HCP News July 2014

Health Consumer Powerhouse

HCP Newsletter July 2014

Before the summer break, a quick update on the work of Health Consumer Powerhouse:

EDI 2014

September 17 the new Euro Diabetes Index (EDI) will be published during the EASD congress in Vienna (50th Annual Meeting of the European Association for the Study of Diabetes). The EDI will show how European Diabetes care has developed since 2008, when the inaugural EDI was presented.

The 2014 Index is composed from 30 indicators, reflecting the situation in 30 countries. They look into the following six areas: Prevention, Case finding, Range and reach of services, Access to treatment/care, Procedures and Outcomes.

   – EDI will measure not only access to and design of diabetes care in each country but intends as well to analyze how well national care is in line with European best practice, as outlined by the EDI, explains project manager Dr. Beatriz Cebolla, HCP.

The project has been endorsed by the international Diabetes Federation (IDF) and a number of national diabetes societies. There is a high contribution to the project from physicians, national health institutions and other relevant stakeholders from all around Europe.

The index will be presented in a seminar, also to be web-cast, September 17 starting 09:00, in the premises of the EASD Congress. The seminar will be open to participants in the Congress and news media. If you want to receive the EDI 2014 updates, please send your mail address to info@healthpowerhouse.com. The webinar will also be available for free, but we appreciate that you register by mail to the same address.

EHCI 2014

The 2014 Euro Health Consumer Index is well under way, analysing and ranking 36 European countries plus also Scotland as a separate country. Bosnia-Herzegovina and Montenegro are new for 2014. It will be exciting to see if the unique nationwide e-Health system for bookings and referrals (and full patient records to be included) of the Former Yugoslav Republic of Macedonia will keep delivering the dramatic reduction of waiting times observed during the winter. If so, Macedonia will be the “rocket” of the EHC 2014, to be launched in January 2015.

Balkan and Greece

Dr. Björnberg has recently been presenting on the Pharmaceutical Group of the EU assembly in Bratislava on June 16. He also lectured in Montenegro on June 23–24 at the European Centre for Peace and Development Summer School on healthcare management to an audience including several Ministers of Health from the region.

Mr. Hjertqvist has lectured at the Manchester Meeting on Active Ageing June 22–23 and the Athens Health Forum, June 24, delivering the HCP recommendations on Greek healthcare reform in the presence of the new minister of health.

New Eurobarometer:

Satisfaction with healthcare, but with pending patient empowerment

If you can believe the new Special Eurobarometer (SEB) no. 411, published June 19, satisfaction with healthcare among EU citizens keeps up or even improves in spite of the financial crises. This SEB on patient safety and quality of care finds that overall satisfaction has increased by one percentage point, from 70 percent in 2009 (when the previous SEB was made) to 71 percent.

There is a giant gap between the most satisfied populations (Belgium: 97 percent content with quality of care, Austria 96 percent) and the least satisfied (Greece: 26 percent, Romania 25). This illustrates the large and increasing inequality within the EU.

In focus of the EU Commission is initiating patient activism to address serious malfunctions such as killer-bug infections and overuse of antibiotics – for good reasons. As stated by the SEB, there has been a significant increase in the proportion of adverse events that is reported. Such cases have grown from 28 percent in 2009 to 46 percent in the current survey, with even more dramatic increase at the national level, for instance in France (+61 percentage points), Spain (+40) and Luxembourg (+32). This is almost certainly due to improved reporting cultures rather than an actual increase of adverse events – an attempt to include this as an indicator in the Euro Health Consumer Index in 2008 fell through, as at the time only two countries could provide a number for adverse events at all!

Still, the most likely outcome of reporting an adverse event was that nothing happened (said 37 percent of respondents)! 20 percent had an excuse from the doctor, a little fewer an explanation from the healthcare facility. Evidently, patient empowerment still has a long way to go in Europe. In other fields, improvement is under way: there seems to be a greater awareness of who is responsible for patient safety than in 2009. The proportion of EU citizens saying they “don’t know” has decreased from 29 to 10 percent in five years.

Read the full report here

We wish you a pleasant summer holiday!

Johan Hjertqvist, LLM
Founder & President
    Arne Björnberg, PhD
Chairman & COO