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Samenvatting HPI4002
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Summary of key information for the Innovation and Quality Management of Health Services (HPI4002) course Summary includes lectures and answers to discussed cases.
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Lecture Case 6 Innovations in chronic caremanagement IQM
Background chronic disease
Why is chronic disease important?
-Incidence of chronic disease is increasing (causing healthcare expenditures)
-Frequency and scope (burden of patients) is increasing
-Different need/approaches of care for chronic disease (because it is life time long)
-Innovation might be able to tackle or reduce this
Non-communicable diseases kill slowly in normal times and quickly in covid-19 diseases.
-People who have chronical disease tend to have a worse outcome when having COVID-19
-Chronic diseases therefore offer challenges to health systems
WHO Definition of chronic disease: two important elements
-Long term health problems that are not life-threatening and you can life with
-Tend to slowly progress over time (get worse and will impact physical and mentally functioning)
Multiple chronic diseases are known such as: diabetes, depression, arthritis.
How do chronic diseases differ and can you see communalities between conditions based on their
nature (e.g. onset, course and impact)?
4 categories of chronic diseases:
Life threatening conditions:
Intermittent conditions: depends on period how severe it is (with stable periods and flare
ups with exacerbation in disease burden e.g. asthma)
Progressively debilitating (patient worsening over time e.g. dementia)
Chronic mental illness (e.g. depressions and dementia)
Can be overlap between these categories like in case of dementia
Different impacts on patients, caregivers and family
What drives prevalence of chronic diseases?:
-As population has aged, we see more chronic disease (tend to develop at later age)
Risk factors of chronic disease:
Diet
Physical inactivity
Obesity
Alcohol and tobacco use
High cholesterol and high blood pressure
Genetics
Social environment
Air pollution is now also important in prevalence of chronic conditions
Diseases that used to be deathly (hart failure, diabetes and HIV), can now be treated with medicines
and technological innovations.
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