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Clinical Application Note
Intel® Health Guide and Chronic Diseases
Of Interest To
Healthcare organizations providing ongoing care for patients with one or more chronic or longterm
conditions, particularly patients who have multiple conditions and are frequently
hospitalized. This may include organizations such as health payors, hospitals, home health
organizations, community services and physician groups. In the UK, it includes Primary Care
Trusts and Health Authorities.
Challenge
Chronic or long-term conditions (LTCs) have surpassed accidents and communicable diseases
to become the leading cause of death worldwide. According to the World Health Organization,
chronic disease accounts for 60 percent of all deaths, and half of the 35 million people who died
from chronic disease in 2005 were younger than 70. 1 Chronic conditions include coronary heart
disease (CHD), congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD),
diabetes, stroke, hypertension, asthma, cancer and others.
Chronic disease accounts for 70 percent of all deaths in the U.S., or 1.7 million annually. 2
Almost half of all Americans – 133 million people in 2005 – have at least one chronic condition,
and the medical care costs of people with chronic diseases consumes more than 75 percent of
US medical care costs. 3
In England 15.4 million people, including 60 percent of those over age 60, suffer from a longterm
condition. People with LTCs account for 72 percent of all inpatient bed days, 65 percent of
all outpatient appointments and 52 percent of all GP appointments. The Department of Health
estimates that the treatment and care of patients with LTCs consume 69 percent of England’s
primary and acute care budget. 4
Opportunity
Many people with chronic diseases want to do more to improve their health. When England’s
Department of Health commissioned a survey of 1,000 participants at a National Citizens’
Summit 5, 86 percent expressed a desire for local physician practices to provide more support to
help them take care of their own health and well-being. Half of those with LTCs were not aware
1 WHO Health Topics: Chronic Diseases. http://www.who.int/topics/chronic_diseases/en/
2 Center for Chronic Disease and Prevention, Chronic Disease Prevention and Health Promotion,
http://www.cdc.gov/nccdphp/
3 National Center for Chronic Disease Prevention and Health Promotion, Chronic Disease Overview,
www.cdc.gov.nccdphp/overview.htm
4 Data in this paragraph from National Health Service Department of Health, Ten Things You Need to Know About
Long-term Conditions, 2008. http://www.dh.gov.uk/en/Healthcare/Longtermconditions/DH_084294
5 Opinion Leader Research, Your Health, Your Care, Your Say: Research Report, Jan. 2006, summarized in
Department of Health, Raising the Profile of Long-term Conditions Care, 2008.
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_082069
Clinical Application Notes RSLT-A-0495, Rev 1.0, Effective March 27, 2009 Medd/Rowell - Page 1