SIG on NCDs reports on Rio

The new WONCA Special Interest Group (SIG) on Non Communicable Diseases (NCDs) has participated in the 2016 Conference in Rio de Janeiro with different activities. Convenor, Dr Domingo Orozco-Beltran reports.

If you are interested in joining the SIG please click here.

November, 2, 2016 : Meeting of SIG Members.

On November 2, a meeting for members of the WONCA SIG NCDs took place in Rio de Janeiro. We talked about how to improve.

- There’s a need to write information about our SIG to refresh the webpage.
- We could also collect research papers and publications to create an archive accessible online.
- We shared the idea about creating a position document on NCDs liaison with WHO and to design online learning programs about conceptual models to approach chronic diseases.
- We approved a proposal to organize in Alicante (Spain) an international workshop/symposium about Chronic Diseases Tele-health Care, at the end of 2017.

November, 4, 2016. Workshop in Portuguese / Spanish:

Estratégias para a gestão de doenças crônicas em atenção primária à saúde.

Chairman: Rita Abril from the Portuguese Family Medicine Society (APMGF). Prof Orozco-Beltran presented different and innovative strategies for NCDs including population based methods for stratification according to the level of patient risk, the use of telemedicine and the importance of empowerment and shared decision making. Dr Luis Galvez presented a case from clinical practice, an old person affected by diabetes and depression, with pharmacological treatment and need for self-care, family care, and community care. Dr Joao Sequeira-Carlos talked about the implications of the new NCDs strategies in clinical practice including the overuse of emergency departments. Dr Mikel Duncan discussed different issues such as multimorbidity and comorbidity, integrated care, continuity of care or integrated care and also about the influence of social conditions on health.

November, 5, 2016. Workshop in English:

Diabetes mellitus as a chronic condition. Shared care between primary and secondary care.

Programmes to improve care for people with long-term conditions are being implemented throughout the world. The main point of similarity is a move to re-orientate care from episodic or acute interventions, towards a continuum of care which enables better prevention and management of chronic conditions. Both, primary and secondary care are necessary and we need better communication between different settings. Different strategies for chronic conditions were reviewed (Kaiser Permanente, Chronic Care Model, The continuity of care model).

New strategies include some of the following: Develop health policies and legislation to support comprehensive care; reorganise healthcare finance to facilitate and support evidence based care; coordinate care across conditions, healthcare providers, and settings; enhance flow of knowledge and information between patients and providers and across providers; develop evidence based treatment plans and support their provision in various settings; educate and support patients to manage their own conditions as much as possible; help patients to adhere to treatment through effective and widely available interventions; link health care to other resources in the community; monitor and evaluate the quality of services and outcomes. These strategies are based on WHO's review of innovative best practice and affordable healthcare models.

Speakers were Domingo Orozco-Beltran, Chair, from the WONCA SIG on NCDs and Fernando Álvarez-Guisasola and Ana Cebrian-Cuenca from the Diabetes Working Group Spanish Family Medicine Society (semFyC).