The report from the ENGAGED Mutual Learning Workshop on Innovative Preventive Solutions and Evidence on the 13th of May, arranged by ZealandDenmark and Region Zealand in Denmark during eHealth in Athens, has been concluded.
Read the full ENGAGED report, or see below for an extract of the main outcomes of the group discussion, following the initial presentations.
Different organization of the health care system
In some countries, General Practitioners (GPs) are privatized, whereas GPs in other countries are paid through the public health system. This has implications on the extent to which effective collaboration on health promotion and disease prevention is achieved. There is a need to focus on how to reach the citizen and not to focus on medical terminology.
Responsibility for health – patients and citizens
The answer to the question depends on whether we focus on the individual patient or on citizens in society in general. It was argued that citizens should be responsible but supported by the GP. It was discussed whether governments should interfere in the private life of citizens to promote health. It was mentioned that citizens are much further than politicians – they want/demand health promotion and disease prevention initiatives.
Maybe we have all forgotten the technology revolution – citizens themselves should be responsible for their
health and well-being themselves – GPs should be interoperable with the
citizens. GPs should use an IT language that the citizen understands. There is a need to overcome liability/validation issues. Health care technology is many years behind other sectors.
It became evident that in Roskilde Municipality in Denmark a large effort was put in change management and not so much on looking at new technology (though there were some initiatives). There is a need to focus on practiced based evidence and shift away from traditional evidence based practice.
Data and evidence
The discussion centered on the fact that lots of data is collected, but does it really result in health promoting initiatives? It is necessary to collect data on the behavior of citizens and patients, but the real challenge is to make them change behavior. Future efforts should include more behavioral science.
It was mentioned that the theme of the workshop – innovative preventive solutions and evidence – is not really high up on the European agenda yet. It is a topic that could be explored further to get a helicopter view on municipal and regional health promotion activities. It was suggested to take the discussion further within ENGAGED and the Coral network. Perhaps a study visit could be organized.