European Academy of Sciences and Arts EUROPEAN INSTITUTE OF MEDICINE E O M

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European Academy of Sciences and Arts EUROPEAN
INSTITUTE OF MEDICINE E O M
Health is Wealth Strategic visions for a
European healthcare concept at the beginning of
the 21st century Felix Unger Global Medical
Forum Summit May 2, 2005 Abu Dhabi,
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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts
Baseline EU 25 Member states with 460
million inhabitants General
European Health Care Market 25 GNP, largest
employer Medicine Cultural endeavour, how we
deal with man Costs A function of aging
population with increasing
retirees, progress of medicine
and economy
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European Academy of Sciences and Arts
EUROPEAN INSTITUTE OF MEDICINEE O M
Goal - Health for all Europeans based to
solidarity - The decision to select a medical
treatment depends primarily on the benefit
to the patient and not on the cost -
Deliver optimal medicine based on the State
of the Arts
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European Academy of Sciences and Arts
EUROPEAN INSTITUTE OF MEDICINEE O M
Report to the European Parliament Health is
Wealth Patientorientated and driven by
medical professionals
Cluster III Medical Financing
Patient Doctor Nucleus Cluster
I Medical Arts Cluster II Medical
Organization
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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts
Patient Doctor
Nucleus Patient - responsible for his own
lifestyle and habits - contributes by himself
by prevention - motivated to therapy -
increasingly mobile - complies with medical
recommendation Doctor - provides
information - informs and guides on
therapeutic choices - provides medical services
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European Academy of Sciences and Arts
EUROPEAN INSTITUTE OF MEDICINEE O M
Cluster I - Medical Arts Prediction Prevention
Diagnosis Therapy - Prognosis Standards in
all diagnostic / therapeutic procedures Class
I efficient and evident Class
IIa efficient, but empirical Class IIb less
efficient and empirical Class III not
efficient Basis for - understanding
diseases and new cures by process orientated
research - quality control - medical
outcome studies - control of the Health Care
System - basis for reimbursement (primary,
secondary and tertiary costs)
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European Academy of Sciences and Arts
EUROPEAN INSTITUTE OF MEDICINEE O M
Cluster II - Medical Organization Homecare
- General Practitioner, clearing function for
hospitalization -
Specialists Hospital - to be sized to
supply and demand by quality control -
Stimulation for Centers of Excellence Long term
care - chronic ill, disabled, etc. Full
reimbursement according the classification I
III
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European Academy of Sciences and Arts
EUROPEAN INSTITUTE OF MEDICINEE O M
Cluster III - Medical
Financing
Dichotomy Results in medicine
Financing in medicine f (Demography and
progress f (economy taxes and income of
in the Medical Arts) employees)
Systems in
Europe dual - insurances
mono taxes - taxes -
co-payment Financing in
medicine is a pure political decision
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European Academy of Sciences and Arts
EUROPEAN INSTITUTE OF MEDICINEE O M
Central Fund
Taxes

Social Insurances Fund
Medical Financing (National task)
Patient - Doctor-Nucleus
Medical Arts (EU task)
Medical Organization (EU task)
Classification
Total reimbursement of expenses
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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts
New Paradigm of Medicine
Nutrition
Fertility
Moving
spirit
Thinking
soul
Feeling
body
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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts
Specialities in medicine Ophthalmology
Laboratory Urology Radiology Cardiology
Imaging Childrens diseases
Pathology Gynaecology Obstetrics Traumatology
Angiology General Surgery Pneumology
Cardiac Surgery Internal Medicine Vascular
Surgery Haematology Orthopaedics Immunology
Thoracic Surgery Neurology Anaesthesiology
Psychiatry etc. etc.
Systems Circulation Nerve system Metabolic
system Urogenitary system Skeletal
system Nutrition Soul-spiritual systems
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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts

• CENTER OF EXCELLENCE
• defined area in medicine for comprehensive
  care in a field as e.g.
• - cardiac care
• - oncology
• - trauma
• - children
• Interdisciplinarity
• New organization better outcome
• Optimization of the patient flow

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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts
Interdisciplinarity prevention prediction
diagnosing therapy long term
outcome Combination of - conservative
attempts - interventional attempts -
prophylaxis in all pre- and post
interventions - research stimulus
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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts
low volume, low skill high volume, high
skill

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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts
Effect optimization - of
treatment - of patient
flow - of results
- of costs Quality
control based to outcome Education
public education professional
education
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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts
CENTERS OF EXCELLENCE ON THE EXAMPLE OF CARDIAC
DISEASES - defined area according to the
systems and not any more organ repair -
tendency toward prevention and minimal invasive
therapy - enhancing new paradigm of
medicine e.g. cardiac centers -
diabetes as cause of cardiac diseases -
interventions - long term outcome -
lowering costs by avoiding redundancies -
quicker optimal treatment
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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts
HEART CENTER Optimization of therapy in
the light of public reception Outpatients via
e-health and e-medicine
Symptoms Dyspnoe, Angina, Chest pain,
Hypertonia, Rhythm, Anasarca, etc.
Cardiology Cardiac
Surgery Research
Acute myocardial infarction Coronary
surgery Diabetology Rhythm
Valve surgery Artificial heart Valve
diseases Rhythm Stem cell
research Hypertension Aortic surgery Gene
technology Risk factors congenital cases
Outcome studies Cardiomyopathy Heart
replacement
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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts
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EUROPEAN INSTITUTE OF MEDICINEE O M
European Academy of Sciences and Arts