daiga behmane_fit for work europe summit 2013.pdf
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7/27/2019 Daiga Behmane_Fit for Work Europe Summit 2013.pdf
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Investing in Healthcare: breaking down
the silos
Brussels, 16 October 2013
With the endorsement of the Lithuanian Presidency of the Council of the EU
In partnership with the European Economic and Social Committee
Co-chaired by Antonyia Parvanova MEP & Gianni Pittella, Vice-President, EP
Follow us on Twitter @FfWEurope
Check our website www.fitforworkeurope.eu
Take a look at our blog www.blog.fitforworkeurope.eu
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Investing in Healthcare: breaking down the silos
Daiga BehmaneFfW National Project Leader for Latvia
The Latvian Government approach to RMDs
and the Latvian National Development plan
2014-2020 to address RMDs
Return on Early Intervention
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Outline of the presentation
The situation in Latvia on RMDs
The Latvian National Development plan 2014-2020 to address
RMDs
Involvement and responsibilities of institutions to Application of HTA considering work ability as a clinical
outcome
Future challenges and future solutions
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Latvia, country profile
Source: Global Health Observatory, data for year 2011
Total population 2,060,000
Gross national income per capita (PPP $) 17,700
Life expectancy at birth m/f (years) 69/78
Healthy life years m/f (years) 53,5 / 56,5
Total expenditure on health per capita (Intl $) 1,179
Total expenditure on health as % of GDP 6.2 %
General government expenditure as % of THE 58 %
http://apps.who.int/ghodata/http://apps.who.int/ghodata/http://apps.who.int/ghodata/http://apps.who.int/ghodata/http://apps.who.int/ghodata/http://apps.who.int/ghodata/ -
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Healthy life years at birth, males, 2008-2011 (years)EU-27: 61.8 years for men / 62.2 years for women
Latvia: 53.5 years for men / 56.5 years for women
The retirement age will be raised till 65 in 2015 !!!
Data source: http://epp.eurostat.ec.europa.eu/statistics_explained/index.php?title=File:Healthy_life_years_at_bir
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MSDs: affect 100 million people in Europe and is the
leading cause of disability among working-age population
Incidence of primary disability due to MSDs, Latvia, 2003.-2010.
763935
1058 11261362 1426
2102
2600
0
500
1000
1500
2000
2500
3000
2003 2004 2005 2006 2007 2008 2009 2010
Data source: The State Medical Commission for the Assessment of Health Condition and Working Ability of Latvia
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FFW LV launch event on March 28, 2012, Fit for Work LatviaCoalition: politicians, doctors, patients, employers,HC managers, signed Good Will Memorandum
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Fit for Work LV projectstructure
Main target: Change the
National policy prioritization
of MSDs and workability
concept
Main target: Set New Standards
of Care (diagnostics, care,
rehabilitation) and decrease
disability related to MSDs
Main Target: Set New standards
of Care and decrease sick
leaves days and disability
related to MSDs
2012March
2013December
3rd Task Force Group
Create no inflammatory MSDs
prevention and reduction
program
2nd Task Force Group
Create National Arthritis
program
1st Task Force group
Prioritization of MSDs
Need for cross-budgeting
approach
F4W LV National Coalition
Patron Karlis Sadurskis, EU PMLeadby Daiga Behmane
National MSDs Plan
Supervised by the
National Coalition
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The National Development Plan of Latvia, 2014 - 2020
Guiding principle : economic breakthrough
Incorporates FfW Coalition suggestion: Healthy and Fit for Work
activity: early detection and treatment of MSDs
Forecasts for GDP per capita growth
In comparison with EU-27 , Lithuania andEstonia (%)
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Prioritization ofMSDs in the NDP, 2014-2020
Activities for health sector include:
Introduction ofconcepts of "workability and
healthy life years
Activities on early diagnostics, care and
rehabilitation of non-communicable
diseases, incl. MSDs
Support for National MSDs programme: Indicators for MSDs and treatment effect monitoring
New standards of care,
Guidelines for primary care doctors and generalpractitioners,
Patient flow chart for MSDs patients (primary ,secondary care , rehabilitation)
Diagnostics, care and rehabilitation program andservice package
Arthritis patient registry
Re-integration in work program for people withMSD's
Cost of MSDs Economic model
Healthy life years, LV
2010, 2020, 2030
Data source:
www.pkc.gov.lv
48.0
50.0
52.0
54.0
56.0
58.0
60.0
62.0
64.0
53.5
57.0
60.0
56.5
60.0
63.0
Men
Woman
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Fit for WorkLV Coalition proposals
to HC decision makers:
Work ability concept in HTA
Productivity costs should be included in HTA
Despite the overall acceptance of the concept, there is restricted evidence
of the methodological and practical application of the approach
Other complementary elements: scientific approach to disesemanagement , application of health economic methods for HC planning ,
development of data information systems e.t.c
Further research on factors facilitating the use of workability in health care
decision-making should be developed
Data source:
Fit for Work Latvia project expert group conclusions, 2012
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FfW Coalition: Development of Workability concept
from theory to practice
from Government to NGOs involvement and responsibilities
Political strategy
the National Development Plan,National MSDs Plan
Investment policy
1.Political commitment
Parliament
Government
Ministries of Health, Welfare, Finance
Guidelines for economic evaluation
Chronic disease management approach
Societal perspective (productivity costs)in HTA
Avoidance ofsilo-budgeting approach
2.Methodology
Government
Ministryes of Health, Welfare, Finance
National Health Service, Riga Stradins University
Latvian Association of Health Economics
Responsible institution
Technical skills to do HTA
Data availability
3.Implementation
National Health Service
Disease Prevention and Control Centre - WGroup
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Contact details:
Fit for Work Latvia project contact address:
info@fitforwork-latvia.lv
Daiga Behmane, MSc
Riga Stradins University
Vice-Dean for Masters Degree ProgramsDaiga.Behmane@rsu.lv
mailto:info@fitforwork-latvia.lvmailto:info@fitforwork-latvia.lvmailto:info@fitforwork-latvia.lvmailto:info@fitforwork-latvia.lv -
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Thank you for attending the Fit for Work
Summit 2013.
Follow us on Twitter @FfWEurope
Check our website www.fitforworkeurope.eu
Take a look at our blog www.blog.fitforworkeurope.eu
http://www.fitforworkeurope.eu/http://www.blog.fitforworkeurope.eu/http://www.blog.fitforworkeurope.eu/http://www.fitforworkeurope.eu/
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