Morbidity and Mortality Whats making us sick

1
Primary Health Care Canadian College of Health
Service Executives The provincial context June
8th, 2007
Presented by Valerie Tregillus, Executive
Director, Primary Health Care Medical Services
Division, Ministry of Health www.primaryhealthca
rebc.ca
2
Achieving the goals of the health system through
a quality lens
3
Individuals have differing health care needs
Individuals
4
British Columbia population breakdown by health
status 2005/06
1 to 3 Chronic
Conditions
32
Possible Chronic
4 to 6 Chronic
Conditions
Condition
2
17
7 Chronic Conditions
0.2
Non-Users
15
Acute Condition(s)
34
Possible Chronic Condition 1 medical
diagnosis 1 Chronic Conditions 2 or more
medical diagnoses Source Medical Services
Division
5
Healthcare costs are heavily weighted towards
those with chronic conditions in 2005/06
34 of the pop n
80 of total
620,313
2005/06
6
The seniors demographic is projected to grow
significantly between 2005/06 and 2030/31
Age groups with highest prevalence of chronic
diseases
7
Growth over the next 25 years for those with 1
chronic condition
8
Increasing the emphasis on prevention and
proactive management
Hospital days
Hospital days
Proactive management complication
prevention
Episodic reactive care
Prevention
25,000 new cases each year
Prevent Diabetes
Develop Diabetes Irreversibly changes
a persons life
Community Support
8
9
Some areas of focus for PHC
Cardiovascular
Mental Health
Hypertension Diabetes Mellitus Ischemic Heart
Disease Congestive Heart Failure Cerebrovascular
Disease (Stroke) Chronic Kidney Disease Disorders
of Lipoid Metabolism
Depression
Musculoskeletal
Osteoarthritis fractures related to
osteoporosis Lower back pain
Other focus areas
Aboriginal Seniors at risk Complex
patients Maternity Care Addictions Dementia
Respiratory
Asthma Chronic Obstructive Pulmonary
Disease Acute Lower Respiratory Tract Infection
10
Chronic diseases are only a part of PHC the PHC
charter sets a broader direction
Important features of PHC
1
Improved general access to primary health care
Access
2
Increased access to primary care providers for
maternity care
3
Increased chronic disease prevention
Continuous
4
Enhanced management of chronic diseases
Comprehensive
5
Improved coordination and approaches to manage
co-morbidities
6
Improved care for the frail elderly
Coordinated
7
Enhanced end of life care