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Cost Of Illness
- 1. Custo da Doença Métodos para estimativa Denizar Vianna denizarvianna @ cpes . org . br
- 2. Número de pessoas com doença crônica está aumentando rapidamente Source: Wu, Shin-Yi and Green, Anthony. Projection of Chronic Illness Prevalence and Cost Inflation . RAND Corporation, October 2000.
- 3. Os doentes crônicos possuem várias co-morbidades Source: Wu, Shin-Yi and Green, Anthony, Projection of Chronic Illness Prevalence and Cost Inflation . RAND Corporation, October 2000.
- 4. Gasto per capita com saúde aumenta com o número de co-morbidades Source: Medical Expenditure Panel Survey, 1998.
- 5. Doentes crônicos são grandes usuários dos serviços de saúde Source: Medical Expenditure Panel Survey, 1998.
- 6. Mais da metade dos doentes crônicos possuem 3 ou mais diferentes médicos Source: Gallup Serious Chronic Illness Survey 2002.
- 7. Doentes crônicos relatam que recebem orientação conflitante Source: Chronic Illness and Caregiving , a survey conducted by Harris Interactive, Inc., 2000.
- 8. Variação no tratamento da Insuficiência Cardíaca Source: Effective Clinical Practice , March/April 2000 69 hospitais (5 estados); 2077 pacientes com IC
- 11. Como melhorar a eficiência do sistema de saúde?
- 36. Percentagem de atendimentos de urgência devido a asma nos últimos 2 anos Fonte: Guterman J. J. The Los Angeles Clinical Resource Management Program. Presentation at the NAPH Annual Conference. June 20, 2002.
Notes de l'éditeur
- “Jane Intro Slide”
- “ #ofchronic “ #chronic”Today, 125 million Americans have one or more chronic conditions (45% of the population). Almost half the population will have a chronic condition by 2030. “ #of chronic” Between 2000 and 2030, the number of Americans with chronic conditions will increase by 37 percent, an increase of 46 million people. The probability of having a chronic condition increases with age. Between 2000 and 2030, the proportion of Americans age 50 and older will increase from 28 percent to 36 percent
- “ half” In 2000, 21 percent of all Americans had two or more chronic conditions. In 2030, it is estimated that 26 percent of all Americans will have multiple chronic conditions. The Prevalence of multiple chronic conditions increases with age: 5 percent of children have more than one condition 35 percent of people ages 45- 64 have more than one condition 62 percent of people ages 65+ have more than one condition
- “ increases” Average per capita spending on people with one or more chronic conditions is more than four times greater than spending on people without any chronic conditions. ($800 for people with no conditions compared to $3,700 for people with one or more conditions.) Compared to individuals with no chronic conditions: Spending is almost two and a half times greater for someone with one chronic condition. Spending is seven times greater for someone with three chronic conditions. Spending is more than 14 times greater for someone with five or more chronic conditions. Spending on behalf of people with four or more chronic conditions represents 26 percent of all health care spending, yet this group is only 5 percent of the population.
- “heaviest”
- “ Physicians” Eighty-one percent of people with serious chronic conditions see two or more different physicians. The average Medicare beneficiary sees an average of six unique physicians and those with 5 or more chronic conditions see 14 different physicians.
- “ conflicting” Many individuals with chronic conditions are faced with a dilemma–which provider to believe. An estimated 16 million adults go to the drug store every year only to be told of potential drug interactions. Half of all Americans report that they must give the same information to multiple providers.
- “variation”
- “beta-blockers”
- “under-beta”
- “improve”
- “ CCMgmnt”