Preventable mortality is a good indicator of possible problems to be investigated in the primary prevention chain, making it also a useful tool with which to evaluate health policies particularly public health policies. This study describes inequalities in preventable avoidable mortality in relation to socioeconomic status in small urban areas of thirty three Spanish cities, and analyses their evolution over the course of the periods 1996-2001 and 2002-2007.
Acute medical units allow for those who need admission to be correctly identified, and for those who could be managed in ambulatory settings to be discharged. However, re-admission rates for older people following discharge from acute medical units are high and may be associated with substantial health and social care costs.
The Guidance Note builds on the commitments made by world leaders in 2011 and Ministers in 2014 to integrate measures to address NCDs into national development plans and policies, including UNDAFs, and to raise awareness about the national public health burden caused by NCDs and the relationship between NCDs, poverty and socio-economic development.
Especially general practitioners are frequently confronted with complex health situations of patients, but knowledge of intensive forms of multimorbidity and their development during the life of patients is lacking.AimThis study explores the patterns and trajectories of chronic health problems of patients with multimorbidity particularly those with more than ten (11+) conditions and the type and variety of organ systems involved in these patterns during life.DesignObservational study.
This article describes a pilot model to increase palliative care (PC) knowledge and collaboration among providers and to systematically identify chronic multimorbid home care patients who would benefit from focused discussion of potential PC needs. Thirty health care providers from a home-based primary care team attended interdisciplinary trainings.
Reducing health care costs requires the ability to identify patients most likely to incur high costs. Our objective was to evaluate the ability of the Charlson comorbidity score to predict the individuals who would incur high costs in the subsequent year and to contrast its predictive ability with other commonly used predictors.
The burden of chronic disease is a global phenomenon, particularly among people aged 65?years and older. More than half of older adults have more than one chronic disease and their care is not optimal. Chronic disease management (CDM) tools have the potential to meet this challenge but they are primarily focused on a single disease, which fails to address the growing number of seniors with multiple chronic conditions.
23% of the total global burden of disease is attributable to disorders in people aged 60 years and older. Although the proportion of the burden arising from older people (?60 years) is highest in high-income regions, disability-adjusted life years (DALYs) per head are 40% higher in low-income and middle-income regions, accounted for by the increased burden per head of population arising from cardiovascular diseases, and sensory, respiratory, and infectious disorders.
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