INCONET-GCC2 International Conference
“EU-GCC Research & Innovation cooperation: The way forward”
Brussels, 29 November 2016
JA-CHRODIS
Joint Action on Addressing Chronic Diseases and
Healthy Ageing Across the Life-Cycle
An Overview
Marina Maggini
National Institute of Health, Italy
Leader WP7
The challenge

Chronic diseases undermine the quality of life of millions of Europeans

70% to 80% of healthcare budgets are spent on chronic diseases
 Unsustainable

The management and treatment of
chronic diseases can be more efficient
and effective

The majority of chronic diseases is
preventable
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There are answers across Europe: JA-CHRODIS
The Joint Action on Chronic Diseases and Promoting Healthy
Ageing across the Life Cycle
Objective of JA-CHRODIS
To promote and facilitate a process of exchange and transfer of good
practices between European countries and regions
To pave the way for better health policies and interventions to improve
the well-being of citizens.
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JA-CHRODIS: Our focus
HEALTH
PROMOTION AND
PREVENTION
MULTIMORBIDITY
DIABETES
A CASE STUDY
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JA-CHRODIS: Structure
25
Countries
39
Associated
Partners
32
Collaborating
Partners
3-year duration
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7 Work
packages
30 Tasks
Led by: Health Institute
Carlos III and
Spanish Ministry of
Health, Social Services
and Equity
What can JACHRODIS offer?
Good practice transfer
and support in the
development and
implementation of
diabetes plans
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Good practices
on health
promotion and
chronic disease
prevention
JACHRODIS
Exchange of practices and
interventions based on a
quality
assessment methodology
(CHRODIS Platform)
Patient-centred
approaches for
patients with
multimorbidity
WP7 - Diabetes:
a case study on strengthening health care for people with
chronic diseases
Objective: to improve prevention and care of diabetes
• to improve coordination and cooperation among Member States to
act on diabetes, including the exchange of good practices across
the EU
• to identifies the key enablers and barriers to the development,
implementation and sustainability of NDPs in European countries
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Respond to the WP7 goals
Identification of existing strategies
analyses and comparisons
Knowledge and
expertise sharing
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Quality criteria - Recommendations
Policy Brief - Guide for NDPs
Generation of
new knowledge
Recommendations to improve early detection, preventive interventions,
and to improve the quality of care for people with diabetes.
The recommendations are based on
an extensive process carried out to
identify quality criteria.
The process followed a structured
methodology involving the partners,
and experts from a wide number of
organisations across Europe and
from a variety of professional
backgrounds.
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Recommendations, an example
Design the practice
The design should clearly specify aims, objectives and methods, and rely upon
relevant data, theory, context, evidence, and previous practices including pilot
studies.
The structure, organization and content of the practice is defined, and
established together with the target population, that is clearly described (i.e.
exclusion and inclusion criteria and the estimated number of participants).
Human and material resources should be adequately estimated in relation with
committed tasks.
Relevant dimensions of equity have to be adequately taken into consideration,
and targeted.
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Key messages
•
The quality criteria/indicators and the recommendations may constitute a tool for
decision makers, health care providers, patients and health care personnel to
implement good practices, and to improve, monitor, and evaluate the quality of
diabetes prevention and care.
•
They may be applied to various domains (prevention, care, health promotion,
education, and training), are general enough to be applied in countries with
different political, administrative, social and health care organization, and could
potentially be used in other chronic diseases.
•
The adoption of an agreed core set of quality criteria/indicators might help to
decrease inequalities in health and to improve diabetes prevention and care
within and between European countries.
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National Diabetes Plans in Europe
Data on national diabetes plans in 22 European countries that was
collected as part of JA-CHRODIS formed the basis for the policy brief.
Countries in Europe have made progress towards developing a
systematic policy response to the diabetes burden but overall the
investment in and implementation of comprehensive strategies for the
prevention and treatment of diabetes has varied.
Policy Brief
What lessons are there for the prevention and control of chronic diseases in Europe?
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Factors that appear to facilitate the development,
implementation and sustainability of NDPs
Leadership
-
National/regional
Multiple stakeholders
Balance between centrally defined requirements and
regional autonomy
Assuring adequate resources and capacity for
implementation, monitoring and evaluation
Strong advocacy
-
Patient representation in plan development and
implementation
Flexibility
-
Learning from experience through monitoring and
evaluation as well as through transnational learning.
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JA-CHRODIS Executive Board
JA-CHRODIS GA Meeting
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The Joint Action on Chronic Diseases and Promoting
Healthy Ageing across the Life Cycle (JA-CHRODIS)*
* This presentation arises from the Joint Action addressing chronic diseases and healthy ageing across the life cycle (JACHRODIS), which has received funding from the European Union, under the framework of the Health Programme (2008-2013).
Sole responsibility lies with the author and the Consumers, Health, Agriculture and Food Executive Agency is not responsible
for any use that may be made of in the information contained therein.
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