E2L5 - Chronic Disease & Disability

Question 1

What percent of the general population has at least one chronic medical condition?

Answer 1

45%

Question 2

What percent of the total US health expenditure is on chronic conditions?

Answer 2

75%

Question 3

The rise in overall spending (Medicare) is used on patients with ________.

Answer 3

5+ medical conditions

Question 4

The risk of multi-morbidity most strongly correlates with what 3 variables?

Answer 4

Age, level of education, and public health insurance.

Question 5

Why is there an increase in prevalence of chronic disease? Name 3 explanations.

Answer 5

1. More aggressive treatment approaches
2. Better diagnostic detection
3. New technology

Question 6

True or False: chronic disease affects impacts patient behavior, but not physician behavior.

Answer 6

False. This was one of the key underlying themes of the lecture - doctors’ attitudes and behavior are affected by chronic disease.

Question 7

Chronic disease impacts patients in the areas of  
A. Social - isolation
B. Emotional - Stress/depression
C. Financial - Lack of money
D. all of the above

Answer 7

D

Question 8

What 4 areas correlate strongly with a robust doctor-patient relationship?

Answer 8

1. Pt. Outcome
2. Physiology
3. Overall Function
4. Pt. perception of well being

Question 9

True or False: Just giving out information to a patient has a strong influence on pt. outcome

Answer 9

FALSE. You gotta sell it!

Question 10

What was the most important physician behavior that influenced pt. outcomes?

Answer 10

COMMUNICATION. Being able to talk to my doc!

Question 11

What is the aim of CCM (chronic care medicine)?

Answer 11

“To transform the daily care for patients with chronic illnesses from ACUTE and REACTIVE to care that’s

1. Proactive
2. Planned
3. Population-based

Question 12

What’s the new big thing right now, especially for chronic pt.’s?

Answer 12

“Medical Home” concept

Question 13

Words that stage anyone with a chronic illness like a knife to the heart…

Answer 13

“maybe if you exercise and lose a little weight”

“you don’t look sick”

“my aunt had that and now she’s fine”

“maybe you just need some rest”

“there is this supplement that cures your condition!”

“you just need to get out of the house more”