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Published on January 11, 2008

Author: Margherita

Source: authorstream.com

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Slide1:  Where Healthcare Meets Policy Slide2:  The Growth of Diabetes and What to Do About It Diabetes is the Fifth Deadliest Disease in the U.S. and Its Prevalence is Increasing:  Diabetes is the Fifth Deadliest Disease in the U.S. and Its Prevalence is Increasing U.S. Prevalence (% of population) 1999 4.9%  6.9% Lifetime Risk if Born in 2000 33% 39% Whites: African Americans: 40% 50% 27% 31% Hispanics: 45% 53% Sources: American Diabetes Association: Economic Costs of Diabetes in the U.S. in 2002. Diabetes Care. 2003;26:917-932. Venkat Narayan KM, Boyle JP, Thompson TJ, Sorensen SW, Williamson DF. Lifetime risk of diabetes mellitus in the United States. JAMA. 2003;290:1884-1890. American Diabetes Association: Diabetes Statistics for African Americans. Available at: www.diabetes.org/diabetes-statistics/african-americans.jsp. Accessed March 14, 2005. American Diabetes Association: Diabetes Statistics for Latinos. Available at: www.diabetes.org/diabetes-statistics/latinos.jsp. Accessed March 14, 2005. How Serious Is Diabetes?:  How Serious Is Diabetes? Source: Venkat Narayan KM, Boyle JP, Thompson TJ, Sorensen SW, Williamson DF. Lifetime risk of diabetes mellitus in the United States. JAMA. 2003;290:1884-1890. It predictably affects both lifespan and quality of life 40 40 Age at diagnosis: Lost # of life years: 18- 20 21 - 24 11 - 13 12 - 17 Lost # of quality-adjusted life years: The Financial Impact of Diabetes Is Also Staggering:  The Financial Impact of Diabetes Is Also Staggering Total Health Care Costs in 2002: $865 Billion Indirect Expenditures: $40B Diabetes: $132B Lost workdays Restricted activity days Mortality Permanent disability Diabetes Care $23B Related Complications $25B Other Medical Care $44B Direct Expenditures: $92B Source: American Diabetes Association: Economic Costs of Diabetes in the U.S. in 2002. Diabetes Care. 2003;26:917-932. The Burden of Diabetes Is Greater for Minority Populations in the United States:  The Burden of Diabetes Is Greater for Minority Populations in the United States 2.7 million (11.4%) over age 20 60% higher than in whites Higher complication rates 2X as likely to suffer lower-limb amputations 2X as likely to suffer from diabetes-related blindness Diabetes in African Americans Diabetes in Hispanics Diabetes affects: 2.0 million (8.2%) over age 20 50% higher than in whites Higher complication rates 35% of diabetic Mexican Americans have eye complications Diabetic Mexican Americans are 5X more likely to suffer from kidney failure Sources: American Diabetes Association: Diabetes Statistics for African Americans. Available at: www.diabetes.org/diabetes-statistics/african-americans.jsp. Accessed March 14, 2005. American Diabetes Association: Diabetes Statistics for Latinos. Available at: www.diabetes.org/diabetes-statistics/latinos.jsp. Accessed March 14, 2005. Mokdad AH, Ford ES, Bowman BA, et al. Diabetes trends in the U.S.: 1990-1998. Diabetes Care. 2000;23:1278-1283. 10.8% of African Americans 10.6% of Hispanics 6.2% of Whites Considering the Risks, It’s Remarkable How Many Diabetics Neglect Their Condition:  Considering the Risks, It’s Remarkable How Many Diabetics Neglect Their Condition 18%: Poor control of their blood sugar 37%: No eye exam in past year 45%: No foot exam in past year Diabetics in 2002 Source: Saddine JB, Engelfau MM, Beckles GL, et al. A diabetes report card for the United States: quality of care in the 1990s. Ann Intern Med. 2002;136:565-74. It’s obvious we have a large-scale health problem on our hands To Address the Challenge, We First Need Leadership from the Medical Community:  To Address the Challenge, We First Need Leadership from the Medical Community Example: California Academy of Family Physicians (CAFP) Source: Personal Communication. California Academy of Family Physicians, 2005. “The over-arching strategy is directed at inducing organizational changes in physicians’ offices to better accommodate disease-management systems and streamline patient care to lead to improved efficiency and greater provider and patient satisfaction.” – Eric Ramos, M.D. President, CAFP CAFP’s Diabetes Initiative:  CAFP’s Diabetes Initiative Lumetra CAFP UCSF Department of Family and Community Medicine UCSF Collaborative Research Network Traditional & electronic platforms Expanded treatment guidelines Outcome measures Patient education (& self-management) Public awareness Legislative linkages Expanded Clinical Education Comprehensive Practice Redesign Family involvement in care team Disease registries Group office visits Open access scheduling Electronic health records Leverage technology Source: Personal Communication. California Academy of Family Physicians, 2005. Effectively addressing a complex disease requires a strategic plan that reforms daily care practices in the office, community, and home. Slide10:  The Growth of Diabetes and What to Do About It Where Healthcare Meets Policy Release Date: 4/13/2005 www.healthpolitics.com

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