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Increasing Patient Participation in Diabetes Prevention
Programs by Using Culturally-relevant Tools and Resources
Manuel A. Selva, Jr., MD, MBA
National Medical Director
UnitedHealthcare Latino Health Solutions
Washington, DC
March 19, 2011
Presentation Outline
• The Toll of Diabetes
• U.S. Hispanic Population Overview
• UnitedHealthcare PlanBienSM Tools & Resources
• UnitedHealth Group Diabetes Prevention & Control
Alliance (DPCA)
• Questions/Answers
The Toll of Diabetes
A Correlating Prediabetic and Diabetic Trend
 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
U.S. Diagnosed Diabetics1
28M
24M
 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
16M
12M
12 M
8M
 Hispanics born in the year 2000 face a 2 in 5 risk for
diabetes
4M
 In 2006, Hispanics were 1.5 times as likely as nonHispanic Whites to die from diabetes
0M
 2.0 million; 8.2% of all Hispanic/Latino
Americans aged twenty years or older have
diabetes.
24 M
20M
2002
2008
US Department of Health and Human Services, June 2009
1. Source for statistics: Center for Disease Control, (2009) 2. American Diabetes Association 3. American Diabetes Association Source for statistics
3
Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
U.S. Hispanic Demographics
•
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.
Source: U.S. Census Bureau, <http://www.census.gov/PressRelease/www/releases/archives/population/010048.html> and <http://www.census.gov/PressRelease/www/releases/archives/population/007910.html> and http://www.census.gov/PressRelease/www/releases/archives/population/001720.html US Pop. Projections 2005 to 2050
Kaiser Family Foundation: State Health Facts 2008 - 2009
UnitedHealthcare
PlanBienSM
5
UnitedHealthcare PlanBienSM
• PlanBienSM was specifically designed to address these issues and breakdown 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 culturallyrelevant 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
6
Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
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