Jurate Svarcaite - BACHI of self-care (AESGP).pdf• Governments face unprecedented constraints on...
Transcript of Jurate Svarcaite - BACHI of self-care (AESGP).pdf• Governments face unprecedented constraints on...
Future of self-care
Association of the European Self-Medication Industry (AESGP)7, Avenue de Tervuren – B-1040 Brussels
Tel: +32 2 735 51 30 | Fax: +32 2 735 52 22 | www.aesgp.eu | [email protected]
Jurate Svarcaite
AESGP Director General
AESGP mission
Advance responsible self-care enabling citizens to take better care of their health needs and contribute to the sustainability
of European health care systems.
The history of self-care
The ancient times: Times of
self-care
Greece and Roman empire: Birth of medical
profession
18th Century: Pharmacists
can prescribe and compound
medicines
1965(s) EU legislation of
pharmaceuticals introduces
requirement of authorization
Switching from Rx to OTC starts in USA in 1976
1992 EU legislation
distinguishes between OTC
and Rx medicines
2002 Food supplements recognized in
EU law
2017 Substance based medical
devices recognized in
MDR
Reclassifications of medicines
Antihistamines
1976
Benzoyl peroxide
1981
Ibuprofen, loperamide
1983
Hydrocortizone
1986
Nicotine
1988
Aciclovir
1993
Flucanozole
1995
Ranitidine
1997
Cimetidine
2000
Levonorgestol
2001
Loratidine
2002
Chloramphenicol
2005
Orlistat, Pantoprazol
2009
Esomeprazol
2013
Uliprsital
2015
We all live longer
And it is costing too much
Consumer/patient journey is changing
Eurostat: Internet activities in the past three months by age group EU-28, 2016 (% of internet users)
Data driven world
Self-care of the future
• Governments face unprecedented constraints on all aspects of their expenditure and healthcare costs are a
prominent and growing burden.
• The rise in these costs is driven in part by demographic and societal changes.
• Encouraging self-care and having the individual take responsibility for some interventions aimed at preventing ill
health or treating suitable conditions seems an obvious response.
• Self-care and self-medication is a starting point for healthcare rather than as substitutes for professional-led
services.
• Pharmacists are at the forefront of these changes by guiding individuals in making healthy lifestyle choices,
recommend appropriate self-medication, and signposting citizens to physician.
• Technology has a potential to change delivery of healthcare and release self-care potential.
• Long-term conditions supported by collaborative care models, with greater role for pharmacists are obvious next
self-care categories.
▪ Acne
▪ Allergic conjunctivitis
▪ Cold
▪ Cold sores
▪ Constipation
▪ Cough
▪ Diarrhoea
▪ Emergency
contraception
▪ Erectile dysfunction
▪ Fever
▪ Flu prevention
▪ Flu treatment
▪ Haemorrhoids
▪ Arthritic pain
▪ Caries prevention
▪ Cholesterol lowering/lipid
control
▪ Dermatitis/eczema
▪ Hayfever treatment
▪ Male pattern baldness
▪ Neural tube defect
prevention
Healthcare professional advice + patient self-management (with/without medical device)
Recurrent /
Semi-chronic condition
Short term use /
Acute condition
▪ Hay fever prevention
▪ Headache
▪ Indigestion/heartburn
▪ Insomnia (temporary)
▪ Mild/moderate pain
▪ Minor cuts and bruises
▪ Mouth ulcers
▪ Nausea from known causes
▪ Smoking cessation
▪ Sore throat
▪ Symptoms of pre-menstrual
tension
▪ Topical bacterial infections
▪ Weight management
▪ Bacterial conjunctivitis
▪ Cystitis
▪ Exercise-induced
angina
▪ Helminth infections
▪ Lower urinary tract
infections
▪ Vaginal thrush
▪ Incontinence
▪ Inflammatory bowel disease
▪ Irritable bowel syndrome
▪ Malaria prevention
▪ Menopause syndrome
▪ Migraine
▪ Obesity
▪ Oral contraception
▪ Osteoporosis prophylaxis
▪ Psoriasis (mild)
▪ Rheumatism
▪ Venous leg ulcers
▪ Anxiety
▪ Asthma
▪ Benign prostatic hypertrophy
▪ Chronic insomnia
▪ Depression (mild to
moderate)
▪ Diabetes (prevention of
complications + treatment
with oral agents)
▪ Gout
▪ Heart disease prevention
▪ Herpes genitalis
▪ Hypertension
Long term use/
Chronic condition
Source: AESGP study on new indications and related information needs carried out for DG SANCO of the European Commission-January 2002
Self-diagnosis + self-management
How?
Health literacy Digital and diagnostic tools
Access
mhealth tools
Designed by macrovector / Freepik
• Wearables and wellbeing devices
• Remote monitoring possibilities
• Drug interaction checker app
• Home diagnostics
Labelling and external packages
• QR codes and e-Leaflets
• Personalised product information based on person’s health record
https://imgflip.com/i/1f0wgt
Portugal Self-Care Program
“Take Care of Myself”
▪ Provides information on OTC medicines
and how they can be used to solve
minor health problems.
▪ Aims to promote self-care through a
more informed and empowered society
contributing to health literacy in
Portugal;
▪ Awarded the Best Enterprise
Communication Project (2016)
https://www.apifarma.pt/tratardemim/Paginas/Jogo-Tratar-de-Mim.aspx
Croatia: Self-care manual for pharmacists by pharmacists
https://www.farmaceut.org/novosti/hrvatska/predstavljen-prvi-hrvatski-prirucnik-za-samolijecenje
Ireland