Educating and inspiring policy makers – driving change - PowerPoint PPT Presentation

Educating and inspiring policy makers driving change l.jpg
Download
1 / 28

Educating and inspiring policy makers – driving change. The Global Partnership for Effective Diabetes Management, including the development of this slide set, is supported by GlaxoSmithKline. Diabetes. Currently affects 246 million people worldwide and 380 million cases predicted by 2025 1

Related searches for Educating and inspiring policy makers – driving change

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.

Download Presentation

Educating and inspiring policy makers – driving change

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Educating and inspiring policy makers driving change l.jpg

Educating and inspiring policy makers – driving change

The Global Partnership for Effective Diabetes Management, including the development of this slide set, is supported by GlaxoSmithKline


Diabetes l.jpg

Diabetes

  • Currently affects 246 million people worldwide and 380 million cases predicted by 20251

  • 7 million new cases each year1

  • Increase in diabetes is linked to the obesity epidemic2

  • Diabetes can cause serious complications, including loss of vision, kidney failure and stroke1

  • Every year ~ 4 million deaths are attributable to diabetes1

1. International Diabetes Federation. Did You Know?http://www.idf.org/home/index.cfm?unode=3B96906B-C026-2FD3-87B73F80BC22682A

2. Mokdad AH et al. JAMA 2003;289: 76–79.


Type 2 diabetes a global epidemic l.jpg

Type 2 diabetes: a global epidemic

Type 2 diabetes accounts for 85–95% of diabetes cases

2025> 380 million

400

350

2007246 million

300

2000150 million

250

Global prevalence of

diabetes (millions)

200

150

198530 million

100

50

0

1985

1990

1995

2000

2005

2010

2015

2020

2025

Year

http://www.idf.org/home/index.cfm?node=264


The un resolution on diabetes l.jpg

The UN Resolution on Diabetes

UN Resolution 61/225 passed on 20 December 2006

“Diabetes joins AIDS as the only other disease with its own UN resolution and a designated world day.” Professor Martin Silink

Silink M. Int J Clin Pract 2007; 61 (s157): 5–8.

“The challenge now is to convert fine words into real action.” Sir George AlbertiAlberti KGMM et al.

Int J Clin Pract 2007; 61 (s157): 38–46.


The 1st un world diabetes day l.jpg

The 1st UN World Diabetes Day

  • Over 400 global events….with 246 monuments lit

  • Worldwide media coverage

http://www.worlddiabetesday.org/


Diabetes is a public health challenge l.jpg

Diabetes is a public health challenge


Type 2 diabetes affects the most productive l.jpg

Type 2 diabetes affects the most productive

  • Almost half of diabetes deaths occur in people under the age of 70 years

  • Economic consequences of premature death may be severe

  • Substantial productivity is lost from diabetes, primarily from premature death

Increased lifetime risk of developing diabetes for individuals born in 2000 (US)

Men

Women

1 in 3

2 in 5

www.who.int/mediacentre/factsheets/fs312/en/

www.idf.org/home/index.cfm?node=41

Narayan KM et al. J Am Med Assoc 2003; 290:1884–1890.


Economic consequences of premature death due to diabetes l.jpg

India

China

Brazil

Russia

Accounting for disability might double or triple these figures

Economic consequences of premature death due to diabetes

Predicted lost income over

next 10 years ($ bn)

www.idf.org/home/index.cfm?node=41


The burden of premature mortality l.jpg

The burden of premature mortality

Estimated diabetes deaths and DALYs* lost among people aged 20–79 years, by region, 2001

Disease Control Priorities in Developing Countries, second edition, 2006.

http://www.dcp2.org/file_fs/302/2.ppt#1

* Disability Adjusted Life Years


Diabetes the total cost of care l.jpg

$174

180

160

$132

140

120

$98

$92

100

80

60

40

$20

20

0

20075

20024

19861

19922

19973

Diabetes: the total cost of care

Estimated US costs

Direct costs breakdown5

Indirect costs

Hospitalinpatient care

50%

<1%Other supplies

Cost per year (US$ billion)

20%

Direct costs

Outpatient

care

5%

Insulin/diabeticsupplies

6%

7%

11%

Nursing/residential care

Non-diabeticprescriptions

Anti-diabetic drugs

Year

1Huse DM, et al. JAMA 1989; 262:2708–2713. 2Ray NF, et al. Direct and indirect costs of diabetes in the United States in 1992. ADA; 1993. 3ADA. Diabetes Care 1998; 21:296–309. 4ADA. Diabetes Care 2003; 26:917–932. 5ADA. Diabetes Care 2008; 31:1–20.


