Increasing Patient Participation in Diabetes Prevention Programs by Using Culturally-relevant Tools and Resources

Manuel A. Selva, Jr., MD, MBANational Medical DirectorUnitedHealthcare Latino Health Solutions

Washington, DCMarch 19, 2011

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• The Toll of Diabetes

• U.S. Hispanic Population Overview

• UnitedHealthcare PlanBienSM Tools & Resources

• UnitedHealth Group Diabetes Prevention & Control Alliance (DPCA)

• Questions/Answers

Presentation Outline

3Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

1. Source for statistics: Center for Disease Control, (2009) 2. American Diabetes Association 3. American Diabetes Association Source for statistics

The Toll of DiabetesThe Toll of DiabetesA Correlating Prediabetic and Diabetic Trend

U.S. Diagnosed Diabetics1

28M

24M

20M

16M

12M

8M

4M

0M

12 M12 M

24 M

The diagnosed diabetic population is growing on average by 1.5 million annually; that number has doubled in 6 years2

24 million people (10.7% of U.S. adults age 20+) are diabetic3

18 million (78%) are diagnosed diabetics

5.7 million (24%) are undiagnosed

57 million people, (26% of U.S. adults age 20+) are prediabetic

CDC reports that by the year 2050, 1 in 3 Americans will likely have Type 2 Diabetes

Hispanics born in the year 2000 face a 2 in 5 risk for diabetes

In 2006, Hispanics were 1.5 times as likely as non-Hispanic Whites to die from diabetes

2.0 million; 8.2% of all Hispanic/Latino Americans aged twenty years or older have diabetes.

US Department of Health and Human Services, June 2009

2002 2008

U.S. Hispanic Demographics

Source: U.S. Census Bureau, <http://www.census.gov/Press-Release/www/releases/archives/population/010048.html> and <http://www.census.gov/Press-Release/www/releases/archives/population/007910.html> and http://www.census.gov/Press-Release/www/releases/archives/population/001720.html US Pop. Projections 2005 to 2050Kaiser Family Foundation: State Health Facts 2008 - 2009

• There are a number of barriers that impede Hispanics from seeking medical care. These can range from financial to cultural.

• The perception among many Hispanics is that medical care is reserved only for emergencies. This is why many Hispanics fail to have PCP’s and often rely on the Emergency Room as a source of medical care.

• Those Hispanics, who do seek regular medical attention, are often frustrated by their inability to express their true symptoms to physicians who don’t speak Spanish.

• Linguistic challenges also cause some Hispanics to receive medications for which there is no indication, i.e., they may describe symptoms of everyday anxiety and yet receive potent anti-depressants.

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UnitedHealthcare PlanBienSM

6Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

UnitedHealthcare PlanBienSM

• PlanBienSM was specifically designed to address these issues and break-down linguistic (and sometimes cultural) barriers

• A suite of health plans enhanced with bilingual materials and services to better serve Spanish-speaking employees, their dependents and their employers.

• Access to physician offices that indicate they have Spanish-speaking doctors and/or staff.

• A large selection of Spanish-language/bilingual capabilities and culturally-relevant materials: – Plan Materials– Enrollment forms– Benefit summaries – Dedicated Customer Service with toll-free number– Bilingual health education fliers, tools and resources for employers and members– Bilingual websites

Hispanic-focused Health & Wellness Brochures: Nutrition & Diet

• Award-winning educational brochure

• Easy-to-understand health topics

• Developed following American Heart Association nutritional guidelines

• Friendly format

• Focuses on prevention

• Guides reader to take action

• Provides helpful tips on health-related issues

Hispanic-focused Health & Wellness Brochures: Fotonovelas

www.uhclatino.com

Bilingual site featuring:

• Health information

•Lifestyle and Habits

•Health Education Tools

•Bilingual Health & Wellness Podcasts

• Provider Search

• News

•Scholarship info

•Awards

•Community Outreach