Transcript Presentation Title - Irish Pharmaceutical Healthcare

IPHA Switch-on to Self-Care
From Primary Care to Self-Care
Marita Kinsella
Chief Pharmacist
March 25th 2009
What is self-care?
“Self Care in health refers to the activities individuals, families and
communities undertake with the intention of enhancing health,
preventing disease, limiting illness, and restoring health. These
activities are derived from knowledge and skills from the pool of
both professional and lay experience. They are undertaken by lay
people on their own behalf, either separately or in participative
collaboration with professionals”
“Self-Care in Health Promotion”
Ilona Kickbusch, WHO Euro Regional Office, 1983
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Benefits of Self-care
 Benefits for patient health and other outcomes
–increased life expectancy
–better control of symptoms including pain, anxiety and depression levels
–improved quality of life with greater patient independence
–reduced absenteeism from work
• Implications & benefits for healthcare system
–improved quality of consultations
–visits to GPs can be reduced
–hospital admissions & length of stay can be reduced
–A&E and outpatient visits can be reduced
–medicine utilisation and compliance can be improved
UK Dept of Health
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/
DH_080689
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Core elements of self-care
 Empowering patients to take responsibility for their own health and
well-being in:

Prevention:
taking action to prevent ill-health, illness & accidents e.g. staying healthy,
both physically and mentally

Chronic Illnesses:
better care of long term conditions

Minor Ailments:
better care & treatment of minor ailments

Better use of medicines is a core element of self-care
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National policy
 Primary Care, A New Direction, Quality & Fairnes – A Health
System for You, DoHC, 2001
 Aim to strengthen primary care system as central & first point of
contact for patients with health system
 Change in emphasis from secondary care to primary care
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National policy
 Building a Culture of Patient Safety, Report of the Commission on
Patient Safety and Quality Assurance, DoHC, 2008
 Development of proposals for health service-wide system of governance
 Vision for a patient safety and quality framework in Ireland:
Knowledgeable patients receiving safe and effective care from skilled
professionals in appropriate environments with assessed outcomes
 Chapter 4 contains 25 recommendations on patients, carers and service
user participation
 R4.13: Specific programmes should be developed by the HSE aimed at
supporting patients with chronic conditions, helping them to understand
and manage their conditions and to participate in decision-making
regarding their clinical management.
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National policy
 Tackling Chronic Disease, A Policy Framework for the
Management of Chronic Disease, DoHC, 2008
 Sets out broad principles on disease prevention and disease
management programmes
 Contains 14 recommendations on management of chronic disease
 Recommendation 10: patients should actively participate in mgt of
their condition
 Patient participation in disease mgt improves health outcomes & reduces
dependency on health services
 Patients’ understanding of symptoms, disease & treatment essential
parts of self-care
 Aspects of self-care: patient education & awareness, self-monitoring &
self-treatment
 Action: HSE to continue development of self-care programmes for
patients with chronic diseases
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National policy
 Economies in Drug Usage in the Irish Healthcare Setting, Report to
Minister for Health & Children, 2009
 Report commissioned by Minister & chaired by Dr. Barry, Clinical
Directive of National Centre for Pharmacoeconomics
 To consider efficient and cost-effective prescribing of medicines
 Report noted that potential to change status of medicines from POM to
supply under pharmacist supervision used in other Member States &
recommended that wider clinical issues need to be considered prior to
move in this direction
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National policy
 HSE Publications in the area of Self-care
 Selfcare Guide for People with Diabetes, 2008
http://www.hse.ie/eng/Publications/Primary_Care/Selfcare_Guide_for_People_with_Diabet
es.pdf
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Thank you
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