Serious health risks from complications l.jpg

Serious health risks from complications

  • Every 10 seconds a person dies from diabetes-related causes

  • 3 out of 5 have a serious complication

  • Largest cause of kidney failure in developed countries

  • Leading cause of vision loss in 20–65 year olds in industrialised countries

  • People with type 2 diabetes:

    • die 5–10 years before people without diabetes

    • 2x more likely to have heart attack or stroke than people without diabetes

Number of serious complications affecting people with type 2 diabetes

Four or More

Complications

7.6%

No Complications

42.1%

Three

Complications

6.7%

Two

Complications

10.3%

One Complication

33.3%

http://www.idf.org/home/index.cfm?node=37

American Association of Clinical Endocrinologists. State of Diabetes Complications. 2007. www.aace.com/newsroom/press/2007/images/DiabetesComplicationsReport_FINAL.pdf.


The major cost of diabetes lies in the management of avoidable complications l.jpg

The major cost of diabetes lies in the management of avoidable complications

  • Annual healthcare costs with diabetes and complications 3x cost without diabetes

  • Total yearly expenditure with complications ~$10,000 per person

$9,797

$10,000

Total Costs

Out-of-Pocket

Costs

$8,039

$8,000

$6,000

$4,000

$2,848

$1,566

$2,000

$1,429

$541

$0

No Diabetes with

Average Complication Rates

Diabetes with Average

Complication Rates

Diabetes with Diabetic

Complication Rates

Annual Per-Capita Healthcare Costs

American Association of Clinical Endocrinologists. State of Diabetes Complications. 2007. www.aace.com/newsroom/press/2007/images/DiabetesComplicationsReport_FINAL.pdf.


Costs of diabetes in europe could approach 100 billion by 2025 l.jpg

4

8

4

1

3

7

1

9

,

,

2

0

Costs of diabetes in Europe could approach $100 billion by 2025….

3

2

1

4

5

Number of Diabetes Patients in Europe =

100

$94.3 billion$1,609/patient

80

Annual cost of diabetes care (International dollars, billions)

60

40

20

2003

2015

2025

Year

Based on data available at the International Diabetes Federation. E-Atlas. 2005; www.eatlas.idf.org/


Although costs could be more than halved by 2025 if action is taken now l.jpg

….Although, costs could be more than halved by 2025 if action is taken NOW

100

$94.3 billion$1,609/patient

80

Annual cost of diabetes care (International dollars, billions)

60

$38.9 billion$664/patient

40

20

2003

2015

2025

Year

Based on data available at the International Diabetes Federation. E-Atlas. 2005. www.eatlas.idf.org/

Menzin J, et al. Diabetes Care 2001;24:51–55

Saydah SH, et al. JAMA 2004; 291:335–342.

Liebl A, et al. Diabetologia 2002; 45:S23–S28.


Improved blood glucose control fewer complications reduced costs l.jpg

= Short-term complications

= Long-term complications

9000

8000

7000

6000

–69%

5000

Per-patient costs (US$)

4000

3000

–68%

2000

1000

0

Poor blood

glucose control

Good blood glucose control

Improved blood glucose control = fewer complications = reduced costs

Per-patient costs reduced by more than half in 3 years with better blood glucose control

Significant cost reductions

Menzin J, et al. Diabetes Care 2001; 24: 51–55.


