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Meeting the challenge of diabetes

Meeting the challenge of diabetes. Evan Lee, MD, MBA Executive Director Global Health Partnership (USA) September 2012. D iabetes is a growing challenge in Russia. 3,4 min Diabetic patients - diagnosed*. 3,1 mln . patients T2D. 307 000 patient T1D.

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Meeting the challenge of diabetes

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  1. Meeting the challenge of diabetes Evan Lee, MD, MBA ExecutiveDirector Global Health Partnership (USA) September 2012

  2. Diabetesis a growing challenge in Russia 3,4 min Diabetic patients - diagnosed* 3,1 mln. patients T2D 307 000 patient T1D 510 000 patient in insulin+OHA 2,2 mln. patients on OHA 26 000 Children and adolescents 281 100 Adult 780 000 patient in insulin 52% 17 % 27 % 4 % 35 236 Short 120 000 Mix insulin 214 548 BBT 410 000 Basal insulin • In Russia estimated number of undiagnosed pts with Diabetes is 6 mln • 72% pts don’t reach HbA1c target level • First medicine for Diabetes Pts is MET • Commonly prescribed OHAs are Met+CM • IDPP-4 is the most growing class of OHA *Register of Diabetes 2011, Russian Association of Diabetes Diabetes Monitor 2011, GFK

  3. Diabetes:Betteroutcomesrequire multiple interventions Dualtherapy Insulin  oral drugs Monotherapy Lifestyle Pre-diabetes High-risk population EarlyDiabetes ComplexDiabetes Environment & Community • Reinforcingprevention: • Communityawareness • Schools – awareness of disease • Workplace – supportive (foodchoices, needlesafe-boxes, exercise) Patients and family • Tools/supportfor patient and familyeducation: living withdisease, lifestyle management, motivation, understanding • Healthylifestyles: prevention Healthcare Providers • HCP capacity: • Evidence-based management of DM(stepped care, esp. insulin mgmt) • Motivation, attention, time • Cultural competency • Improve recognition and management of co-morbidities: • Depression, Etoh, TB • Special populations (e.g. mgmtduring Ramadan) • Ensuringearlydiagnosis: • Screening by HCP • Screening atcommunitylevel Healthcare System • Updatednational/regionalguidelines available and appropriate for local conditions • Coordination of care & referrals: definingrole of nurses, educators, specialists for quality • Information management: Diabetesregistry, patient records • Strengtheninglocally-ledresearchcapacity (researchgrants program) • Measuring patient outcomes • Establishingmostcost-effective pathways to manage patients

  4. Public Private Partnerships1. Opportunity to work together towards shared goals PPPs can provide an opportunity for the private sector and the public sector to work together to: • Meet challenges that are beyond the ability of either the public or private sector to tackle alone, such as: • Health - especially non-communicable diseases which require interventions to address prevention, early diagnosis, and adherence to treatment • Example of diabetes: food/nutrition, lifestyle/exercise, patient and family support • Provide a way for organizations, government ministries, non-profit institutions to collaborate and share resources and expertise, and to avoid duplication. • Extend reach beyond the “usual stakeholders”

  5. Public Private Partnerships 2. Ensuring effective collaboration • PPP is a form of collaboration where all partners involved: • share mutually agreed vision and goals • are committed and invested, in terms of resources, assets, money and/or people • have a formalized collaboration with shared decision making. • Many forms of public-private collaboration are possible: • Ad hoc associations, with each party’s activities remaining independent, focused on information-sharing • Defined contractual arrangements in which one party provides the other with services in return for payment. • Can involvejusttwo parties or multiple stakeholders PPPs build on the individual partner’s needs and draw on their respective capabilities.

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