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Geriatric education for PHC physicians – 1 st congress of the EU Geriatric Medicine society Paris, August 29 th -Sept PowerPoint Presentation
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Geriatric education for PHC physicians – 1 st congress of the EU Geriatric Medicine society Paris, August 29 th -Sept.1 st , 2001. Dr. Rüdiger Krech A/Regional Adviser, Healthy Ageing World Health Organization. 1999 Disease or Injury. 2020 Disease or Injury .

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slide1

Geriatric education for PHC physicians –

1st congress of the EU

Geriatric Medicine society

Paris, August 29th-Sept.1st, 2001

  • Dr. Rüdiger Krech
  • A/Regional Adviser, Healthy Ageing
  • World Health Organization
slide2

1999 Disease or Injury

2020Disease or Injury

1. Acute lower respiratory infections

2. HIV/AIDS

3. Perinatal conditions

4. Diarrhoeal diseases

5. Unipolar major depression

6. Ischaemic heart disease

7. Cerebrovascular disease

8. Malaria

9. Road traffic injuries

10. Chronic obstructive pulmonary disease

11. Congenital anomalies

12. Tuberculosis

13. Falls

14. Measles

15. Anaemias

Increasing Burden of Noncommunicable Diseases and InjuriesChange in rank order of DALYs for the 15 leading causes

1. Ischaemic heart disease

2. Unipolar major depression

3. Road traffic injuries

4. Cerebrovascular disease

5. Chronic obstructive pulmonary disease

6. Lower respiratory infections

7. Tuberculosis

8. War

9. Diarrhoeal diseases

10. HIV

11. Perinatal conditions

12. Violence

13. Congenital anomalies

14. Self-inflicted injuries

15. Trachea, bronchus and lung cancers

dalys by broad cause group and who region 1999
DALYS, by broad cause group and WHO Region, 1999

%

75

Non

communicable

conditions

50

Injuries

Communicablediseases, maternal and perinatal conditions and nutritional deficiencies

25

AFR

EMR

SEAR

WPR

AMR

EUR

DALY = Disability adjusted life-year

mental problems and neurological disorders number of cases millions
Mental Problems and Neurological Disorders Number of cases (millions)

Major depressive disorders 340

Alcohol related problems 288

Mental retardation 60

Epilepsy 40

Dementia (including Alzheimer’s disease) 29

Schizophrenia 45

Attempted suicides 10-20

Completed suicides 1

geriatric education should follow the concept of active ageing
Geriatric education should follow the concept of Active Ageing
  • Ageing should be put higher on the political agendas
  • Promote healthy lifestyles
  • Reduce health risks that would increase dependency
  • Increase quality of life
quality of life
Quality of Life
  • Individual’s perception of their position in life
  • Context of the culture and value systems in which these individuals live
  • Relation to their goals, expectations, standards and concerns
quality of life continued
Quality of Life, continued
  • Broad ranging concept
    • Physical health
    • Psychological state
    • Level of independence
    • Social relationships
    • Relationship to salient features of their environment
coverage pyramid
Coverage pyramid

Population covered

Effective coverage (Quality)

Unmet needs (who and why?)

Unmet needs (who and why?)

Health systems functions

Health systems functions

Delivery of health intervention

Delivery of health intervention

Contact coverage (Utilization)

Acceptability coverage

Accessibility coverage

Availability coverage

Target population (population in need)