Posts Tagged ‘prevention’

Chronic Disease and a New Approach to Healthcare

May 22nd, 2008

The World Health Organization reports that “chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, are by far the leading cause of mortality in the world, representing 60% of all deaths”.

WHO data also shows that the major risk factors for chronic disease are an unhealthy diet, physical inactivity, and tobacco use.

The WHO also claims that if the major risk factors for chronic disease were eliminated, at least 80% of heart disease, stroke and type 2 diabetes would be prevented; and 40% of cancer would be prevented.

However, without action, 17 million people will die prematurely this year from a chronic disease.

17 million people dying from diseases caused by their own lifestyles.

Maybe a tad over the top; but you get my point.

In a recent press release, the Ontario Health Quality Council reported that:

  • Ontario is failing to meet the chronic disease challenge: nearly 8,000 lives could be saved annually and the quality of life improved for many more by better managing chronic disease.
  • 1-in-3 Ontarians suffers from chronic disease. Eighty percent of Ontarians over 65 have at least one chronic disease and 70 percent of these have two or more.
  • Fewer than half (47%) of Ontarians with diabetes have their blood sugar under control and just 28% have their blood pressure under control.

This is coming from one of the richest provinces in a country with one of the world’s highest Health Adjusted Life Expectancies (HALE).

So what does the Ontario Health Quality Council suggest to combat chronic diseases?

  • Improve patient access to doctors
  • Improve patient access to medical tests/scans
  • Implement a province-wide electronic patient/doctor information system
  • Citizens should strive to live a healthy lifestyle

Groundbreaking ideas… More doctors, more money, more tests, more money, more technology, more money, and live a healthy lifestyle.

Not very original – spend taxpayer dollars and tell them what they already know to be true – smoking is bad for your health, being obese is bad for your health, stress is bad for your health, etc.

Is there a Solution?

Instead of spending more taxpayer dollars on doctors, MRIs and health promotion commercials (Like this ,this, this) , how about we offer taxpayers who live a ‘healthy’ lifestyle a reduction in income taxes?

Behavior modification through reward rather than punishment.

Now if only we could create a global lobby group to push this agenda to our respective governments.

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Wellness and Workouts in the Canadian Workplace

May 15th, 2008

According to this article in the National Post, Canadian employees desire workplace wellness and disease prevention education to be included in their health care plans.

In the Sanofi-Aventis Healthcare Survey, 83% of the 1500 respondents would be more likely to stay at their jobs if they believed their employer was interested in maintaining their health through education and prevention.

75% thought more highly of employers that offered it in the workplace.

According to Chris Bonnett, a member of the surveyem advisory board and president of H3 Consulting, “[employees] are looking to their employers for support and access to health education and programming.”

PRO

It’s great that Canadians are more interested in their health and that their employers may see a beneficial link between the employees’ health and their value to the company.

Not like the good old days.

Highballs in the corner office…cool baby

CON #1

The survey was conducted by Sanofi-Aventis Canada – the Canadian affiliate of the Sanofi-Aventis Group, one of the world’s leading pharmaceutical companies. No conflict of interest there.

What are the odds that Sanofi-Aventis might have some suggestions as to the type of health education and programming (their word) that the employees should have access to?

CON #2

Who is going to say no to free stuff?

Sure, pay for my gym membership. I’m down with that.

It would be much more honest to ask employees if they would be interested in having their employer pick up half the tab for fitness memberships, etc.

CONCLUSION

At the end of the day, any health promotion / disease prevention plan is a good thing. And what a surprise that in Canada, the home of socialized medicine, that business, not government is leading the way.

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Disease Prevention with an Exercise Prescription

May 1st, 2008

In the U.K., doctors are writing exercise prescriptions for their patients.

While it is not an entirely new practice over there, it would be revolutionary on this side of the pond.

Imagine this; instead of billions upon billions of dollars being spent on treating disease, we spent a fraction of that money on preventing disease.

In 2000, the total cost of obesity in the United States was estimated to be $117 billion. About $61 billion was for direct medical costs, and $56 billion was for indirect costs.

That number is likely to increase as the Percentage of Adults Who Report Being Obese, increases year after year.

A study by researchers at the Centers for Disease Control and Prevention in the US has recently estimated that each physically-active person saves the health care system over $300 annually relative to an inactive person.

With the current U.S. population at 303,980,933, that would work out to a potential savings of $91,194,279,900

In Canada:

  • A study done in 1995 for the Ontario Government called The Relationship between Physical Fitness and the Cost of Health Care, estimated that OHIP medical claim costs could be reduced by $31 million a year if all Ontario adults (aged 20-69) had at least an average level of fitness.
  • Based on CDC study mentioned above, the 63% of Canadians who are still inactive cost the health system $5.7B more than if they were active.
  • In the Economic Burden of Illness in Canada, Health Canada reports that the total direct cost (drugs, physicians, hospitals, research) of illness in 1993 was $44 billion out of an overall cost for health care in Canada of $70 billion.Moreover, the indirect costs such as time lost due to long-term and short-term disabilities, and the present value of future productivity lost due to premature mortality and illness in Canada represents an estimated economic value of $129 billion — nearly 21% of the GDP. Reducing the number of inactive Canadians by a further 10% would result in an additional saving of $5 billion.

So what do we do?

In a Cost-Benefit Analysis of Physical Activity Using Bike/Pedestrian Trails, it was found that every $1 investment (construction, maintenance, equipment and travel) in exercise trails led to $2.94 in direct medical benefit.

A 2004 paper, published the in American Journal of Preventive Medicine has a variety of intervention strategies.

But at the end of the day, all government can do is try to coax us, bribe us or threaten us into adopting a healthier lifestyle.

Ultimately, it is up to the individual to make the conscious decision. Is the benefit of living an active and healthy life worth the cost?

Is it?

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