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RESEARCH AND DEVELOPMENT IN HEALTH CARE

RESEARCH AND DEVELOPMENT IN HEALTH CARE. HOPE SEMINAR PÄRNU, ESTONIA, MAY 6-7, 2007 Carine Boonen, MD

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RESEARCH AND DEVELOPMENT IN HEALTH CARE

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  1. RESEARCH ANDDEVELOPMENTIN HEALTH CARE HOPE SEMINAR PÄRNU, ESTONIA, MAY 6-7, 2007 Carine Boonen, MD Health Care Policy Expert with the Minister-President of the Flemish Government

  2. Flanders, Region in Belgium, Western Europe • Belgium 10,3 million inhabitants • 30,500 sq km • Independent since 1830 • Federal State since 1980 • Member of EU and NATO • Euro currency since 2002 • 416 000 employees in social profit sector HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  3. Belgium: Federal State since 1980 • Flanders in the North (58%) Flemings, speaking Flemish • Walonia in the South (31,5%) Walloons, speaking French (31 %) and German (0,5 %) • Brussels Capital (10%) Bilingual Flemish and French HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  4. Flanders • 6 Million inhabitants • Excellent geographic location • Extensive road system • International seaports • International airports • Few natural resources • World-class knowledge-based economy • World-wide export HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  5. Flemish social profit • 21,3 billion euro per year = 13,1 % GDP 17,1 billion: public financing = 10,5 % GDP 4,3 billion: out of pocket money and private insurances = 2,6 % GDP HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  6. Lissabon Strategy • Europe most competitive knowledge-based economy in the world in 2010 • Increasing importance of Expenditure in Health Care Development in Life Sciences: Bio-technology Pharmaceutical Industry Medical technology HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  7. Near future • Breathtaking (R)evolution: Knowledge-based economy Evolution in Medecine: 3 P’s Personalized, Predictable, Preventive HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  8. Evolution in Medecine • 3 P’s: Personalized, Predictable, Preventive Gene Therapy Early diagnosis by molecular imaging Selective medication by nano-particles HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  9. Innovativiness in health caredemands multidisciplinary collaborationand partnership betweenuniversities and their researcherscare-givers and health care providersindustrial partners HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  10. Industrial Partners • Pharmaceutical Industry • Medical Technology Providers • Bio-technology • Life Sciences Service Providers • Software Providers • Insurance Companies • Logistics HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  11. Mission Statement • Improving collaboration between partners • Exchanging know-how • International bench-marking best cases • Evidence based application of new technologies • Defining priorities for research short term goals long term perspectives HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  12. Employment Flanders Social Profit • 295 455 FTE direct employment - health care sector - field of welfare - social and cultural work = 15 % of total employment in Flanders • 123 600 FTE roundabout employment - supply companies = 6 % of total employment in Flanders HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  13. Employment due to new technologies • Creating new jobs in suply companies in industry • Improving quality of life by improving quality of health care HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  14. Alarming demographic evolution going onnext 15 years • People over 85: + 79 % • Elderly people needing care: + 30 % • Seniors with dementia illness: + 50 % HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  15. New profile of elderly people • Old no longer synonym for sick, weak and silent in the sofa • Positive image of the active, emancipated, participating, well-off senior • Standing up for their own rights • Growing mobility • Increasing spending power • Growing political awareness HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  16. New profile seniordemands new types of care • Aspire to keep their autonomy • Prefer to stay home as long as possible • Used to modern technology in daily life • Appeal to external provision of services - domestic help housekeeping - nursing at home - delivered meals HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  17. Changing society results in decreasing possibilities for delivering family care • Less children per family • Living far away from parents • Outdoors working women no longer available for elderly care at home during the day • Increasing number of divorces with newly composed families no longer able to take care for former parents or parents in law HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  18. Gap between the necessary care at home and the care the families really could offershould be bridged: - by professional care-takers - by integrating home care and residential care - by using new technologies supporting autonomy in daily life HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  19. Integrating facilities supporting home care • Geriatric day-care centres offer necessary care during the day while the family is working outdoors • Geriatric night-care centres host people who cannot stay home alone during the night • Short-stay centres offer family temporarily relief in case of illness, accident, holiday or crisis HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  20. Integrating hospital care • Clinical pathways for geriatric patients - In collaboration between hospitals and nursing homes for elderly people or home care - Connect high tech geriatric hospital expertise and warm elderly care at home or in the nursing home • Geriatric rehabilitation short-stay or day-treatment centres - Can host elderly who need to recover after e.g. day- surgery or day-treatment - Offer adapted individual training schedules in order to restore autonomy and prepare return home in good conditions HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  21. Long stay residential unit for somatic problems • May be the only solution for multiple disabled elderly • Who need a permanent and complex care approach • Focus on somatic care • Creation of a warm and friendly home replacing environment HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  22. Long stay unit for sheltered living • Can be the only solution for elderly with dementia illness • Living in small groups in accordance with different stages of illness • Focus on psychiatric care • Creation of a warm and friendly home replacing environment HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  23. Palliative care unit • When the end is near • Antidote against therapeutic obstinacy • Alternative for euthanasia • Focus on dignity • Collaboration with palliative care at home HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  24. What does it take ? HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  25. Governmental policy • Solidarity based elderly care funded by public financing • Out-of-pocket part of the bill should stay affordable for the elderly • Social debate on the ageing society should result in social choices concerning public funding corresponding to preferences of society HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  26. World Health Organization supports: • Development of international ethical codes in medicine • Refining ethical standards for research and clinical studies • Anticipating on bio-ethical implications of new medical discoveries in a globalizing world • Dealing with possibilities of gene therapy according to international rules of conduct HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  27. Big challenge in a globalizing world !How to deal with: • Ethical constraints of innovative medicine ? • Does availability of therapy always mean it should be implemented ? • Lack of accessibility to health care for poor people in developing countries ? • The longing for the creation of a tailor-made man ? HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  28. More detailed information on: • www.belgium.be • www.flanders.be • www.wallonie.be • www.brussel.be HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

  29. Carine Boonen • Health Care Policy Expert • Cabinet of the Minister-President • Martelaarsplein 19 • 1000 Brussels • BELGIUM • carine.boonen@vlaanderen.be HOPE SEMINAR PÄRNU ESTONIA 6-7 MAY 2007

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