

    To link this session with the inspiring intervention by Dr. Venkatapuram yesterday evening interesting to hear people involved with health systems speak about issues of equity. In looking at the issue of chronic disease inz addressing equity we need to move beyond focusing on diseases, elements of the health system and focus on the individual. We are not addressing the issue of chronic diseases for preventing diabetes, giving hypertension medicines, performing surgery, but to improve the health and well-being of indviduals. Professor Golay described this humanistic medicine.

    Andy Williamson closes the session saying he feels encouraged and that fragmentation and sustainability are key factors that need to be addressed. People are not just chronic or acute patients, they go between these silos. Sustainability needs to be addressed as with chronic conditions the relationship between the individual and the health system is long-term and an investement for both sides.

    Final question: How can the health system in its redesign take into account the individual with a chronic disease’s perspective?

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