Speech to The Pharmaceutical Society
of Australia Pharmacy Refresher Course
The Honourable Colin Hansen, Minister of Health Services
June 1, 2004
Check Against Delivery
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Thank you very much. It's actually been three
years on June the fifth that we were sworn in as government. There
are two sides to that when you're a health minister. On the one
hand, you think back and it seems like yesterday and time is flying
fast. On the other hand it feels like it's been about 20 years.
For every health minister around the world, there are burdens
that are common to all of us.
First of all, I want to welcome all of you
here and just say how pleased our Premier, Gordon Campbell is,
that you chose to come to Vancouver for the start of your conference
this year. There is a lot we can learn from each other in the
areas of healthcare and pharmaceutical issues in particular. Just
as BC learned a lot when you were seeking and planning the Olympic
Games. We certainly sought out your advice when we went after
the 2010 Olympics, which we were successfully awarded. I know
that there will be many from the Olympic Organizing Committee
that will be seeking out the advice of those of you in Australia
who understand the preparation work that has to be done. There's
also a lot to collaborate on in terms of healthcare.
As I was thinking about the remarks that I
could make in the opening of your session, I was thinking about
some of the successes that we've had in BC that I hope you'll
have a chance to touch upon during your deliberations. We've embarked
on a very strong strategy around chronic disease management and
trying to answer the question for people with congestive heart
failure, diabetes, or asthma of 'what do we do to keep people
out of hospitals?' Proper care at the community level and the
effective management of pharmaceutical products is obviously one
key to that. The first collaborative we rolled out was just over
a year ago in congestive heart failure (CHF). Already after just
twelve months, we've seen phenomenal changes and phenomenal benefits
to the individuals who are dealing with CHF, through proper use
of medications.
In BC we also have a NurseLine. That in itself,
is not unique around the world. It's a system where citizens can
phone in and get advice over the telephone as to whether or not
they should be going to an emergency room, or whether they should
be going to see their family doctor. One thing that we found was
that ten percent of all the calls that came in were pharmacy related.
Often people, especially in smaller communities, could not get
access to their pharmacist, particularly in the evenings and overnight.
So, one of the things we added was a pharmacy service so pharmacists
can be accessed by a 1-800-number. The pharmacist is not sitting
in the centre. They're actually linked up to community pharmacists,
who are actually working in their prospective pharmacies around
the province. Between midnight and eight o'clock in the morning
isn't one of the busier times, so they have time to handle those
phone calls and give that kind of advice. That has an impact on
emergency room visits in our hospitals overnight.
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We also have a financial assistance program
for every resident in the province. In fact, we recently made
some pretty significant changes to it to make sure that it was
based on need, so that people with lower incomes got significantly
better financial assistance than they would have previously. We're
trying to cope with the aging baby-boomers, as I know you are
in Australia as well. In Canada we realized that 20 years ago,
a third of our seniors lived under the poverty line. Today, that's
about 17 percent, so we need very different programs to meet the
needs of baby boomers in the future, and we have to focus our
resources on those who have lower income and need the extra financial
assistance from the taxpayers.
We've also got a program that I believe you
may be touching upon in your conference, referred to as our PharmaNet
system. Every single prescription that has been filled by a pharmacist
in British Columbia since 1995 is in a database. When we formed
government three years ago, one of the things I found is that
there is a great concern about privacy and how information is
used. That's appropriate. We have to protect privacy, but at the
same time we have to find ways of protecting it while still using
the data collected. What a wealth of information we have to try
to determine negative drug interactions that perhaps we haven't
actually made the linkage on yet. Looking at the effectiveness
of medication, are they really all they're cracked up to be? Do
these medications actually produce the results that our manufactures
attribute to them based on the very focused clinical trials that
take place? And, what actually happens when you get drugs past
the clinical trials and out into the real world? I know that you
as pharmacists face that on a daily basis, but how can we use
the data that we've got to actually, in a very systematic way,
find answers to some of the questions we haven't even thought
to ask yet, never mind to research.
The other thing in BC that we're very proud
of is the initiatives that we are undertaking in the Biotech area.
When we were faced with the international SARS crisis, just one
year ago, it was actually a research team here in BC at the BC
Cancer Agency that took on the task to sequence the coronavirus,
even though it wasn't linked to cancer. They were the first in
the world to do that, but what was critical was that they didn't
go out, as I think we would find with some American research organizations,
and slap a patent on it and say that anyone who wants to use this
has to pay a fee. They did patent it, because they wanted to ensure
no one else slapped user fees on it. They patented it so it would
be protected for general practice use, and they stuck it on the
internet so that scientists all around the world could use that
genome sequencing for their prospective research.
That is the approach that countries like Canada
and Australia and New Zealand have to take to make a real contribution
to the health of citizens around the world. It's through collaboration,
not proprietary information, that we can find new medical advances
around the world. It's out of these kinds of conferences that
we're going to be able to share best practices and ideas as to
how we can better meet the needs of our respective citizens.
Once again I welcome you here and thank you
for coming to BC. I look forward to the feedback that I will get
from the Canadians that are going to share this time with you,
in terms of the kind of policies and innovations that you have
undertaking in Australia that we should be copying in British
Columbia.
Enjoy your stay, and thank you for having me
today.
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