Louise Houson, MD Human Health, MSD Ireland
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Patient perspectives on the future of healthcare in Ireland
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Louise Houson, MD Human Health, MSD Ireland
- 1. The Patient and Future Health in Ireland Louise Houson MD – Human Health MSD Ireland May 2016
- 3. We have a powerful purpose….. “We try never to forget that medicine is for the people. It is not for the profits. The profits follow, and if we have remembered that, they have never failed to appear. … We cannot rest until the way has been found to bring our finest achievements to everyone.” George W. Merck, 1950 Our aim is to save, change and improve the lives of the patients we serve.
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- 5. Research Programme Exploration of public’s wishes and opinions regarding the future of healthcare in Ireland to provide initial direction. Focus Groups with the public Think Tank and Interviews with key opinion leaders Survey with General Public Measurement of the general public’s views on the healthcare system and the values they seek from this system. Facilitated discussion with key opinion leaders and healthcare stakeholders in to review focus groups and shape the quantitative survey.
- 7. 8 EmpowermentAccess Communication Quality Respect Technology Key to the empowered patient
- 8. What Irish Healthcare Means To Me Spontaneous associations dominated by (i) negativity and (ii) secondary care
- 9. How Are These Opinions Founded? Spontaneous associations are negative Most initial responses are dominated by negative sentiment and criticism But positive viewpoints can emerge When probed, some positive perceptions are in evidence There is inconsistency of experience Experiences can vary considerably within settings, groups, even individuals
- 10. Perceptions Are Shaped By Three Core Sources Personal Experience Negative experiences are more ‘memorable’ by their nature But positive stories also in evidence Quality of staff interactions (or lack thereof) are critical to the user experience Word of Mouth Most have friends or relatives that have shared poor experiences Poor experiences for those who we value the most (relatives, loved ones) strike an emotional chord The Media “Positive doesn’t sell newspapers!” Crisis reporting about Irish healthcare is arguably the norm Positive stories accepted to be under- reported
- 11. The Public Struggle To See Where Its Voice Is Being Heard The Media •Public can have voice through traditional and social media •Power of health programmes on TV (e.g. Op Trans) The Ballot Box •Some see progress in health as intrinsically linked to politics •New Minister for Health The Young Future •Ireland is aging •But hope that younger people may be more health conscious and ‘clued in’ All agree that the public should have a stronger voice in shaping its own health system However, problems are large and perceived as insurmountable by some Some struggle to see how the public can have a practical input – merely pawns in the system Little mention of patient advocacy groups How?
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- 14. What is the role of the pharmaceutical industry? 15
Notas del editor
- We employ over 2,000 people at sites in Dublin, Carlow, Cork, Tipperary and Wicklow. We manufacture or package many of our leading products for the world market in Ireland. Our Irish sites are renowned for their capability to rapidly introduce new products (and additional volumes of existing products) at minimal additional capital cost, ensuring supply for new product launches / expanding market opportunities
- Many of the most widely used MSD medicines are developed by our teams in Ireland, where 61% of MSD’s global top 20 products are manufactured. We have invested hugely in the Irish market and our Irish sites are well regarded, and renowned, by our colleagues across the globe. We have continuously led the way when it comes to our capability to rapidly introduce new products, and additional volumes of existing products, at minimal additional capital cost – ensuring supply for new product launches or expanding market opportunities are served €11.5 million investment in April to MSD’s first vaccines facility outside of US in Ireland In the last 3 years we have made significant new investments in Carlow, Dublin, Tipperary, and Cork. Ireland continues to lead the way when it comes to our capability to rapidly introduce new products, and additional volumes of existing product at minimal additional capital cost. Ireland plays an important part in MSD’s global success as MSD manufacturers or packages many of its leading products for the world market in Ireland and completed critical late stage R&D for new products in Ireland. In the past five decades MSD has invested over €2.2bn in Ireland and contributes significantly towards making the pharmaceutical industry the country's leading export sector. Today MSD employs almost 2,000 people directly in Ireland and provides an additional 9,000 indirect jobs through its operations at eight sites across Ireland.
- When we look at healthcare, the glass is either half full or half empty. Are we negative about current failings or positive about the future of healthcare Reasons for optimism, reasons for pessimism….
- We engaged Ipsos MRBI to carry out a piece of research that would tell us about what people think about the current state of the health service and what hopes they have for the future What is important to them in a health system that works. The research was done in three phases………….
- And what we found that ultimately our health system is based on two principles – survival and quality Survival is about access to the system in the first place Quality is about the standards we expect when we’re in the system Survival and quality
- Ultimately the patient wants to be empowered. How does the patient feel empowered in our health system?? Access – people want timely and affordable access as a priority – this was the number one priority in our focus groups Communication – MSD has worked with NALA on the Crystal Clear awards – we want to ensure the patient understands what their diagnosis is, etc Quality - Experience – people want clean healthcare settings that are easy to navigate
- When we asked focus groups for their spontaneous reactions to Irish healthcare, it was dominated by both negativity and a focus on secondary care
- When we look at healthcare, the glass is either half full or half empty. Are we negative about current failings or positive about the future of healthcare Reasons for optimism, reasons for pessimism….