National Healthcare Disparities Report - LDI Health Economist

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Effectiveness of Care NEW Management: Counseling About Weight Reduction Among Overweight Adults With Arthritis Weight is a risk factor for osteoarthritis and weight loss can prevent the development of osteoarthritis among overweight people. Moreover, overweight people with osteoarthritis who lose weight experience less joint pain and improved function (Pencharz & MacLean, 2004). Figure 2.38. Overweight adults with doctor-diagnosed arthritis who reported they received health care provider counseling about weight reduction, by race/ethnicity and health insurance, 2006 and 2009 Chapter 2 Musculoskeletal Diseases Percent 75 65 55 45 35 Total White Black Hispanic Percent 75 65 55 45 35 Private Insurance Public Insurance No Insurance 25 0 Z 2006 2009 25 0 Z 2006 2009 Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 2006 and 2009. Denominator: Adults with doctor-diagnosed arthritis. Note: Estimates are age adjusted to the 2000 standard population. Health insurance refers to adults under age 65. White and Black groups are non-Hispanic; Hispanic includes all races. n In 2009, 42% of overweight adults with doctor-diagnosed arthritis received health care provider counseling about weight reduction (Figure 2.38). n In both years, overweight non-Hispanic Blacks were more likely than non-Hispanic Whites to receive weight reduction counseling. In 2009, overweight Hispanics were also more likely than non- Hispanic Whites to receive weight reduction counseling. Also, in the NHQR: n In both years, overweight adults age 65 and over were less likely to receive weight reduction counseling than adults ages 45-64. n Men were less likely than women to receive weight reduction counseling. 102 National Healthcare Disparities Report, 2011
Effectiveness of Care Respiratory Diseases Importance Mortality Number of deaths due to chronic lower respiratory diseases (2009)..............137,082 (Kochanek, et al., 2011) Number of deaths, influenza and pneumonia combined (2009) .......................53,582 (Kochanek, et al., 2011) Cause of death rank for chronic lower respiratory diseases (2009)........................3rd (Kochanek, et al., 2011) Cause of death rank for influenza and pneumonia combined (2009).....................8th (Kochanek, et al., 2011) Prevalence Adults age 18 and over with current asthma (2009).................................17.5 million (Akinbami, et al., 2011) Children under age 18 with current asthma (2009) ....................................7.1 million (Akinbami, et al., 2011) Incidence Number of discharges attributable to pneumonia (2007)...........................1.2 million et al., (Hall, et al., 2010) Chapter 2 Respiratory Diseases New cases of tuberculosis (2010)..................................................................................11,181 (MMWR, 2011a) Cost Total cost of lung diseases (2010).........................................................................$173.4 billion (NHLBI, 2009) Total cost of upper respiratory infections (annual est.) .................................$40 billion (Fendrick, et al., 2003) Total cost of asthma (2010).....................................................................................$20.7 billion (NHLBI, 2009) Cost-effectiveness of influenza immunization (2006) ....................$0-$14,000/QALY (Maciosek, et al., 2006) Measures The NHQR and NHDR track several quality measures for prevention and treatment of this broad category of illnesses that includes pneumonia, tuberculosis, and asthma. The four measures highlighted in this section are: n Pneumococcal vaccination. n Receipt of recommended care for pneumonia. n Completion of tuberculosis therapy. n Daily asthma medication. National Healthcare Disparities Report, 2011 103
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NATIONAL HEALTHCARE DISPARITIES REP
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Acknowledgments The NHQR and NHDR a
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Highlights New this year, the Highl
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Highlights n Disparities in quality
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Highlights Examples of Initiatives
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Highlights References Andrulis DP,
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Introduction and Methods With rapid
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Care Coordination Importance Chapte
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U.S. Department of Health and Human
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