Transcript Document

TURKISH SOCIETY OF CLINICAL NUTRITION
CURRENT STATUS IN TURKEY
Mehmet UYAR
Chairman of KEPAN
TURKISH SOCIETY OF
CLINICAL NUTRITION
NON-STOP STRUGGLE OF TURKEY
AGAINST UNDERNUTRITION
TURKISH SOCIETY OF
CLINICAL NUTRITION
First Implementation Meeting – May 2014
• KEPAN invited Turkish
Nutrition Industry and
ENHA’s General
Secretary Frank De
Man for a brainstorm
2-day Malnutrition Workshop chaired by Social
Security Instution – June 2014
Participants: 199
Ministry of Labor
Turkish Society
of Clinical
Nutrition
Social Security institution
Turkish
Pediatric
Association
- NGO’s
- Policy Makers
- HCP’s
- Media
Ministry of Health - State institutions
- Nutrition Industry
National
Pediatric
Pediatric Gastroenterology
Association
Association
Pediatric
Neurology
Association
5 different workshop sections
Each group evaluate their topics and deliver possible new guidelines/action
items/suggestions
Group 1:
Ways to develop
healthy
generations.
- Nutrition
Assessment
- Training
programs
Group 2:
Primary
malnutrition policy
in pediatrics.
- Screening should
be must.
- Percentile
standardization
Group 3:
Malnutrition policy
in adults.
- Standard
nutritional risk
assessments
- Reimbursement
system revision
- Continuous
trainings &
awareness
Group 4:
Malnutrition
policy in chronic
diseases.
- Organizing
nutrition
committees in
hospitals
- Importance of
follow-up in Home
Care
Group 5:
Malnutrition
policy in
hospitals.
- Revision of
reimbursement for
outpatients.
- Performance
indicators for
hospitals to
proactively deal
with nutrition
Malnutrition Workshop Next Steps
Meeting result booklet called ‘Malnutrition Viewpoint of SSI’ will
be published in 2015.
Local Health Economics Outcome Research of SSI will start with its
own patient data.
SSI will release public ads about malnutrition to increase public
awareness
• The directive of “Quality improvement at health care services” is
being updated
• Agreement with KEPAN – Nutritional
screening is going to be included
Collaboration with The Union of State
Hospitals
• Aggred to make the nutritional screening on
admittance as an obligation in 200 hospitals
out 800
Next Steps
• To investigate the impact of
undernutrition on the national economy
• To adapt and to modify regulations and
standards in collaboration with health
authorities
• National Implementation Meeting in
September
SWOT Analysis
Strenghts
•Reimburseme
nt
•Multidisciplinary
stakeholders
•Access to
authority
•Training &
education
Weakness
• No national
secreening
policy
•No audit
•No economic
studies
•No patient
advocacy
group
Opportunities
•Good contact
with
governmental
offices
• Good
collaboration
with other
societies
•Increasing
public
awareness
Threats
•Global
budget
restrictions
• Frequent
changes in
official
positions