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Health Financing Summit
04.14.10
Improving Health and Social Insurance Systems
Providing psychosocial support - Maximizing medical care
Bobbit SuntayThe Carewell Community
The Cancer Resource and Wellness Community
First Health Financing SummitGT-Toyota Asian Center Auditorium, UP Diliman Campus
Cancer TodayCancer TodayThe good news…The good news…
Advances in knowledge, skills, and technologies
Advances in diagnosis, treatment, and management
More persons with cancer are living longer today
Growing awareness and support for persons with cancer
BUT THIS IS NOT ENOUGH!
Source: Cancer Care for the Whole Patient. National Academy of Sciences 2008
The Bad News:The Bad News:State of the art medical care alone is not State of the art medical care alone is not
enough!enough!
WE UNDERESTIMATE IMPACT OF PSYCHOSOCIAL FACTORS:
Impact onset, progression, and quality of life
Suffering and death due to lack of money
Emotional distress and abandonment of treatment
Difficult lifestyle changes: diet, smoking, etc.
Difficult handling disruptions at home/office
Source: Cancer Care for the Whole Patient. National Academy of Sciences 2008
Psychosocial FactorsPsychosocial FactorsChallenges and consequences of unmet needsChallenges and consequences of unmet needs
Harder to access, engage in, and persist in treatment
Harder to respond positively to treatment
Harder to cope with and recover from cancer
Long range of impact: prior to diagnosis to long after “cure”
Vast scope of impact: patient, loved ones, colleagues, healthcare team, etc.
Difficulties in activities of daily living
Decrease in quality of life
Source: Cancer Care for the Whole Patient. National Academy of Sciences 2008
What is the solution?What is the solution?Challenges and consequences of unmet needsChallenges and consequences of unmet needs
Effective cancer treatment must integrate and address the psychosocial needs of all persons affected by the illness: patients, survivors, and their loved ones
Source: Cancer Care for the Whole Patient. National Academy of Sciences 2008
What is the solution?What is the solution?Challenges and consequences of unmet needsChallenges and consequences of unmet needs
A viable healthcare and social insurance system must include provisions and coverage for addressing the psychosocial needs of patients, survivors, and their loved ones
Source: Cancer Care for the Whole Patient. National Academy of Sciences 2008
Where do we go from Where do we go from here?here?
What needs to be done now?What needs to be done now?
Health plans/insurance policies must be revised to include coverage for psychosocial services
Purchasers (individuals and institutions) must insist and ensure that health plans and insurance include coverage for psychosocial services
We need to make better use of EXISTING organizations, groups, and individuals who already provide psychosocial support services
We need to better identify the PARTICULAR NEEDS of patients and loved ones to help them ACCESS the resources and services they require
Source: Cancer Care for the Whole Patient. National Academy of Sciences 2008
Psychosocial health Psychosocial health servicesservices
How they can help:How they can help:
Information on illness, treatments, health, etc.
Help with emotional coping during illness/treatment
Assistance with managing the illness
Information/access to logistical and other resources and support
Assistance/support for managing disruptions at work, home, school, etc.
Access to finances and treatment
Source: Cancer Care for the Whole Patient. National Academy of Sciences 2008
Psychosocial health Psychosocial health servicesservices
Benefits:Benefits:
Decrease in depression, stress, and anxiety in persons affected by cancer
Better communication and relationships between patients, loved ones, and healthcare team
Better decisions regarding illness treatment and management
Enhanced feelings of well-being, support, and hope
Better access and persistence through treatment
Improvement in quality of life and in chances of recovery
Source: Cancer Care for the Whole Patient. National Academy of Sciences 2008
Psychosocial SupportPsychosocial SupportA Common ConcernA Common Concern
Goal: Improving health and social insurance systems
Goal: Maximizing benefits of top quality medical care
ALL persons affected by cancer have psychosocial needs
WE MUST ADDRESS PSYCHOSOCIAL CONCERNS
Patients persist in their treatment…
…They improve their quality of life and enhance their chances of recovery
Source: Cancer Care for the Whole Patient. National Academy of Sciences 2008
Health Financing Summit
04.14.10