mr.rajendra p. gupta

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Putting Patients First Conference

Mumbai , India 20th October 2010

Rajendra Pratap Gupta Member ,

Board of Directors The Care Continuum Alliance ,Washington DC, USA

President & Member of the Board Disease Management Association of India (DMAI)

© Rajendra Pratap Gupta . Email: [email protected]

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“Role of Patients in the Healthcare System”


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“ Recently, there was a standoff between providers and insurance companies. Patients , who are the

actual user of the service & ultimately fund > 80 % of the healthcare in India, were no where in the

discussion ! It is a call to action for patient communities in India to get organized and assert

their voice with all the stake holder in the continuum of care”


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“ Currently, the healthcare system revolves around doctors , hospitals , surgery and pills, and the focus point is balance sheet or the number of patients . Until this shifts to the ‘patient’ and

‘outcome driven treatment’, the pain to patients and the cost to payers is never going to reduce ”

Rajendra Pratap Gupta


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“ The reason why industry is heard and the patients are lost in the entire continuum of care is because the industry is organized and patients are not . It’s time for patients to

get organized , share experiences , knowledge and together assert their voice to make a difference to the

healthcare system. We need a Patient Care Collaborative immediately.”

Rajendra Pratap Gupta


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Where do we start ?

• Community level & go upwards

• Condition specific

• Age specific

• Gender specific

Where ever there is a need for a long duration treatment


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Patients with Co-morbidities – Patient Peer Groups

Patients with co-morbidities can benefit immensely by experience sharing

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Role in Policy & Advocacy

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“ The single biggest challenge before the global healthcare systems which needs immediate attention is the cost and outcome of not being able to manage chronic diseases ,

and the ultimate way to go is ‘Self care’ . The patient groups will play the most important role in ensuring

compliance and treatments that lead to better outcomes & reduce the dependence on clinical resources ”

- Rajendra Pratap Gupta


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Stanford’s CDSMP – Chronic Disease Self Management Program

• Found to be truly beneficial to targeted populations.

• Demonstrated it does not cause harm.

• Demonstrated it does not waste resources.

Reference: http://www.aoa.gov/evidence/evidence.asp; www.healthyagingprograms.org

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Patient Care Collaborative – Road map

► Form the Group & various chapters @ town level , communities etc.

► Start the advocacy efforts with the government . Convince the government for including patient groups in policy formulation

► Make recommendations & representations to accreditation bodies for enhancing their outreach efforts to the users of healthcare

► Start a dialogue with various medical associations for safe guarding the patients interests

► Encourage routine chapter meetings with patient peer groups for better care , treatment outcomes & reduce wastage ( or over dependence ) of clinical resources


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“ Currently , the healthcare providers are ‘Eminence based’ and not ‘Evidence based’. Patients must get to rate the

facilities and not just get carried away by the accreditation certifications that are purely used as a

marketing tools by providers . It is only then that we will lay a foundation for a stronger evidence and an outcome

driven healthcare ” - Rajendra Pratap Gupta


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What is DMAI doing ?

• Starting a SMS based service to give information on medicines ( Indications , side effects , substitutes ….. )

• Service will be expanded to the domain of disease based information

• Will expand the service in local dialects to ensure that the lay man does not depend on the mercy of untrained chemist, but has a credible source of information – Anytime , Anywhere using a mobile phone !


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Thanks

Rajendra Pratap Gupta Email: [email protected]

[email protected] Cell: (India) + 91-9 22 33 44 542(USA) + 515 450 8036 (UAE ) + 971 55 3 12 18 29


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Views presented are personal Presenter is associated with healthcare organizations across USA, Europe , U.K. Middle-

East & India . The figures and studies are indicative & for representational purpose only Utmost care has been taken to quote the data. Any inadvertent error is regretted The presentation has used many resources and acknowledges the contributors with

appreciation and thanks . Some of the trade names / marks used may belong to third parties , and have been quoted just for the sake of information for the audience with or without the consent of the respective trademark owners .

Please do not copy or reproduce in whole or part thereof, the contents of this presentation without the written permission from the presenter .

Website for downloading www.rajendra.groupsite.com


Disclosures & Acknowledgements

mr.rajendra p. gupta

Education

rajendra pratap guptamember

role of patients

number of patients

self care

patient groups

patient communities

care continuum alliance

entire continuum of