geriatric education for phc physicians – 1 st congress of the eu geriatric medicine society paris,...
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Geriatric education for PHC physicians – 1st congress of the EU
Geriatric Medicine societyParis, August 29th-Sept.1st, 2001
Dr. Rüdiger KrechA/Regional Adviser, Healthy Ageing
World Health Organization
1999 Disease or Injury 2020 Disease or Injury 1. Acute lower respiratory
infections2. HIV/AIDS3. Perinatal conditions4. Diarrhoeal diseases5. Unipolar major depression6. Ischaemic heart disease7. Cerebrovascular disease8. Malaria9. Road traffic injuries10. Chronic obstructive
pulmonary disease
11. Congenital anomalies12. Tuberculosis13. Falls 14. Measles15. Anaemias
1. Ischaemic heart disease2. Unipolar major depression3. Road traffic injuries4. Cerebrovascular disease5. Chronic obstructive pulmonary
disease6. Lower respiratory infections7. Tuberculosis8. War9. Diarrhoeal diseases10. HIV11. Perinatal conditions12. Violence 13. Congenital anomalies14. Self-inflicted injuries15. Trachea, bronchus and lung
cancers
DALYS, by broad cause group and WHO Region, 1999
AFR EMR EURSEAR WPR AMR
DALY = Disability adjusted life-year
Communicablediseases, maternal and perinatal conditions and nutritional deficiencies
Noncommunicableconditions
Injuries
25
50
75%
0–1 1–4 5–14 15–24 25–34 35–44 45–54 55–64 65–74 75–84 85+0
20
40
60
80
100
Infectious and parasitic diseases
Cancer
Cardiovascular diseases
Respiratory diseases
Other diseases
External causes
Ill-defined conditions
A ge g roups (ye ars)
F ig. 5. Main causes of death by age in the E uropean Region, m id-1990s
W H O / E U R OE SI U nit
S ou rce : H ea lth in E u ro p e 19 97 . W H O R eg ion a l O ffice fo r E u rop e , E p id e m io log y , s ta tis tics a nd h ea lth in fo rm a tio n (E S I) un it.
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
• 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
• 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
• Broad ranging concept – Physical health– Psychological state– Level of independence– Social relationships– Relationship to salient features of
their environment
Delivery of h
ealth in
tervention
Delivery of h
ealth in
tervention
Delivery of h
ealth in
tervention
Delivery of h
ealth in
tervention
Health system
s functionsH
ealth systems functions
Health system
s functionsH
ealth systems functions
Effective coverage (Quality)
Effective coverage (Quality)
Accessibility coverageAccessibility coverage
Availability coverageAvailability coverage
Target population (population in need)Target population
(population in need)U
nmet needs (w
ho and why?)
Unm
et needs (who and w
hy?)
Un
met n
eeds (w
ho an
d w
hy?)
Un
met n
eeds (w
ho an
d w
hy?)
Contact coverage (Utilization)
Contact coverage (Utilization)
Acceptability coverageAcceptability coverage
Coverage pyramidPopulation
covered