3. Uitdaging 1: chronisch zieken
Is een mondiaal probleem!
WHO: 47% van ziektelast (2002) => 60% in 2020(1).
Vlaanderen: 26,2% volwassenen heeft een langdurige
ziekte, aandoening of handicap(3).
Europa : 38% Noorwegen, 41% Denemarken, 45%
Engeland(2).
>50% van ziekenhuispatiënten heeft multi-morbiditeit
2/3 middelen => chronisch zieken(4).
(1) WHO. The world health report 2003: shaping the future. Geneva WHO
(2) Gezondheidsenquête België. WIV. 2004
(3) Gezondheidsenquête België. WIV. 2008
(4) Snyderman R. The AAP and the transformation of medicine. J Clin Invest 2004 114:1169-1173
4.
5.
6. Uitdaging 2: kosten
Stijging gezondheidsuitgaven:
9% van BNP (2008) naar 16% voor Europa in 2020 (1).
Doorsneegezin betaalt in 2040: 1/2 bruto-inkomen aan zorg(2).
Besparingen zullen overheersen volgende jaren.
Is opportuniteit voor economische groei(3).
(1) Price Waterhouse Coopers Healthcast 2020: Bouwen aan een duurzaam zorgstelsel
(2) De zorg: hoeveel is het ons waard? Ministerie van V.W.S. Den Haag juni 2012
(3) Daue. De toekomst van de gezondheidszorg; diagnoses en remedies. Itinera 2008
7. Uitdaging 3: aanpassen zorgmodellen
WGO: gezondheidssystemen over de ganse wereld
hebben volgende problemen(1) :
1. Georganiseerd om zorg te bieden voor acute ziektes.
2. Patiënt zijn rol in de aanpak van zijn ziekte wordt niet
benadrukt.
3. Opvolging gebeurt sporadisch.
4. Welzijnsdiensten van de gemeenschappen worden vaak
over het hoofd gezien.
5. Preventie wordt onderbenut.
•
•
(1) www.who.int/chronic_conditions/en/
8. Internationale aanbevelingen.
“If the fundamental problem is the design of the
system, then improvements in care cannot be achieved by
further stressing current systems of care. The current
systems cannot do the job. Trying harder will not work.
Changing systems of care will.” (1)
(1) Institute of medicine. Crossing the quality chasm. 2001
10. • Smartphone:
– will be used for SMS consults, remote diagnostics
and access information
• Distance learning and consults as well as
telemedicine will be routine.
• Doctors and nurses will have jobs that are very
different than today;
• New types of health workers will emerge
– health coaches
– technology-empowered paramedical professionals.
11. • Health status will be monitored and tracked in
real time
– sensors in the body, on pills, in devices and in
medical transport vehicles like ambulances.
• Personal health data will explode and be more
accessible and portable;
• Electronic health records, genomic
profiles, behaviours and consumption patterns
will allow better prediction of disease and
tailoring of prevention and treatment
13. • Preserving wellness and preventing the
preventable will displace treatment of disease
in the priorities of providers and payers.
• Regenerating and replacing damaged body
parts will become a reality
– regenerative medicine,
– pluripotent stem cells,
– gene therapy
– advanced prosthetics.
14. • Best practices developed by leading
institutions will be globalized – a “Bloomberg
for health” will bring transparency of best
outcomes to the practice of medicine.
• Health delivery will occur in venues that are
even more polarized than today.
• Much preventive and primary care will occur
in homes and in communities.
15. • Centers of excellence in tertiary care will exist
• Secondary care centers become less critical.
• Health technologies will be more hybrid in
nature, where new products are developed
with combined diagnostic, drug, biologic, ICT
and medical device attributes.
