6th patients' rights day - alexander roediger, director of european union affairs of msd
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7/31/2019 6th Patients' Rights Day - Alexander Roediger, Director of European Union Affairs of MSD
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Role of AgeingPatients A CallFor Empowerment
Brussels, 15 May 2012
Alexander Roediger
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Three Issues Dominating The Debate
1. Demographic change decreasing workforce
2. Increase ofchronic diseases, also amongst
working age population
3. Europes economic crisis putting pressure on
health systems
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Ageing Population Due To DecreasingFertility and Longer Life Expectancy
Sources: Council of Europe (7/6/2010), Council Concusions on Active Ageing
Between 2015 and
2035, the population
aged 60 and above
will be increasing by 2million people every
year
... while fertility
decreases
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... Shrinking Workforce
Sources: European Commission (DG ECFIN) and the Economic Policy Committee (AWG) (2009), The 2009 Ageing Report: economic and budgetary
projections for the EU-27 Member States (2008-2060), p. 54; World Economic Forum (WEF) (2012), The Workplace Wellness Alliance. Investing in a
sustainable workforce; in collaboration with the Boston Consulting Group, p. 5
European working
age population is
expected to beshrinking between
2020 and 2060 by
13.6%, i.e. 33million people
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Multiple Chronic Conditions Already InWorking Age
Sources: International Social Security Association (issa) (2011), http://www.issa.int/News-Events/News2/Working-well-Proactive-measures-for-health-and-
employability (accessed: 26/02/2012); Bloom, D.E., Cafiero, E.T., Jan-Llopis, E., Abrahams-Gessel, S., Bloom, L.R., Fathima, S., Feigl, A.B., Gaziano, T.,
Mowafi, M., Pandya, A., Prettner, K., Rosenberg, L., Seligman, B., Stein, A.Z., & Weinstein, C. (2011), The Global Economic Burden of Noncommunicable
Diseases. Geneva: World Economic Forum, p. 5
Chronic diseases are
responsible for 63% of
annual deaths,
including nearly 50%of premature deaths
affecting people
under the age of 70in their productive
years
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Meeting the Maastricht Criteria Will BeDifficult
Sources: Bernstein Research (08/03/2012)
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Health Literacy The Link Between BetterOutcomes And Sustainable Healthcare?
Individual level Population level
PersonalDeterminants
SituationalDeterminants
Life course
Health
behavior
Health
outcomes
Healthserviceuse
Healthcosts
Knowledge
Motivation
Competences
Access
Understand
Appraise
Apply
Health careHealth
promotionDisease
prevention
Health
information
Participa-tion
Empower-ment
EquitySustain-ability
Societalandenvironmen
taldeterminants
Source: Pelikan J et al. (2011), The European Health Literacy Project; findings presented at the European Health Literacy Conference in Brussels on 22/23
November 2011
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Lower Health Literacy Levels At HigherAge
Source: Pelikan J et al. (2011), The European Health Literacy Projcet; findings presented at the European Health Literacy Conference in Brussels on 22/23
November 2011
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More Healthcare Use At Lower HealthLiteracy Levels
Source: Pelikan J et al. (2011), The European Health Literacy Projcet; findings presented at the European Health Literacy Conference in Brussels on 22/23
November 2011
HealthLiterac
ylevel
Doctors visits
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Adherence Is A Complex Problem Improving Adherence Is An Opportunity
Sources: WHO (2003), Adherence to Long-term Therapies. Evidence for Action (Geneva);
Boston Consulting Group (BCG, 2003), The Hidden Epidemic. Finding a Cure for Unfilled
Prescriptions and Missed Doses; in:www.bcg.com; USA Today (29/3/2007), Doctors baffled
by patients not taking prescriptions (29.03.2007); see:
http://www.usatoday.com/news/health/2007-03-28-taking-medicine_N.htm
Average adherence in chronicdiseases is only 50% accordingto WHO
According to a survey of BostonConsulting Group amongst13,533 patients over 18 years in
the US almost every third patient
did not take the medicationaccordingly
every fourth delayed fillinga prescription
every fifth stopped taking aprescription medicationsooner than prescribed
http://www.bcg.com/http://www.bcg.com/http://www.usatoday.com/news/health/2007-03-28-taking-medicine_N.htmhttp://www.usatoday.com/news/health/2007-03-28-taking-medicine_N.htmhttp://www.bcg.com/ -
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Empowered Citizens Can Be A Bridge TowardsBetter Health And Sustainable Healthcare
Sources: Kickbusch I and Maag D Health Literacy. In: Kris Heggenhougen and Stella Quah, editors International Encyclopedia of Public Health, Vol 3. San
Diego: Academic Press; 2008. pp. 204-211
Better healthoutcomes
Better use of
resources
Health Literacy
Health literacy is the
capacity to make sound
health decisions in the
context of every day
life.
Multi-stakeholder
programs beyond
products to the
benefit of patients
health
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Cornerstones To Support Citizens AndPatients In Times Of Demographic Change
Citizen/ patient involvement (health literacy) andbetter coordination of healthcare providerssupport better health outcomes and contribute tosustainability
Joint effort, i.e. integrated healthcare approach,of all stakeholders needed to meet citizens andpatients needs and to improve the readabilityof the health system
Policies that set the framework and trigger actions
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