International Primary Care Respiratory Group working locally, collaborating globally

• International primary care respiratory

organisation

• International primary care organisation

with a respiratory research mission

• Primary care respiratory journal with an

IMPACT factor (2.19 for 2012)

The only

Associate Corporate Members:Boehringer IngelheimMundipharma NovartisPfizer TevaVitalograph

+ associate member organisations:European Federation of Allergy & Airways

Diseases Patients’ AssociationsEducation for Health

European Forum for Primary Care International COPD Coalition

World Allergy Organization

22 country member organisations28 associate country members

6 associate corporate members

Organisation of organisations reaching 118,000+ global GPs

Alliances:EAACIEuropean COPD CoalitionGAAPPWONCAEPOSEAACI primary care groupERS primary care group

The Board 2013

Low and middle income countries, Tan Tze Lee, Singapore joins June 2013

Immediate Past President, WONCA Europe Doctor of the Year 2012 Miguel Roman, Spain

President Elect, Ron Tomlins, Australia

Conference Advisor and Past President Anders Ostrem, Norway

President and WHO-GARD Planning Executive (primary care) Niels Chavannes, Netherlands

Treasurer, CEO National Asthma Council Australia, Kristine Whorlow, Australia

Co-optee and Chair 2014 Organising Committee Ioanna Tsiligianni, Crete

Co-optee and PCRJ Education Rep, Jaime Correia de Sousa, Portugal

Co-optee, Karin Lisspers, Sweden, joins June 2013

WHO-GARD

• Primary care reps on Planning Executive

• Demonstration projects in Vietnam, Bangladesh and Uganda

• All national action plans should involve primary care

Raising respiratory standards

• WONCA Europe 2010, 2011, 2012 and

2013

• Workshop programmes

• Miguel Roman: Doctor of the Year

• Primary care chapter of ERS White Book

2013

© IPCRG 2007© IPCRG 2007© IPCRG 2007

Delivering value for respiratory research by working locally, collaborating globally

2013

• IPCRG’s charitable mission is “to improve public

health by carrying out, funding and organising

research into the care, treatment and prevention of

respiratory illnesses, diseases and problems in a

community setting, and to make available the results

of such research for the benefit of the public and

healthcare professionals.”

Research is the reason the IPCRG exists

There is a need for research:

• Undertaken within primary care

• Recruiting populations representative of primary care

patients

• Evaluating interventions realistically delivered within

primary care

• Drawing conclusions meaningful to professionals

working within primary care

What’s the problem we need to sort?

Global Action Plan against NCDs

• 25% reduction in mortality from NCDs by 2025

• 30% reduction in tobacco use

• Learning shared between low, middle and high

income countries

Increasing capability + capacity

• E-Facultyo Vietnam

o Romania

o Chile

• FRESH AIRo Vietnam

o Uganda

o ? Eritrea, Kyrgyzstan Tanzania

Fresh Air project• Identifying COPD• Smoking• Biomass fuels

E-Faculty Equip one primary care research-aspiring country with the skills to conduct high quality original research .....[in the field of] chronic respiratory disease and appropriate respiratory management

Educational products

• 974 participants plus

• 180 webcast audience: Chile (2 venues),

Argentina, India and Spain

• 45 countries

• 22 aided by IPCRG bursary

• 15 from Bangladesh

• 63 from Russia

• 112 AHPs

• 20 doctors in training

• 18 hours CME accreditation

Research meetings + conferences

150 primary care delegates: innovators and early adopters

Meet Thursday night: FRESH AIR Uganda

Friday: themed abstracts

Saturday: research design day (3 projects selected from 10 bids)

Research meetings + conferences

A Breath of Fresh Air:Multiple Morbidities and Integration

What changes clinical behaviour: E-Quality

• Adelaide, Australia – transposition of Spirometry 360

– distance learning programme with over-reading and

mentoring service initiated by University of

Washington

Bids for small scale educational interventions to improve respiratory diagnosis treatment and care

What changes clinical behaviour: E-Quality

• Dr Beraki Ghezai + colleagues

Norway/ Eritrea

• Prior to 2003 establishment School of Medicine, physician index

5 per 100,000 First graduating class in 2009 had 44 physicians

• Develop capacity for diagnosing chronic respiratory disease

across Eritrea:

o Educational programme for 6x regional hospital leads

o Pilot an educational programme for healthcare workers in

one region• Introduce use of diagnostic tools

Associate member.

• Person or group of people.o Not formal group (Membership rules and list,

bank account)

o Represent primary care in the country?

• Will allow you to particpate in IPCRG, but

not full voting rights.

Lunger i praksis.

• Norwegian network of GPs with special

interest in pulmonary medicine.

• Formed in 2000 – founding member of

IPCRG.

• 450 members (10% of all GPs)

Aims of Lunger i praksis.

• Improve care for people with pulmonary disease in primary

care.

• Increase the knowledge of GPs and health personnel working in

primary care.

• Inspire to research on pulmonary diseases outside the hospital

setting.

• Create a meeting-place for GPs with an interest in pulmonary

medicine.

• Organise courses and conferences for primary care.

• Increase primary care influence in national guidelines

Our activities:

• Courses: o CME courses for GPs and health care personnel since 2000.

• Research: o Several researchers affiliated to the University of Oslo.

• Projects: o Guidelines for COPD; asthma and smoking cessation

o International activates; e-Quality , IPCRG conferences.

Eritrea; e-quality....and more?

• Lunger i praksis is committed to work over time to

develop projects in Eritrea in collaboration with the

Orotta school of Medicine and Dentistry.o Educational projects

o Research projects – “Fresh Air Eritrea”

o Support development of research capacity

o ...and more!

To conclude, IPCRG is

• Independent

• Work in low, middle and high income countries

(aligned to NCD Alliance, Union)

• Aligned to primary care (WONCA Europe and global)

• Aligned to respiratory care (ERS, GARD, EAACI,

ARIA, WAO)

• Supported by patients (ELF, EFA, GAAPP, COPD

Coalition)

• Communities of practice: research, education, care

delivery

• Because primary care, can tackle multiple morbidities