louise houson, md human health, msd ireland
TRANSCRIPT
The Patient and Future Health in Ireland
Louise HousonMD – Human HealthMSD Ireland
May 2016
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MSD in Ireland
We have a powerful purpose…..
“We try never to forget that medicine is for the people. It is not for the profits. The profits follow, and if we have remembered that, they have never failed to appear.
… We cannot rest until the way has been found to bring our finest achievements to everyone.”
George W. Merck, 1950
Our aim is to save, change and improve the lives of the patients we serve.
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Research Programme
Exploration of public’s wishes and opinions regarding the future of healthcare in Ireland to provide initial direction.
Focus Groups with the public
Think Tank and Interviews with key opinion leaders
Survey with General Public
Measurement of the general public’s views on the healthcare system and the values they seek from this system.
Facilitated discussion with key opinion leaders and healthcare stakeholders in to review focus groups and shape the quantitative survey.
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Survival vs. Quality
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EmpowermentAccess
Communication
Quality
Respect
Technology
Key to the empowered patient
What Irish Healthcare Means To Me
Spontaneous associations dominated by (i) negativity and (ii) secondary care
How Are These Opinions Founded?
Spontaneous associations are negative
Most initial responses are dominated by negative sentiment and criticism
But positive viewpoints can emerge
When probed, some positive perceptions are in evidence
There is inconsistency of experience
Experiences can vary considerably within settings, groups, even individuals
Perceptions Are Shaped By Three Core Sources
Personal Experience
Negative experiences are more ‘memorable’ by their natureBut positive stories also in evidenceQuality of staff interactions (or lack thereof) are critical to the user experience
Word of Mouth
Most have friends or relatives that have shared poor experiencesPoor experiences for those who we value the most (relatives, loved ones) strike an emotional chord
The Media
“Positive doesn’t sell newspapers!”Crisis reporting about Irish healthcare is arguably the normPositive stories accepted to be under-reported
The Public Struggle To See Where Its Voice Is Being Heard
The Media
• Public can have voice through traditional and social media
• Power of health programmes on TV (e.g. Op Trans)
The Ballot Box
• Some see progress in health as intrinsically linked to politics
• New Minister for Health
The Young Future
• Ireland is aging• But hope that younger
people may be more health conscious and ‘clued in’
All agree that the public should have a stronger
voice in shaping its own health system
However, problems are large and perceived as
insurmountable by some
Some struggle to see how the public can have a
practical input – merely pawns in the system
Little mention of patient advocacy groups
How?
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The Final Report
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Technology
Pharmacists
Primary Care
GP services
MedicinesThe Pharmaceutical Industry
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What is the role of the pharmaceutical industry?
