6th patients' rights day - alexander roediger, director of european union affairs of msd

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

6th patients' rights day - alexander roediger, director of european union affairs of msd

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