The goal of national health systems is to maximise the number of healthy years of life for their population. Right now many health systems are stalled! From 1870 until 1939 basic sanitation, nutrition and simple healthcare procedures narrowed the gap in the average lifespan between the rich and the poor. From 1939 until 1993, people continued to live longer, but the gap stayed the same. But for the last 25 years the gap has been widening again, it is now 1.7 years wider than it was in 1993.
Academics from the field of Actuarial Science say that life extension from medical improvements are largely played out. Recent reports “Investigations in inequalities in Adult Lifespan” and from the Adelaide Foundation say that most deaths today are from age related chronic diseases and therefore individual life choices have become much more significant for life extension than in the past. However, getting people to change how they behave is difficult. Changing long-term behaviour requires expertise more in a social and conversational space than a medical space.
Most deaths in developed countries are from chronic conditions
Publicly available data from Scotland shows that nurses working in behavioural interventions spend the majority of their time helping with just four main chronic conditions, Hypertension, Diabetes, Circulatory & Respiratory S&S, and Asthma. In Ireland with a population of just over 4m adults, 450k have asthma, up to 200k have COPD (110k diagnosed), 225k have diabetes and over 1m people have hypertension. Chronic conditions affect large numbers of our populations.
One of the most effective tools in helping people with chronic conditions live longer are condition management plans. From a medical perspective these may seem simple, trivial even. They involve a combination of people recording their symptoms, learning about symptom boundaries (time to take action), and understanding the trigger places or events for their condition – which are only learned over time. They involve communication plans for who needs to know about their conditions and what to do in circumstances of an emergency.
Much of the implementation and servicing of chronic condition management plans can be done remotely by specially trained nurses. Indeed for this kind of work, nurses are often more successful practitioners than doctors. However the reputation that “Call Centres” have built up over the years has built significant prejudice against any kind of remote service delivery.
Condition management plans extend lives
Ennovate have built a unique service package that enables remote management plan providers to effectively deliver service, that people with chronic conditions benefit from. Our approach;
The Asthma Society of Ireland uses remote services to effectively help patients
In 2014 and 2015 Ennovate worked with the Asthma Society of Ireland to help them completely rebuild their Adviceline to target increased patient engagement and to produce better outcomes. The new service has continued to develop under the leadership of Pheena Kenny. Recently the Adviceline was independently reviewed by the Helplines Partnership and Sarah Hill from that organisation said of the Asthma Society:
“The service clearly has gone through a huge amount of development in the past year and a half, and is built on solid research in the sector. In particular the strategic and operational plans, confidentiality and data protection policies, and the internal quality assurance and monitoring is excellent.”