Patient / Advocate Communities
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Transcript Patient / Advocate Communities
Rationalizing the New
Healthcare Paradigm
Scientific Agenda
vs.
Patient Imperatives
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
Question #1
Will access to care solve the issue of
racial health disparity
Pathways to Cancer
Awareness
Access
Environment
Lifestyle
Culture
Genetics
Every cancer is different
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
Primary Care Impact
• Decline in doctors entering
•
•
•
•
into Primary Care Medicine
Resistance to greater use of
nurse practitioners
Continuing shortage of
nurses
Closing of ER’s
Resistance to “Convenient
Care” clinics
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 don’t communicate
Question #2
Does your doctor provide you with
information on your risk of your cancer
progressing
Yes
No
I don’t ask because I fear the answer
I don’t think my doctor can give me the answer
The First Clinical Trial
Question#3
Blacks don’t participate in clinical trials
because:
Their insurance won’t pay for it
They don’t have insurance
Their doctors won’t be able to provide care
They don’t want to be “guinea pigs”
Clinical trials don’t work
There is not enough information on trials
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
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
Research Accountability
ImpactIMMEDIATE:
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
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
Thank You!
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