STEP BY STEP, BUILDING STRONGER HEALTHCARE SYSTEMS
The result: a series of pilot programmes that demonstrate the power of concrete solutions to improve the sustainability of healthcare systems. Each programme falls under at least one of the three pillars of sustainable healthcare: prevention and early intervention, patient empowerment and reorganisation of care delivery. The most successful pilots are scaled up and every project proves that even small changes have the potential to make a big impact. The power of pilot programmes is that they serve as examples; models that can be adapted to different countries, languages and health systems.
- Austria – Psoriasis Patient Coaches
- Belgium – Activ84worK
- Canada – Alberta gets Fit for Work
- Denmark – A Solution Catalogue with nine solutions
- Finland – Advancing Healthcare Sustainability
- France – Carmelia
- Germany – The “Simply Irreplaceable!” Initiative
- Greece – Instituting National Health Insurance
- Greece – Re-organising Emergency Hospital Care
- Ireland – A Journey of Innovation & Partnership
- Israel – Reboot – AbbVie Innovation Forum
- Italy – A Micro-Simulation Model
- Netherlands – Towards more Effective Treatments
- Norway – “We Care!” A Work/Life Balance Initiative
- Poland – “Healthy – Active – Constructive”
- Portugal – IS2 Portugal Sustainable Health Initiative
- Romania – The “Hands with Life” Initiative
- Slovakia – A study to facilitate patient education
- Spain – Fit for Life: Living longer, Living Better
- Sweden – A Solutions Catalogue
- Sweden: IBD Home – Patient disease self-monitoring
- Switzerland – Development for Hospitals: A Manual
- Turkey – Gaziantep University Early Arthritis Clinic
- UK – The Hepatitis C Partnership
- UK – The Shared Decision-Making Tool
- UK – Early Intervention Clinic for MSDs
Turkey – Gaziantep University Early Arthritis Clinic
In an effort to support timely diagnosis and appropriate treatment for RA and AS, the Department of Rheumatology, Faculty of Medicine at Gaziantep University, in coordination with local GPs, established the Early Arthritis Clinic (EAC), the first of its kind in Turkey.
Rheumatoid Arthritis (RA) and Ankylosing Spondylitis (AS) cost Turkey 4.3 billion Euros in disease burden every year. The lack of specialists increases the importance of the role of general practitioners (GPs) in the primary care phase of these disease, their diagnosis, their treatment and their management.
The project now aims to expand the model throughout Turkey with the endorsement of the Public Health Institution. A new pilot model is being developed with the Department of Rheumatology, Faculty of Medicine of Uludag University.
The project has included 467 local GPs since its inception in March 2011, aiming to reduce diagnosis times and increase correct diagnosis rates. Early arthritis clinic models have been shown to improve diagnosis rates in the very early stages of these diseases, which translates into better management of MSDs and therefore increased healthcare system sustainability.
From March 2011 to August 2012, 447 patients were referred to the EAC, with participating GPs achieving a 34% accuracy rate of RA and AS diagnosis.
The model is replicable and scalable, with similar initiatives successfully being rolled out in other countries, such as LEAP in the UK and the MSD Early Intervention Clinic model in Spain. And it can continue to evolve, providing increased insights — the Uludag University Rheumatology Department will include a short survey about work absenteeism in its model to better understand the impact of MSDs on workability.
Spotlight on Prevention: When, Who and How?
Unhealthy lifestyles and lack of physical activity are key factors in the development of chronic diseases. Early prevention and diagnosis, better education, and above all collaboration among governments, patient organizations, and industry are crucial to prevent chronic diseases from arising.