Transcript Behavioral Health, Prevention and Primary Care

Behavioral Health, Prevention
and Primary Care: Opportunity
Knocks Again
Larry A. Green, MD
Epperson Zorn Chair for Innovation in
Family Medicine and Primary Care
University of Colorado Denver
No Conflicts to Declare
Reasons Americans Die Prematurely
 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
McGinnis JM, Foege WH. Actual Causes of Death in the United States. JAMA 1993;270:2207-12.
3
Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual Causes of Death in the United States, 2000. JAMA 2004;291:1230-1245.
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
Annual Health Insurance Premiums and
Household Income, 1996 to 2005
(Robert Graham Center: Devoe et al)
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
Can’t we work together?