Post on 14-Dec-2015
Danish Health and Medicines Authority Denmark
Dr. Else SmithChief Medical Officer and Director GeneralNational Board of Health
Chronic diseases – a challenge for all of us
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Challenge one
We live longer – with well known risk factors
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1,5 million Danes live with a chronic disease
In a typical municipality with 50,000 inhabitants:
2-3,000 citizens with type 2 diabetes 2,000 citizens with heart disease 2,000 citizens with COPD 2,300 citizens with cancer 8,000 citizens with muscular-skeletal disease 2,000 citizens with depression
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In a typical Danish municipality with 50,000 inhabitants
10,000 smokers
17,000 citizens that are not adequately physically active
20,000 overweight citizens
4,700 citizens who drink more alcohol than the high risk limits of 14/21 units per week
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Challenge two
The health care systems ability to handle patients with chronic diseases
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Targeting the risk factors and diseases
Prevention
Early detection
Treatment
Rehabilitation
In a proactive, coherent and continuous process
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Targeting the health care system
The overall structure of the health care system
A citizen and patient-centered service focused on patient education and self-management
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Highly specialised treatment/care
(Assisted/)Specialized Care in the region for Multimorbidity/Multiple Risk Factor Management
Community health care/ primary care including prevention, treatment and rehabilitation