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Diabetes in Ontario (Increased prevalence and implications (Resources…
Diabetes in Ontario
Increased prevalence and implications
Healthcare costs
over $6.9 billion by 2020 (42% increase in a 10 year period.)
costs due to time
spent in hospitals, visits to doctors’ offices and medical procedures such as amputations.
Resources
Healthcare professionals
Hospital beds
Medical equipment
Numbers of persons effected
2013: 1.386 million effected
predicted: 1.903 million by 2020
Increased adolescent/teen rate
Increased risk factors causing increased prevalence of diabetes
Obesity/ sedentary lifestyle
Populations with higher risks
People of aboriginal descent: 3-5 times more likely than the general public to develop type 2 diabetes
Hispanic, Asian, South Asian, African (which makes up 80% of new Canadians.)
Challenges with disease management
Number of patients exceeds resources
Complex disease requiring ongoing treatment = strain on resources
Requires a health team for proper management
Increased mortality rates with improper management
Initiatives
Ontario Diabetes Strategy
Purpose: care for the most complex diabetes patients who require
intensive support to manage their condition and associated complications.
Education
Understand the disease and implications -- ex: A1C target levels
Monitor outcomes
Transition support
remote patient monitoring/telehealth
Expected benefits
Documented self-management goals
Patients engaged with care team
Patients will effectively manage their diabetes
Enable providers to give better advice due to having better insights
Better knowledge of embedding technology options into care
Alternative methods to communicate information (telephone/telehealth)
Increased ability to reach and treat patients
Team based health care system
Financial impacts
Decrease hospitalizations
Decreased emergency room visits
Decrease medical procedures (amputations, cardiovascular disease etc.)
Decreased primary health care visits
Decrease indirect costs due to mortality rates and long-term disability
Challenges
Cannot maintain appointments every 3 months (busy families, university students away at school etc.)
Children relying on transportation