International Primary Care Respiratory Group working locally, collaborating globally

International primary care respiratory organisation International primary care organisation with a respiratory research mission Primary care respiratory journal with an IMPACT factor (2.19 for 2012) The only

Associate Corporate Members : Boehringer Ingelheim Mundipharma Novartis Pfizer Teva Vitalograph + associate member organisations: European Federation of Allergy & Airways Diseases Patients’ Associations Education for Health European Forum for Primary Care International COPD Coalition World Allergy Organization 22 country member organisations 28 associate country members 6 associate corporate members Organisation of organisations reaching 118,000+ global GPs Alliances: EAACI European COPD Coalition GAAPP WONCA EPOS EAACI primary care group ERS primary care group

The Board 2013 Low and middle income countries, Tan Tze Lee, Singapore joins June 2013 Immediate Past President, WONCA Europe Doctor of the Year 2012 Miguel Roman, Spain President Elect, Ron Tomlins, Australia Conference Advisor and Past President Anders Ostrem, Norway President and WHO-GARD Planning Executive (primary care) Niels Chavannes, Netherlands Treasurer, CEO National Asthma Council Australia, Kristine Whorlow, Australia Co-optee and Chair 2014 Organising Committee Ioanna Tsiligianni, Crete Co-optee and PCRJ Education Rep, Jaime Correia de Sousa, Portugal Co-optee, Karin Lisspers, Sweden, joins June 2013

WHO-GARD Primary care reps on Planning Executive Demonstration projects in Vietnam, Bangladesh and Uganda All national action plans should involve primary care

Raising respiratory standards WONCA Europe 2010, 2011, 2012 and 2013 Workshop programmes Miguel Roman: Doctor of the Year Primary care chapter of ERS White Book 2013

© IPCRG 2007 Delivering value for respiratory research by working locally, collaborating globally 2013

IPCRG’s charitable mission is “to improve public health by carrying out, funding and organising research into the care, treatment and prevention of respiratory illnesses, diseases and problems in a community setting, and to make available the results of such research for the benefit of the public and healthcare professionals.” Research is the reason the IPCRG exists

There is a need for research: Undertaken within primary care Recruiting populations representative of primary care patients Evaluating interventions realistically delivered within primary care Drawing conclusions meaningful to professionals working within primary care

What’s the problem we need to sort? Global Action Plan against NCDs 25% reduction in mortality from NCDs by % reduction in tobacco use Learning shared between low, middle and high income countries

Increasing capability + capacity E-Faculty oVietnam oRomania oChile FRESH AIR oVietnam oUganda o? Eritrea, Kyrgyzstan Tanzania Fresh Air project Identifying COPD Smoking Biomass fuels E-Faculty Equip one primary care research- aspiring country with the skills to conduct high quality original research.....[in the field of] chronic respiratory disease and appropriate respiratory management

Educational products

974 participants plus 180 webcast audience: Chile (2 venues), Argentina, India and Spain 45 countries 22 aided by IPCRG bursary 15 from Bangladesh 63 from Russia 112 AHPs 20 doctors in training 18 hours CME accreditation

Research meetings + conferences 150 primary care delegates: innovators and early adopters Meet Thursday night: FRESH AIR Uganda Friday: themed abstracts Saturday: research design day (3 projects selected from 10 bids)

Research meetings + conferences A Breath of Fresh Air: Multiple Morbidities and Integration

What changes clinical behaviour: E-Quality Adelaide, Australia – transposition of Spirometry 360 – distance learning programme with over-reading and mentoring service initiated by University of Washington Bids for small scale educational interventions to improve respiratory diagnosis treatment and care

What changes clinical behaviour: E-Quality Dr Beraki Ghezai + colleagues Norway/ Eritrea Prior to 2003 establishment School of Medicine, physician index 5 per 100,000 First graduating class in 2009 had 44 physicians Develop capacity for diagnosing chronic respiratory disease across Eritrea: oEducational programme for 6x regional hospital leads oPilot an educational programme for healthcare workers in one region Introduce use of diagnostic tools

Associate member. Person or group of people. oNot formal group (Membership rules and list, bank account) oRepresent primary care in the country? Will allow you to particpate in IPCRG, but not full voting rights.

Lunger i praksis. Norwegian network of GPs with special interest in pulmonary medicine. Formed in 2000 – founding member of IPCRG. 450 members (10% of all GPs)

Aims of Lunger i praksis. Improve care for people with pulmonary disease in primary care. Increase the knowledge of GPs and health personnel working in primary care. Inspire to research on pulmonary diseases outside the hospital setting. Create a meeting-place for GPs with an interest in pulmonary medicine. Organise courses and conferences for primary care. Increase primary care influence in national guidelines

Our activities: Courses: oCME courses for GPs and health care personnel since Research: oSeveral researchers affiliated to the University of Oslo. Projects: oGuidelines for COPD; asthma and smoking cessation oInternational activates; e-Quality, IPCRG conferences.

Eritrea; e-quality....and more? Lunger i praksis is committed to work over time to develop projects in Eritrea in collaboration with the Orotta school of Medicine and Dentistry. oEducational projects oResearch projects – “Fresh Air Eritrea” oSupport development of research capacity o...and more!

To conclude, IPCRG is Independent Work in low, middle and high income countries (aligned to NCD Alliance, Union) Aligned to primary care (WONCA Europe and global) Aligned to respiratory care (ERS, GARD, EAACI, ARIA, WAO) Supported by patients (ELF, EFA, GAAPP, COPD Coalition) Communities of practice: research, education, care delivery Because primary care, can tackle multiple morbidities