Monday

16th Jul 2018

Focus

Chronic diseases: forcing change in EU healthcare management

  • Only 3 percent of health care budgets is spent on prevention (Photo: Leaf)

With a growing older population and an overall increase in chronic diseases, Europe is faced with a new kind of health problem.

It is one of slow-progressing irreversible illnesses, such as diabetes, respiratory illnesses and cardiovascular diseases.

Read and decide

Join EUobserver today

Support quality EU news

Get instant access to all articles — and 18 year's of archives. 30 days free trial.

... our join as a group

Over one third of the European population above the age of 15 have a chronic disease and two out of three people reaching retirement age will have at least two chronic conditions, according to the World Health Organisation (WHO).

The number is expected to grow, leading to rising health care costs, lost productivity, and lower quality of life for the patients.

Between 70 to 80 percent of healthcare budgets across the EU are currently spent on treating chronic diseases, according to the European Commission.

And of healthcare budgets in general, 97 percent are spent on treating patients both with acute and chronic conditions.

Only 3 percent is spent on prevention, with chronic diseases being among the most preventable illnesses.

Chronic Disease Management

Traditionally, primary care has been provided by doctors, usually in small practices with few support staff focussing more on acute episodes of care rather than on recurrent cases of chronic conditions.

But chronic disease management is a way of coordinating care that focuses on the entire clinical course of a disease - across care networks and with the patient more actively involved.

The patient is the day-to-day manager of disease. But to support patients in controlling their disease, a better environment needs to be created where citizens have more ‘health literacy’.

While most European countries have already implemented some sort of strategy to control the burden of chronic disease, their approaches vary greatly.

Most chronic disease plans show that a successful management plan can benefit the care progress, increase patients’ well-being, and lower healthcare costs.

Fragmentation - a major obstacle

A report by the World Health Organisation says that Disease Management Programmes focussing on a single disease have “increasingly come under pressure”.

“Doctors and researchers admit they have focused on a straightforward disease management approach because it was relatively simple.”

The European Patients’ Forum (EPF) says that chronic-disease sufferers regularly say that a fragmented health and social care system are a “major obstacle” to quality of care.

Problems include internal resistance to change, as well as a fixed way of spending budgets.

“The result of this organisational and financial fragmentation is that patients often need to actively “fight the system” just to get the services they need”, says EPF.

While Scandinavian countries are generally considered much more advanced in dealing with chronic diseases, there has been no large-scale evaluation of the situation across Europe.

One EU project (CHRODIS) looks at chronic care plans across Europe but is focused mainly on cardiovascular diseases, strokes and type-2 diabetes.

“It is really very important to extract the best knowledge that has been developed in the past few years of experience in managing chronic diseases in order to know what we are doing in Europe,” says Juan E. Riese, director of the CHRODIS project.

“Europe is a very complicated picture - it is a sum of countries, regions, culture and traditions,” he adds.

“The aim of the whole project is really to identify what is going on in the area of chronic disease management.”

Prevention and communication

There are also differences in how EU member states fund their healthcare model.

Some are funded by taxes while others are funded through a social health insurance. The revenue source can have an impact on the integration of care models.

Another step towards improving European healthcare and chronic care management is eHealth - healthcare practice supported by electronic processes and communication - to better facilitate care to patients.

The incoming EU health commissioner Vytenis Andriukaitis has already pledged support for improving healthcare systems, although the commission has limited power in this area.

“I will support efforts to make health systems more efficient and innovative; so that they can provide equitable healthcare to all citizens,” he said.

Andriukaitis also said he will focus on “prevention” over the coming five years.

“I intend to put much focus on enhancing prevention. I believe that the more health systems invest in prevention now, the less they will pay in treatment in the future,” he added.

Chronic Diseases

Chronic diseases are the main cause of death and disability in Europe and the growing trend is straining the region’s healthcare budgets. EUobserver examines the issues.

Chronic Diseases

Chronic diseases are the main cause of death and disability in Europe and the growing trend is straining the region’s healthcare budgets. EUobserver examines the issues.

News in Brief

  1. EU opens case on Siemens' Alstom buyout
  2. Trump: May found my Brexit advice 'too brutal'
  3. Italy will reject EU-Canada trade deal, says deputy PM
  4. Commission: Juncker suffered from sciatica attack at Nato
  5. EU free wifi plan struck by IT error
  6. Europol launches 'World Cup game' to catch criminals
  7. Germany's Gabriel urges tougher dealing with Trump
  8. Eurozone to give Greece last bailout loan in August

Stakeholders' Highlights

  1. IPHRCivil society asks PACE to appoint Rapporteur to probe issue of political prisoners in Azerbaijan
  2. ACCASocial Mobility – How Can We Increase Opportunities Through Training and Education?
  3. Nordic Council of MinistersEnergy Solutions for a Greener Tomorrow
  4. UNICEFWhat Kind of Europe Do Children Want? Unicef & Eurochild Launch Survey on the Europe Kids Want
  5. Nordic Council of MinistersNordic Countries Take a Stand for Climate-Smart Energy Solutions
  6. Mission of China to the EUChina: Work Together for a Better Globalisation
  7. Nordic Council of MinistersNordics Could Be First Carbon-Negative Region in World
  8. European Federation of Allergy and AirwaysLife Is Possible for Patients with Severe Asthma
  9. PKEE - Polish Energy AssociationCommon-Sense Approach Needed for EU Energy Reform
  10. Nordic Council of MinistersNordic Region to Lead in Developing and Rolling Out 5G Network
  11. Mission of China to the EUChina-EU Economic and Trade Relations Enjoy a Bright Future
  12. ACCAEmpowering Businesses to Engage with Sustainable Finance and the SDGs

Stakeholders' Highlights

  1. Nordic Council of MinistersCooperation in Nordic Electricity Market Considered World Class Model
  2. FIFAGreen Stadiums at the 2018 Fifa World Cup
  3. Mission of China to the EUChina and EU Work Together to Promote Sustainable Development
  4. Counter BalanceEuropean Ombudsman Requests More Lending Transparency from European Investment Bank
  5. FIFARecycling at the FIFA World Cup in Russia
  6. Nordic Council of MinistersOECD Report: Gender Equality Boosts GDP Growth in Nordic Region
  7. Centre Maurits Coppieters“Peace and Reconciliation Is a Process That Takes Decades” Dr. Anthony Soares on #Brexit and Northern Ireland
  8. Mission of China to the EUMEPs Positive on China’s New Measures of Opening Up
  9. Macedonian Human Rights MovementOld White Men are Destroying Macedonia by Romanticizing Greece
  10. Counter BalanceControversial EIB-Backed Project Under Fire at European Parliament
  11. Nordic Council of MinistersIncome Inequality Increasing in Nordic Countries
  12. European Jewish CongressEU Leaders to Cease Contact with Mahmoud Abbas Until He Apologizes for Antisemitic Comments

Join EUobserver

Support quality EU news

Join us