Dr. Stefano Vella, Istituto Superiore di Sanitá, Italy

Transcription

1 TO-Reach - Transfer of Organisational innovations for Resilient, Effective, equitable, Accessible, sustainable and Comprehensive Health services and systems Dr. Stefano Vella, Istituto Superiore di Sanitá, Italy

2 1. The context

3 Three Decades of Dynamic Change in Health Systems 1980s 2010s Changes in information technologies (electronic medical record, e-health capacities, tablet-based patient management, centralized Big Data) Changes in citizen expectations (choice of provider, equal and rapid access, privacy) Changes in patient expectations (participation in decision-making, second opinions, international quality standards, patient rights) Changes in payment systems (public and private): casebased payment, penalties for poor outcomes (readmission, re-treatment), volume based contracting Changes in provider configuration (consolidating hospitals and services, integrating health and social care) Richard B. Saltman Emory University 3

4 Health systems differ widely but face common challenges o Differences in finance, organisation, outcomes o Part of (and subject to) wider political, cultural, economic environment o Challenges relate to o Rising costs / need for cost containment o Demographic changes o Technological advances o Increasing public expectations o Common goals o Ensuring accessible health care of high quality that is responsive, equitable, affordable and financially sustainable

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6 The changing health systems landscape: preparing for the perfect storm Scarcity of resources Demographic change and population ageing Health Systems Chronic diseases, multimorbidity Expensive breakthrough medicines and biomedical devices Growing expectations of patients/citizens The commonest chronic conditions are costing the EU countries more than 1 trillion Euros per year, which is expected to increase to 6 trillion Euros by the middle of the century.

7 2. The action

8 TO-REACH: THE BEGINNING TO-REACH Contact:

9 Why Health Systems and Services Research is needed? Health care and services research is the multidisciplinary field of scientific investigation that studies how social factors, financing systems, organizational structures and processes, health technologies, and personal behaviors affect access to health care, the quality and cost of health care, and ultimately our health and well-being. The main goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high quality care to citizens

10 Our goal is to identify the European Health Care common challenges and organizational needs, and to propose possible solutions to improve health system performance and to identify the most effective ways to organize, manage, finance, and deliver high quality care to our citizens

11 TO-REACH 29 partners / 21 countries TO-REACH Contact: to.reach@iss.it

12 TO REACH European countries explore similar solutions to improve service delivery for citizens: how to better learn from such initiatives in other countries, using Europe as a natural laboratory?

13 TO REACH European countries explore similar solutions to improve service delivery for citizens: how to better learn from such initiatives in other countries, using Europe as a natural laboratory?

14 TO REACH: objectives and tasks Main objectives Main tasks 1. Identify Strategic Priorities Identify future challenges and priorities (roadmapping) Provide knowledge synthesis and analytical framework (meta-questions) 2. Building Research Infrastructure Prepare a common and sustainable platform by research funding bodies (strengthening the network) Enhance cooperation and linkage with other funders networks (embedding the network)

15 PERT diagram of the TO REACH Project

16 TO-REACH: stakeholder involvement Sector or provider associations International bodies Payer and insurer organisations Scientific community Alliances of regional or local authorities PAC Policy Advisory Committiee Project partners Scientific Advisory Committiee Fellow international initiatives Politicians and policy makers Fellow funding bodies including charities Media & General public Citizen and patient plus caregiver organisations

17 3. The future

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21 TO REACH: objectives, tasks, outcomes Main objectives Main tasks Outcomes 1. Identify Strategic Priorities 2. Building Research Infrastructure Identify future challenges and priorities (roadmapping) Provide knowledge synthesis and analytical framework (meta-questions) Prepare a common and sustainable platform by research funding bodies (strengthening the network) Enhance cooperation and linkage with other funders networks (embedding the network) Strategic Research Agenda

22 Our Strategic Research Agenda will pave the way to future European Joint Research Initiatives supported by Member States to tackle the challenges ahead of us.

23 Thank you