NVJ9N8

Integrated Care At The Nexus Of The Health Value ChainTHE HOSPITAL CENTRIC SYSTEMIn the U.K.,the numberof peoplewith threeor morelong-termconditionsis predictedto rise2.9M2018LargeAgeingpopulationMoreLong-termconditionswill have a significant impact on healthand social care and may requireIn fact, the World Health Organization (WHO) estimatesthat: “Nearly 80% of NCD deaths - 29 million - occur in lowandmiddle-income countries” and “More than 90% of NCDdeaths that occur before the age of 60, happen in low-andmiddle-income countries”. As a result, NCDs rose to thetop of the healthcare policy agenda in emerging countries,because their impact on younger age people are a seriousdrag on economic development. A trend that is confirmed bythis IDC-EMC study, as hospital executives in Turkey, SaudiArabia and South Africa indicated that prevention and control1.9M2008£5Badditionalexpenditureby 2018.of NCDs is as important, if not more important than otherbroad healthcare policy goals, such as increasing access toservices. (See Figure 1)Source: Lancet scientific magazine in 2012Figure 1POLICYOBJECTIVES INMIDDLE-EASTERNAND AFRICANHOSPITALSPrevention and control of non-communicable disease initiativesIncrease access to healthcare servicesAccreditation of programs and clinical patients#.###.##World Health Organizationstudies indicate that NCDsare an: “invisible epidemic...“and “The burden is growing - the number of people, familiesand communities afflicted is increasing. Common, modifiablerisk factors underlie the major NCDs. They include tobacco,Source: IDC 2013#.##Promotion of evidence-based clinical practice#.##harmful use of alcohol, unhealthy diet, insufficient physicalactivity, overweight/obesity, raised blood pressure, raisedblood sugar and raised cholesterol.”1 ----------------------------------------------------- IMPORTANCE --------------------------------------------------- 56