The urgent need for unified policies l.jpg

The urgent need for unified policies


Governments must respond now l.jpg

Governments must respond now

  • Governments and healthcare systems can be better prepared

    • E.g. only 12 out of 25 EU countries currently have a national diabetes framework

  • If the situation continues, governments will need to spend up to 13% of healthcare budgets on diabetes by 20251

  • Effective action plans must be developed and implemented NOW

    • Prevent costs spiralling and patients continuing to suffer devastating complications

1www.eatlas.idf.org/


The quest for the un resolution unite for diabetes l.jpg

Case Study

The quest for the UN Resolution: Unite for Diabetes

  • International Diabetes Federation campaign

  • Largest ever diabetes coalition

  • Patient organisations from >150 countries

  • Most of world’s professional diabetes societies plus charities, service organisations, industry

  • A partnership that generated international change


Together we can achieve change l.jpg

Together, wecan achieve change

Government initiatives

+

Sustained, united effort from all interested parties

Integrated approach to global, regional and local projects

Sustained improvement in public health worldwide


We can improve diabetes care and improve outcomes l.jpg

We can improve diabetes care and improve outcomes


Health disparities collaboratives l.jpg

Case Study

Health Disparities Collaboratives

  • US public health partnership

  • Pools healthcare resources at state, local and community level

  • Diabetes care and prevention programmes:

    • improved training

    • technical assistance with clinical care and patient education

    • links with other diabetes organisations

    • assisting with data collection and analysis


Developing unified policy initiatives the european example l.jpg

Case Study

Developing unified policy initiatives: the European example

FEND and IDF call for EU Council recommendation on diabetes and screening

EU Health Council’s Conclusions on Healthy Lifestyles and Prevention of Type 2 Diabetes urges states to develop national diabetes frameworks

Written EU parliamentary declaration adopted by absolute majority

Portuguese EU presidency’s Health Strategies in Europe meeting towards European Health Strategy

National action plans in 14 states

Need for unified policy initiatives

Formal recommendations from Portuguese Presidency due June 2008

July 2007

June 2006

Feb 2006

April 2006


Local and national programmes the finnish example l.jpg

Case Study

Local and national programmes: The Finnish example

  • Partnership between government and Finnish Diabetes Association

    • Screening of at-risk patients; lifestyle counselling

    • Obesity prevention in general population

    • Quality assurance of care

  • Study assessing cost-effectiveness

  • Aim to reduce CV complications by one-third

  • Now serving as model for other countries

First EU state to roll out diabetes prevention strategy

http://www.diabetes.fi/sivu.php?artikkeli_id=831


Local and national programmes council of australian governments l.jpg

Case Study

Local and national programmes: Council of Australian Governments

  • 10-year reform plan

    • Multifaceted approach to primary prevention

    • Targeting modifiable risk factors

    • Improving cost-effective early detection and intervention

    • Enhanced healthcare

  • $137 million from government of Victoria and $548 from Commonwealth Government over next 4 years

  • Drawing on Finnish example: national hotline, website and risk assessment tool

Plan to address the growing impact of obesity and type 2 diabetes


Slide25 l.jpg

Guidelines are not being implemented in everyday practice

Despite reminders of A1C goal below 7%, physicians remain complacent


Meeting the challenge by changing policy l.jpg

UK All-Party Parliamentary Group on Diabetes calls for tougher targets to reduce the risk of complications

“Current treatment targets leave diabetes patients at risk”

Case Study

Meeting the challenge by changing policy

APPGD key recommendations

  • Treat to HbA1c target of ≤ 6.5%

  • Reward physicians for the number of patients achieving a 1% drop in HbA1c

  • Encourage continued vigilance and better glycemic control

  • Incentivesfor GPs to educate patients

All Party Group on Diabetes

Current Qualities and Outcomes Framework Renegotiations and the Impact on Diabetes Care

A Parliamentary Stakeholder Investigation. November 2007


Developing countries world diabetes foundation l.jpg

Case Study

Developing countries: World Diabetes Foundation

  • Links people and resources

  • Educates and advocates globally for prevention and treatment of diabetes in developing countries

  • Supporting Sudanese project to improve capacity for diabetes care

    • 12-week training programmes for physicians; training diabetes educators

  • Regional summit in Kenya to build support for similar projects and showcase successful examples


Rising to the challenge l.jpg

Rising to the challenge

Prioritisediabetes as a public health challenge

Governments respond to the UN resolution

Practical, sustainable models of diabetes care and prevention require working closely with diabetes organisations, healthcare professionals and patients

Case studies around the world serve as leadership models

Continued efforts will enable improved, earlier and more intensive diabetes care and a healthier public

Alberti KGMM et al. Int J Clin Pract2007; 61 (s157): 38–46.

www.blackwell-synergy.com/toc/ijcp/61/s157


  • Login