behavioral health, prevention and primary care: opportunity knocks again larry a. green, md epperson...
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Behavioral Health, Prevention and Primary Care: Opportunity
Knocks Again
Larry A. Green, MDEpperson Zorn Chair for Innovation in
Family Medicine and Primary CareUniversity of Colorado Denver
No Conflicts to Declare
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Reasons Americans Die Prematurely
3McGinnis JM, Foege WH. Actual Causes of Death in the United States. JAMA 1993;270:2207-12.
Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual Causes of Death in the United States, 2000. JAMA 2004;291:1230-1245 .
40% is due to health-related behaviors. Since we know that health behaviors can be changed, it follows that programs of health behavior change should be systematically incorporated into any plan for comprehensive health care
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Top Ten Estimated 2006 Annual GDP (PPP)
United States $12,980,000,000,000
China $10,000,000,000,000
Japan $ 4,220,000,000,000
India $ 4,042,000,000,000
Germany $ 2,585,000,000,000
“US Health Care” $>2,000,000,000,000
United Kingdom $ 1,903,000,000,000
France $ 1,871,000,000,000
Italy $ 1,727,000,000,000
Russia $ 1,723,000,000,000
Brazil $ 1,616,000,000,000
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Annual Health Insurance Premiums and Household Income, 1996 to 2005
(Robert Graham Center: Devoe et al)
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Annual Medical Expenditures with Specific Chronic Conditions (Robert Graham Center)
Cost Without Mental Health Condition
Cost With Mental Health Condition
All Adults (with and without chronic cond’)
$1913 $3454
Heart Condition $4697 $6919
High Blood Pressure $3481 $5492
Asthma $2908 $4028
Diabetes $4172 $5559
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Can’t we work together?
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