TREATMENT RESISTANT DEPRESSION

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(No Transcript)
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ALPBACH REFORM SYMPOSIUM THE QUEST FOR CERTAINTY
AND SECURITY 22ND AUGUST, 2006 WORKING GROUP 2
NO SECURITY WITHOUT RESEARCH THE PATIENTS
RIGHT TO MEDICAL ADVANCES. PRESENTATION BY RODNEY
ELGIE GAMIAN-EUROPE
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• THERE ARE THREE TYPES OF PATIENT
• THE CASUAL PATIENT
• THE ACUTE PATIENT
• THE CHRONIC PATIENT
• ALL HAVE DIFFERING NEEDS
• MOST CHALLENGING TO GOVERNMENTS IS THE CHRONIC
  PATIENT
• REPRESENTING BETWEEN 22 AND 35 OF ALL EU MEMBER
  STATE POPULATIONS

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THE INFORMATION NEEDS OF PATIENTS GENERAL
INFORMATIONAL NEEDS CAUSE OF THE ILLNESS WHY
ME, WHY NOW HEREDITARY FACTORS RISKS TO FAMILY
MEMBERS
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NEEDS FROM THE PHYSICIAN WHAT IS THE PROBLEM
THE DIAGNOSIS HOW WILL THE ILLNESS AFFECT
ME WHAT ARE THE TREATMENT OPTIONS WHAT ARE THE
RISKS OF TREATMENT OR NON-TREATMENT
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DO I NEED MEDICATION WHAT CHOICES OF MEDICATION
ARE THERE ISSUES OF QUALITY, SAFETY AND
EFFICACY EFFICACY AND EFFECTIVENESS, NOT THE
SAME THING WHAT ARE THE SIDE EFFECTS OR OTHER
EFFECTS CONTRAINDICATIONS WHAT ALTERNATIVE
TREATMENTS ARE SUITABLE FOR ME WHY HAS THIS
MEDICATION BEEN CHOSEN
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WHY DO WE NEED AN INFORMED AND EDUCATED
PATIENT LIMITED VALUE OF INFORMATION AND
PILs THE UK EXPERIENCE WITH SMOKING, STIs AND
OBESITY INFORMATION MAY CHANGE
PERCEPTIONS EDUCATION NEEDED TO CHANGE
BEHAVIOUR EDUCATION WILL LEAD TO EMPOWERMENT
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HEALTH OF GREATESET IMPORTANCE TO ALL
CITIZENS FACE TWO MAJOR CHALLENGES
TODAY DECLINING BIRTH RATE DEPLETED FUTURE
WORKFORCE EXPANDING AGEING POPULATION GREATER
DEMANDS ON FINITE RESOURCES HOW CAN THIS CIRCLE
BE SQUARED THROUGH BETTER MEDICINES AND MEDICAL
CARE NO EU MEMBER STATE OPERATES A HEALTH CARE
SYSTEM THEY ALL MERELY RESPOND TO ILL HEALTH
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MOVEMENT FROM DIAGNOSE AND TREAT TO PREDICT AND
PREVENT EFFECTIVE PREVENTION WILL REQUIRE
EDUCATED CITIZENS EDUCATED PATIENTS ACCESS
HEALTH SERVICES MORE EFFECTIVELY AND MORE
EFFICIENTLY MORE PATIENTS WANT TO BE PART OF THE
DECISION-MAKING PROCESS LEADS TO IMPROVED
COMPLIANCE AND REDUCED WASTE GENUINE
PHYSICIAN/PATIENT PARTNERSHIP
CONCORDANCE PATIENT TAKES A DEGREE OF
RESPONSIBILITY FOR ILLNESS MANAGEMENT
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EVIDENCE SHOWS PATIENTS ARE PREPARED TO PAY FOR
INNOVATION PATIENT PROBLEMS ASSOCIATED WITH
NICE QUESTION OF COST EFFECTIVENESS SHOULD AGE
AND LIFESTYLE BE A BARRIER TO TREATMENT INNOVATIV
E MEDICINES ENHANCE QUALITY OF LIFE EU STRESSES
THE QUALITY AND SAFETY OF MEDICINES
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MEDICINES ARE A GOOD INVESTMENT THE NHS
EXPERIENCE IN THE UK WITH HOSPITAL BEDS IN
PSYCHIATRY AND NEUROLOGY PHARMACOLOGICAL COSTS
RARELY EXCEED 10 OF THE ECONOMIC BURDEN OF THE
ILLNESS MODERN MEDICINES DELAY IN-PATIENT CARE
COST EFFECTIVENESS FACILITATE SELF-MANAGEMENT
NEEDED WITH REDUCED CARERS PATIENTS NEED TO KNOW
WHAT IS IN THE PIPELINE
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CONCLUSIONS HEALTH SHOULD BE VIEWED AS AN
INVESTMENT NOT A COST HOW CAN ONE EQUATE COST
AGAINST LIFE WHO PLAYS GOD PATIENTS NEED TO
MOVE FROM IGNORANCE TO INFORMATION FROM
INFORMATION TO EDUCATION FROM EDUCATION TO
EMPOWERMENT FROM EMPOWERMENT TO GENUINE
INVOLVEMENT IN THEIR HEALTHCARE PATIENT CENTRED
CARE WILL THEN BE A MEANINGFUL REALITY MAY WELL
LEAD TO A REDUCTION IN HEALTHCARE COSTS