Behavioral Health, Prevention and Primary Care: Opportunity Knocks Again

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Behavioral Health, Prevention and Primary Care
Opportunity Knocks Again

• Larry A. Green, MD
• Epperson Zorn Chair for Innovation in Family
  Medicine and Primary Care
• University of Colorado Denver
• No Conflicts to Declare

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Reasons Americans Die Prematurely

• 40 is due to health-related behaviors. Since we
  know that health behaviors can be changed, it
  follows that programs of health behavior change
  should be systematically incorporated into any
  plan for comprehensive health care

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McGinnis JM, Foege WH. Actual Causes of Death in
the United States. JAMA 19932702207-12. Mokdad
AH, Marks JS, Stroup DF, Gerberding JL. Actual
Causes of Death in the United States, 2000. JAMA
20042911230-1245.
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Top Ten Estimated 2006 Annual GDP (PPP)
United States 12,980,000,000,000
China 10,000,000,000,000
Japan 4,220,000,000,000
India 4,042,000,000,000
Germany 2,585,000,000,000
US Health Care gt2,000,000,000,000
United Kingdom 1,903,000,000,000
France 1,871,000,000,000
Italy 1,727,000,000,000
Russia 1,723,000,000,000
Brazil 1,616,000,000,000
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Annual Health Insurance Premiums and Household
Income, 1996 to 2005(Robert Graham Center Devoe
et al)
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Annual Medical Expenditures with Specific Chronic
Conditions (Robert Graham Center)
Cost Without Mental Health Condition Cost With Mental Health Condition
All Adults (with and without chronic cond) 1913 3454
Heart Condition 4697 6919
High Blood Pressure 3481 5492
Asthma 2908 4028
Diabetes 4172 5559
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• Cant we work together?

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