CURRENT STATUS IN TURKEY

TURKISH SOCIETY OF CLINICAL NUTRITION

TURKISH SOCIETY OFCLINICAL NUTRITION

Mehmet UYAR

Chairman of KEPAN

TURKISH SOCIETY OFCLINICAL NUTRITION

NON-STOP STRUGGLE OF TURKEY AGAINST UNDERNUTRITION

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 Social Security institution

Turkish Society of

Clinical Nutrition

Turkish Pediatric

Association

National Pediatric

Association

Pediatric Gastroenterolog

y Association

Pediatric Neurology Association

Ministry of Health

- NGO’s- Policy Makers- HCP’s- Media- State institutions- Nutrition Industry

5 different workshop sectionsEach 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

SWOT Analysis

Strenghts Weakness Opportunities Threats•Reimbursement•Multi-disciplinary stakeholders•Access to authority•Training & education

• No national secreening policy•No audit•No economic studies •No patient advocacy group

•Good contact with governmental offices• Good collaboration with other societies•Increasing public awareness

•Global budget restrictions• Frequent changes in official positions