Escolar Documentos
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Agenda
Economic burden of chronic diseases
Risk Factors
Status of healthcare services What should be the transformations
direction?
Distribution of DALYs lost among fundamental disease groups (%), Turkey 2000
Female
Erkek Male
to the 6.5 million DALY lost annually + Neuropsychiatric diseases = 8 million DALY Each DALY lost = $10 00 (GDP per capita) = $65 billion loss 8-10% of GDP
Agenda
Economic burden of chronic diseases
Risk Factors
Status of healthcare services What should be the transformations
direction?
Popuation
Demographic Indicators
Total Population Rural Population (%) Urban Population (%)
European Union
World
Turkey
Breast cancer
Colon and rectum cancer Corpus uteri cancer Total
8.859
7 300 2 730 787 184
51 415 972
42 367 829 15 844 407 4 568 668 076
Total Economic Impact / GDP (2004): 1.16% Total Economic Impact / GDP (2012): 1,73%
Turkey
Europe Region
World
Group Countries
Countries
Female Male
Male
Female
Total
Agenda
Economic burden of chronic diseases
Risk Factors
Status of healthcare services What should be the transformations
direction?
8,2 7,3
7,3
2008
2007 2006
2005
2004
2003 2002
3,2 5,0
Stage 1 Birinci basamak
10,0
2 kinciStage basamak
15,0
Kii ba ziyaret Visit per person
20,0
Stages 2 & 3
Yl
Agenda
Economic burden of chronic diseases
Risk Factors
Status of healthcare services What should be the transformations
direction?
The service provision model where the individual or the family visits the local first tier unit or the family physician within the healthcare system. The first call doctor either treats the patients, or refers the patient to a specialist.
Expansion of the family physician practice to the whole country Medical Campuses 2010 2011
2003
2004
2005
2008
Before Transformation Health Group Directorates Health Center Maternal and Infant Care Center Tuberculosis Control Dispensary Agency Physician Medical Cabin SSK Dispensary SSK Medical Station
After Transformation
No integration with second or third tier Continuity in care is at the whim of the
Treating patients
Thank You ..
mtatar@hacettepe.edu.tr