Which message to the next generation?

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"What is the message to the next generation?"

• Giorgio Visentin

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Summmary

• Once upon a time
• Which methodology
• Which patients
• Which organization
• New needs/new rights
• Which answers
• Why we have to be optimistic

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Once upon a time

• Prescription on white paper

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Once upon a time

• Prescription on white paper
• No telephone

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Once upon a time

• Prescription on white paper
• No telephone
• First floor solo practice

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Once upon a time

• Prescription on white paper
• No telephone
• First floor solo practice
• Cheap forniture (compared to private doctors

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Once upon a time

• Prescription on white paper
• No telephone
• First floor solo practice
• Cheap forniture (compared to private doctors)
• No appointment

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Once upon a time

• Prescription on white paper
• No telephone
• First floor solo practice
• Cheap forniture (compared to private doctors)
• No appointment
• Patients were asking free useless drugs

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Once upon a time

• Prescription on white paper
• No telephone
• First floor solo practice
• Cheap forniture (compared to private doctors)
• No appointment
• Patients were asking free useless drugs
• Frequent home visits

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Which methodology?

• EBM??

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Which methodology

• EBM??
• Personal relationship with hospital specialists

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Which methodology

• EBM??
• Personal relationship with hospital specialists
• More theraphy less diagnosis

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Which methodology

• EBM??
• Personal relationship with hospital specialists
• More theraphy less diagnosis
• Unknown prevention

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Which patients?

• Age

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Which patients?

• Age
• Chronic diseases

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Which patients?

• Age
• Chronic diseases
• Multimorbidity

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Which patients?

• Age
• Chronic diseases
• Multimorbiity
• Frequent attenders

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Which health?

• Nutritive vs hypocaloric

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Which health?

• Nutritive vs hypocaloric
• Sport and supplements

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Which health?

• Nutritive vs hypocaloric
• Sport and supplements

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Which health?

• Nutritive vs hypocaloric
• Sport and supplements
• Smoke and sexy

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Which health?

• Nutritive vs hypocaloric
• Sport and supplements
• Smoke and sexy
• Which diet?

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Which health?

• Nutritive vs hypocaloric
• Sport and supplements
• Smoke and sexy
• Which diet?
• Hairs

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Which health?

• Nutritive vs hypocaloric
• Sport and supplements
• Smoke and sexy
• Which diet?
• Hairs
• Health as marketing

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Which organization?

• Solo practice (Poland)
• Free drugs (any!)
• Appointment
• Fee for service
• Fee for performance
• Home visits

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New needs/new rights

• Health definition
• Diagnosis vs problems
• Information on prognosis
• The concept of death

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Communication to the health system

• Control of service
• Control of expenses
• Control of quality
• Accountability
• Excessive control

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Information to the patient/FSE

• Diseases known by relatives or neighbour

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Information to the patient/FSE

• Diseases known by relatives or neighbour
• Information from television

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Information to the patient/FSE

• Diseases known by relatives or neighbour
• Information from television
• Web pages
• Blogs

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Information to the patient/FSE

• Diseases known by relatives or neighbour
• Information from television
• Web pages
• Blogs
• Social network

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Which answers?
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Which answers?

• Multiprofessional approach

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Which answers?

• Multiprofessional approach
• Disease mongering

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Which answers?

• Multiprofessional approach
• Disease mongering
• Telemedicine

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Which answers?

• Multiprofessional approach
• Disease mongering
• Telemedicine
• Doctor patient vs team-community

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Which answers?

• Multiprofessional approach
• Disease mongering
• Telemedicine
• Doctor patient vs team-community
• Social network

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Why we have to be optimistic
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