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EBHC Symposium

Ladies and Gentlemen!
On behalf of CEESTAHC we heartily thank you for taking part in:
the 13th International Evidence-Based Health Care Symposium titled
Integrated health care - exploration beyond the HTA
which was held in Cracow on October 8-9, 2018.
Venue: Holiday Inn Kraków hotel
About Symposium Schedule Speakers Gala dinner Partners Conditions of participation

Final programme | October 4, 2018      
The EBHC Symposium, organised annually since 2006, has earned its place on the agenda of national educational meetings and always attracts a number of participants from Central and Eastern Europe (CEE).
A hand-picked panel of experts from Poland and other countries presented the results of their studies and suggested proposals of solutions in 6 sessions:
  1. International cooperation on HTA – is it possible to develop supranational solutions?
  2. From integrated care to value based health care
  3. Medical devices – value-based health care
  4. Patient's informed opinion and its impact on health care decisions
  5. Systemic solutions – opportunities and challenges
  6. The strength of scientific evidence - is RCT always necessary
Integrated care is often presented as the opposite of fragmentary and episodic care. The term integrated care is used synonymously to terms such as coordinated care or seamless care. This broad range of terms is telling enough to suggest that a uniform definition or common understanding of the concept has not been clarified yet. For different participants of the health care system, integrated care will have different scopes or meanings resulting from their perspectives: the way relationships, needs and possibilities, as well as previous experience, are perceived.
One of the earliest uses of the concept of "integrated care" and attempts to define it date back to the year 2000. The text Integrated and fragmented care observed from two case studies incorporated the phrase "integrated care" in the context of comprehensive care of a patient – in that case, a senior citizen – with emphasis on restoring humanity by facilitating access to very simple (and cheap) forms of assistance (e.g. fitting facilities in patients’ homes). Before that, such procedures were implemented in the USA for the purpose of caring for the ageing population of war veterans. Since then, the phrase "integrated care" has become very popular. In the face of the progressive complexity of health systems, opinions have been voiced to extend the concept of integrated care to all patients. It seems particularly desirable to improve the possibility of receiving benefits smoothly in various centres to maintain the right course of therapy, avoid unnecessary costs and relieve patients from having to plan their own proper course of diagnostics and therapy. Another important issue is the financing of the recommended benefits, as the majority of patients have no idea what benefit baskets are – they do not know what thy are entitled to and when, nor for what do they need to pay out of pocket.
From the point of view of the health care system, integrated care should help in the following areas:
  • Creating a uniform patient information system
  • Solving the issue of financing services provided by various centres in one case
  • Limiting the duplication of administrative procedures
  • Avoiding unnecessary tests
  • Preventing contradicting diagnoses
  • Reducing stress, disorientation and the feeling of being left to one’s own devices among patients
  • The way to build a value-based health care system
From the patients’ point of view, they are to receive a recovery map and a guide to lead them along this difficult trail.
It seems simple, but after years of exploring the economic aspects of the health care system, constantly measuring the effectiveness of procedures and the belief that money is a remedy for everything, we have to get out from behind our desks and look at health care through the patients’ eyes. It may turn out that assessing what is most important to them, and especially what the items on the list of their priorities are, will not be easy. After years of assessing health technologies and honest faith in evidence, we may find it difficult to work on something which cannot be translated into measurable effects. It is as if we were to leave behind everything which is certain and constant, which was the meaning of our work and set out to explore new, uncharted territories.
We've met at the 13th EBHC Symposium, this time to fly away beyond HTA and to see where we land after those two days.
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