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Geriatric education for PHC physicians – 1 st congress of the EU Geriatric Medicine society Paris, August 29 th -Sept

Geriatric education for PHC physicians – 1 st congress of the EU Geriatric Medicine society Paris, August 29 th -Sept.1 st , 2001. Dr. Rüdiger Krech A/Regional Adviser, Healthy Ageing World Health Organization. 1999 Disease or Injury. 2020 Disease or Injury .

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Geriatric education for PHC physicians – 1 st congress of the EU Geriatric Medicine society Paris, August 29 th -Sept

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  1. Geriatric education for PHC physicians – 1st congress of the EU Geriatric Medicine society Paris, August 29th-Sept.1st, 2001 • Dr. Rüdiger Krech • A/Regional Adviser, Healthy Ageing • World Health Organization

  2. 1999 Disease or Injury 2020Disease or Injury 1. Acute lower respiratory infections 2. HIV/AIDS 3. Perinatal conditions 4. Diarrhoeal diseases 5. Unipolar major depression 6. Ischaemic heart disease 7. Cerebrovascular disease 8. Malaria 9. Road traffic injuries 10. Chronic obstructive pulmonary disease 11. Congenital anomalies 12. Tuberculosis 13. Falls 14. Measles 15. Anaemias Increasing Burden of Noncommunicable Diseases and InjuriesChange in rank order of DALYs for the 15 leading causes 1. Ischaemic heart disease 2. Unipolar major depression 3. Road traffic injuries 4. Cerebrovascular disease 5. Chronic obstructive pulmonary disease 6. Lower respiratory infections 7. Tuberculosis 8. War 9. Diarrhoeal diseases 10. HIV 11. Perinatal conditions 12. Violence 13. Congenital anomalies 14. Self-inflicted injuries 15. Trachea, bronchus and lung cancers

  3. DALYS, by broad cause group and WHO Region, 1999 % 75 Non communicable conditions 50 Injuries Communicablediseases, maternal and perinatal conditions and nutritional deficiencies 25 AFR EMR SEAR WPR AMR EUR DALY = Disability adjusted life-year

  4. Mental Problems and Neurological Disorders Number of cases (millions) Major depressive disorders 340 Alcohol related problems 288 Mental retardation 60 Epilepsy 40 Dementia (including Alzheimer’s disease) 29 Schizophrenia 45 Attempted suicides 10-20 Completed suicides 1

  5. Geriatric education should follow the concept of Active Ageing • Ageing should be put higher on the political agendas • Promote healthy lifestyles • Reduce health risks that would increase dependency • Increase quality of life

  6. Quality of Life • Individual’s perception of their position in life • Context of the culture and value systems in which these individuals live • Relation to their goals, expectations, standards and concerns

  7. Quality of Life, continued • Broad ranging concept • Physical health • Psychological state • Level of independence • Social relationships • Relationship to salient features of their environment

  8. Coverage pyramid Population covered Effective coverage (Quality) Unmet needs (who and why?) Unmet needs (who and why?) Health systems functions Health systems functions Delivery of health intervention Delivery of health intervention Contact coverage (Utilization) Acceptability coverage Accessibility coverage Availability coverage Target population (population in need)

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