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2 December 2008
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'Informed patient' debate heats up 

Published: Tuesday 17 August 2004    | Updated: Monday 21 May 2007   

Communicating faster, higher quality and more reliable information to patients was the focus of a round table debate among health professionals.

Background:

Against a background of increasing life expectancy and rapid technological change conveying better information to patients appears essential to provide patients with faster access to high-quality and more appropriate healthcare. How could patients get more reliable and high-quality information? Patient information has many dimensions as reflected by the wide range of initiatives at EU level. Such initiatives aim to address situations in which there is an information gap or problems with access to the right kind of information.

A couple of recommendations issued by the G10 Medicines Group (May 2002) dealt with 'enhanced information' and 'patient information leaflets'. A communication by the Commission, published as a follow-up to the recommendations of the G10 report proposes a number of practical steps to achieve better information to patients. Among these, the establishment of a 'Public Private Partnership', co-ordinated by DGs Public Health and Enterprise, for the monitoring of the quality of existing information. 

The recently concluded review of the EU's pharmaceutical legislation also touched upon this subject. A proposal by the Commission would have allowed industry to provide information on prescription drugs to cure AIDS, asthma and diabetes, directly to patients. This proposal was, however, rejected by the European Parliament. 
A recent communication on  patient mobility Pdf external underlines a need to improve the information available to patients on treatment options available in other Member States and the rules governing the payment for such treatments by one's national health insurer. 

In a separate communication aiming to reduce social inequalities regarding access to high-quality healthcare, the Commission has proposed the application of the  'open method of coordination'Pdf external  in this area. 

The Commission adopted an  action plan on eHealth Pdf external in April 2004 with a view to improving the application of information and communications technologies across a range of functions that affect the health sector (including Internet-based applications, electronic health records, telemedicine, etc.). 

The European Medicines' Evaluation Agency (EMEA) has recently completed a consultation Pdf external on the draft recommendations compiled by a working group with patients organisations. The draft recommendations extend to areas such as the transparency and dissemination of information, product information and pharmacovigilance. The final recommendations will be forwarded to the Commission for consideration. 

Other related news:

A roundtable at the Centre for Health, Ethics and Society of the Madariaga Foundation provided a forum for debate on the theme of the 'informed patient' on the basis of a draft framework for action proposed by Cambridge University Health. There were representatives of the Commission, professional associations, patients and industry around the table on 29 June.

A number of key themes were raised in the course of the round table debate:

  • There is a wide range of different sources of information, such as doctors, pharmacists, media, Internet and family;
  • Patients need both to be informed (one-way) and to be able to communicate (two-way) [ie to discuss issues with an expert];
  • Patients differ in their receptiveness t o information;
  • Improved information to patients may bring with it the possibility of achieving ethical, economic and health improvements;
  • Questions as to the compatibility of corporate interests wanting to maximise sales with public health interests of providing balanced information to patients;
  • Difficulty of putting action plans into practice.

 

Positions:

A number of speakers underlined the importance of the Internet in providing patients with appropriate health-related information. Education is essential both for the public, in the framework of health education and disease awareness programmes, and for health professionals. Some emphasised the role of the family.

One speaker from DG Infosoc explained that the eHealth action plan focuses on improving the access to, the quality of and the economy of health care on the technological side. The same speaker added that the challenge is to operationalise the action plan which runs until 2010.

A speaker from DG Research said that there is only one round of calls left from the Sixth Framework Programme. However, he also highlighted upcoming opportunities under the new Seventh Research Framework Programme for possible research into topics related to the better information of patients [FP7 will largely be discussed in 2005-6 based on a proposal by the Commission early next year].

A speaker representing the pharmacists stressed the importance of continuous training in order to improve the communication skills of health professionals. Another speaker, representing the doctors, highlighted the need to give doctors access to unbiased information.

Some speakers pointed out that there are differences in the availability of information in the new and the old Member States.

 

Next steps:

  • The Health Council on 1-2 June invited the Commission to launch a Public Health Portal by 2005.
  • The Health Council in June supported the Commission's proposal in its communication on patient mobility to create a High Level Group on Health Services and Medical Care comprising representatives of the Member States and the Commission.
  • The Commission's communication on the application of 'open method of co-ordination' is being discussed.
  • The action plan on eHealth runs until 2010.

 

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