Environmental Scan - Government of Nova Scotia

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DIABETES COMORBIDITY 46CARDIOVASCULAR DISEASEPhysician Resource PlanningAn Environmental ScanIn the year 2008/09, approximately 8.5% of Nova Scotia's adults age 20+ with diabetes had CVD, compared to1.6% of adults without diabetes. Time trends in the ratio of the standardized CVD rates revealed virtually nochange, hovering at approximately 3.1. Individuals with diabetes were 3 times more likely to have CVD thanindividuals without diabetes.ACUTE MYOCARDIAL INFARCTIONIn the year 2008/09, approximately 1.5% of Nova Scotia's adults age 20+ with diabetes had an AMI, comparedto 0.3% of adults without diabetes. Time trends in the ratio of the standardized AMI rates revealed virtually nochange, hovering at approximately 3.0. Individuals with diabetes were 3 times more likely to have an AMI thanindividuals without diabetes.ISCHEMIC HEART DISEASE (IHD)In the year 2008/09, approximately 4.0% of Nova Scotia's adults age 20+ with diabetes had IHD, compared to0.6% of adults without diabetes. Time trends in the ratio of the standardized IHD rates revealed virtually nochange, hovering at approximately 3.4STROKEIn the year 2008/09, approximately 1.0% of Nova Scotia's adults age 20+ with diabetes had a stroke, comparedto 0.2% of adults without diabetes. Time trends in the ratio of the standardized stroke rates revealed virtuallyno change, hovering around 2.6. Individuals with diabetes were approximately 3 times more likely to have astroke than individuals without diabetes.UNSTABLE ANGINAIn the year 2008/09, approximately 0.5% of Nova Scotia's adults age 20+ with diabetes had UA, compared toless than 0.1% of adults without diabetes. Time trends in the ratio of the standardized UA rates revealed littlechange, hovering at 3.3.HEART FAILUREIn the year 2008/09, approximately 2.2% of Nova Scotia's adults age 20+ with diabetes had HF, compared to0.3% of adults without diabetes. Time trends in the ratio of the standardized HF rates revealed virtually nochange, hovering at approximately 3.8. Individuals with diabetes were approximately 4 times more likely tohave HF than individuals without diabetes.HYPERTENSIONIn the year 2008/09, approximately 71% of Nova Scotia's adults age 20+ with diabetes had HTN, compared to25% of adults without diabetes. Time trends in the ratio of the standardized HTN rates revealed virtually nochange, hovering at approximately 1.9. Individuals with diabetes were twice as likely to have HTN as individualswithout diabetes.NEPHROPATHYIn the year 2008/09, approximately 1.4% of Nova Scotia's adults age 20+ with diabetes had nephropathy(diabetic kidney disease), compared to 0.1% of adults without diabetes. Time trends in the ratio of thestandardized nephropathy rates revealed little change, hovering at approximately 6.2.46 Nova Scotia Department of Health and Wellness, Diabetes Care Program of Nova Scotia98 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
PHYSICIAN SERVICESPhysician Resource PlanningAn Environmental ScanComparison of the standardized number of GP office visits per person revealed smaller numbers and lessvariation within the population with diabetes across the province (7.6 to 8.2), suggesting that differences inpopulation structure (e.g., older versus younger population) account for some of the variation betweendistricts.Figure 79 Provincial trend in Ratio of Standardized number of GP Office Visits for the Diabetes Pop. Aged 20+ (Source: NS DiabetesCare Program)Comparison of the standardizednumber of specialist physician officevisits per person revealed bothsmaller figures and less variationwithin the population with diabetesacross the province (2.3 to 3.9 visitsper person), suggesting thatdifferences in population structure(e.g., older versus youngerpopulation) account for some of thevariation between districts.Figure 80 Provincial trend in the Ratio of the Standardized Number of Specialist Office Visits for the Diabetes Population Aged 20+(Source: NS Diabetes Care Program)99 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
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Physician Resource PlanningAn Envir
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3 KEY OBSERVATIONS3.1 IntroductionP
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Environmental Scan - Government of Nova Scotia

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