Rationalizing the New Healthcare Paradigm

1
Rationalizing the New Healthcare Paradigm

• Scientific Agenda
• vs.
• Patient Imperatives

2
Research Performance Measurement

• Are we winning the war against Pca
• How do we know
• How do we measure
• Black Population
• Disproportionate negative impact
• Greatest short term need
• What is the low hanging fruit
• Education
• Access
• Early Detection
• Comparative funding
• Parity among cancers

3
Question 1

• Will access to care solve the issue of racial
  health disparity

4
Pathways to Cancer

• Awareness
• Access
• Environment
• Lifestyle
• Culture
• Genetics
• Every cancer is different

5
Early Disease Detection

• U.S. vs European conflict on screening
• No U.S. consensus
• Lack of Risk determination
• Government agency imbalances
• Focus
• Promote Wellness
• Treat Illness

6
Primary Care Impact

• Decline in doctors entering into Primary Care
  Medicine
• Resistance to greater use of nurse practitioners
• Continuing shortage of nurses
• Closing of ERs
• Resistance to Convenient Care clinics

7
Complicating the Issue

• Women vs. Men
• Comparable incidence and mortality
• Research funds - 3X for breast cancer
• Public health staffing - inconsistent
• Government commitment - no agencies
• Media focus - inordinately female focus
• Men dont communicate

8
Question 2

• Does your doctor provide you with information on
  your risk of your cancer progressing
• Yes
• No
• I dont ask because I fear the answer
• I dont think my doctor can give me the answer

9
The First Clinical Trial
10
Question3

• Blacks dont participate in clinical trials
  because
• Their insurance wont pay for it
• They dont have insurance
• Their doctors wont be able to provide care
• They dont want to be guinea pigs
• Clinical trials dont work
• There is not enough information on trials

11
Why Participate

• Health Disparities
• Different drug reactions
• First Benefit from a New Therapy
• Opportunity for treatment years before
• Best Standard of Care
• Regular health testing
• Current approved standard plus new protocol
• Protecting the Future

12
Question 4

• What would cause you to support more funding for
  prostate cancer research
• Information from my doctor
• Information from TV, newspapers
• Results of current research studies
• Patient advocacy group information
• Change in government policies
• Patient success stories

13
Research Accountability

• Impact?IMMEDIATE
• What are our Tax Dollars Buying
• Communicate
• What does research mean to the patient
• Eliminate redundancy
• Support creativity outside of established centers
• Building infrastructure and intellectual Capital

14
Expectations

• Survivorship
• What is being done to extend my life NOW
• Focus
• On the patient, not the system
• Results
• Need balance between the future and present
• Think Globally
• Utilize data and results from the rest of the
  world

15
Thank You!
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