Lecture 9.13.16 - Chronic Disease

Question 1

___% of the general population today has a least one chronic medical condition.

Answer 1

45%

Question 2

___% of total US healthcare expenditure is on chronic conditions.

Answer 2

75%

Question 3

What are the strongest correlates for multi-morbidity risk?

Answer 3

Age, lower level of education, public health insurance

Question 4

What are some of the causes of the rise in prevalence of chronic diseases?

Answer 4

Aging population, improved life expectancy, increased population prevalence of many diseases, more aggressive treatment approaches, better disease direction, new technologies

Question 5

What are the behavioral aspects of chronic disease?

Answer 5

Behavioral impact on chronic disease risk, behavioral results of living with chronic medical conditions, physician behavior and its impact on patients with chronic disease

Question 6

What are the stages of chronic illness?

Answer 6

Crisis, isolation, anger, reconstruction, intermittent depression, renewal

Question 7

True or false - there is no significant different between the mental health of patients with chronic conditions and healthy controls as long as the diagnosis was stable and 4-6 months had passed since initial diagnosis.

Answer 7

True

Question 8

There is a significantly higher likelihood of ___ and ___ in patients with COPD.

Answer 8

GAD; panic disorder

Question 9

Is there a positive correlation between medical conditions and sleep disturbance?

Answer 9

Yes

Question 10

The physician-patient relationships can have a positive impact on what 4 things?

Answer 10

Outcome, physiology, overall function, patient perception of well-being

Question 11

What physician behaviors influence outcomes?

Answer 11

Patient-centered behaviors, physician job satisfaction, number of patients seen weekly, scheduling timely follow-ups, tendency to answer questions, specialty

Question 12

What is the aim of CCM?

Answer 12

Transform the daily care for patients with chronic illnesses from acute and reactive to proactive, planned, and population-based

Question 13

How does CCM aim to accomplish its goals?

Answer 13

Combination of effective team care and planned interactions, self-management support bolstered by more effective use of community resources, integrated decision support, and patient registries/supportive IT