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Tuesday, 4 December, 2007
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Cor Spreeuwenberg
Dean, Faculty of Health Sciences
Professor, Department of Integrated Care, University of Maastricht
The Netherlands

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8:30
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- Patient centred care and the chronically ill
- Why patients need to address their own needs regarding health
care and treatments
- Patient centred care needs a shift from doctor driven care to
partnerships of professionals and patients
- Self management: not just a need, but also a must for the
sustainability of the future of healthcare
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9:00
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9:30
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Dr Felicia Hill-Briggs
Assistant Professor, Departments of Medicine; Health, Behavior and Society; and PM&R;, Welch Center for Prevention, Epidemiology & Clinical Research, Johns Hopkins Medical Institutions
USA

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10:00
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- Chronic disease requires daily self-management for optimal health
outcomes and quality of life
- Expertise at self-management results from an ongoing process of
learning and skill development, self-care behaviour integration,
and ongoing support
- Key responsibility of health care providers is assessing
self-care skills and behaviour, providing appropriate
interventions, and evaluating outcomes
- The American Association of Diabetes Educators (AADE) has
introduced a framework known as the AADE7™ Self-Care Behaviors
- Patient-centric approach aligns the deliverers, settings,
interventions and outcomes
- Online system presented to demonstrate standardization of
nomenclature as foundation for discussion of practice, outcome
measurement, research and policymaking
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10:30
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11:00
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11:30
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12:00
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12:30
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14:00
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- How much is known about the underlying causes of common
chronic diseases?
- What can be done to prevent these diseases by governments,
health systems and individuals?
- What are the barriers to effective prevention and how can
these be overcome?
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Anna Coote
Head of Engaging Patients and the Public Healthcare Commission Commissioner for Health, Sustainable Development Commission
United Kingdom

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14:30
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- Priority is overwhelmingly given to cure and care
- Expectation that prevention should be cost-saving is wrong
and unrealistic
- Expected health and economic benefits of prevention are large but
we know little about cost of equally effective interventions
- Evidence of cost-effective primary preventive interventions
- Market failure: private returns to non-clinical prevention are lower
than social returns - A clear efficiency case for more government
action both in research and intervention to prevent chronic disease
- Case for scaling up preventive efforts in Europe, backed up by solid
epidemiological and economic research
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15:00
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- In Western countries, economically active populations are
shrinking as a result of demographic change
- Chronic ill health reduces further the economic potential of
a country
- A whole population approach to prevention of chronic ill health
is needed to reduce the burden on health care systems and
provide economic benefits
- Countries should consider the potential for economic growth in
deciding how much to spend on management of chronic disease
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15:30
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