Jelka Zaletel MD, PhD, diabetologist

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Presentation transcript:

Jelka Zaletel MD, PhD, diabetologist Slovenia Jelka Zaletel MD, PhD, diabetologist

Prevention in healtcare system The Bismarck model, single payer Prevention run by Family doctors and Prevention centers, primary care Preventive programmes: Cardiovascular diseases Cervical cancer Breast cancer Colorectal cancer

Jelka Zaletel MD, PhD, diabetologist SO WHY AM I HERE Slovenia Jelka Zaletel MD, PhD, diabetologist SO WHY AM I HERE

Diabetes Prevention and Care Development Programme 2010 - 2020, Slovenia

EMPOWERED PATIENT/PERSON COORDINATED HEALTHCARE SYSTEM ACTIVATED SOCIETY

New concepts

New providers’ qualifications New roles of old professions: SHIFT and EXPAND Evolution of the professions and role of the patient

“Triple aim”, D. Berwick + one more Providers’ satisfaction

Social movement appproach

New structure

Restructuring primary care 105 Model Practices, 2011 Team: 1 medical doctor 1 nurse (secondary school) 0,5 registred nurse 0,5 administrative staff

Restructuring primary care 40 Teaching Practices, 2011-2012 Team: 1 medical doctor in training, 30% capitation 1 nurse (secondary school) 0,5 registred nurse 0,5 administrative staff

New views

Traditional education methods are not enough

New challenges

National chronic disease strategy Determinants of health Risk factors Prevention Early dgn Highest possible quality of care, incl. rehabil. Integrative strategies

Upgrade the healthcare system to serve prevention and chronic care

Jelka Zaletel MD, PhD, diabetologist SO WHY AM I HERE Slovenia Jelka Zaletel MD, PhD, diabetologist SO WHY AM I HERE

1995 First attempt of the N’tl Diabetes Programme (inspired by St 1995 First attempt of the N’tl Diabetes Programme (inspired by St. Vincent Declaration)

2005 Second attempt, boosted in 2007 (WG) CRASH and starting new way in May 2009 - new (J. Z.) and old (M. P.) proactive WG members ONE CAN NOT CHANGE THE WORLD... - introducing interactive and communicative atmosphere - linking stakeholders (people & institutions & interests) RESPECT

Draft, where colleagues could find their phrases You are important MM: one writer Draft, where colleagues could find their phrases Central question: what could I do for my patient We go first for strategy Right or wrong Marketing inside institutions Joint events to discuss NP Commitment of institutions The payer joined WG Joint event of institutions, public debate Advisory board to Minister of Health approval for NP and AP Governance approval – April 2010 Action Plan ahead of plan

Diabetes Prevention and Care Development Programme 2010 - 2020, Slovenia

EMPOWERED PATIENT/PERSON COORDINATED HEALTHCARE SYSTEM ACTIVATED SOCIETY

Healthcare upgrade (reform) Many focuses Coordination – building the network leadership Restructuring the primary care Re-positioning of secondary care Still silosing of primary care Fast change – still same structure/organisation Fatigue Priority settings Short term vs long term goals

DIABETES

National chronic disease strategy

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