By Cheryl Schraeder, Paul Shelton(eds.)
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2008) Cigarette use among high school students – United States, 1991–2007. Morbidity and Mortality Weekly Report, 57, 689–691. Centers for Disease Control and Prevention. (2009) Chronic Disease Overview. Centers for Disease Control, Atlanta, GA. htm. Centers for Medicare & Medicaid Services. (2002) Program Information on Medicare, Medicaid, SCHIP, and Other Programs. S. Government Printing Office, Washington, DC. , & Yu, W. S. Population, 2002–2003. Statistical Brief #124. Agency for Healthcare Research and Quality, Rockville, MD.
Chronic Illness and Health Care Utilization • Individuals with chronic illnesses are the largest consumers of health care services. • Individuals with multiple chronic illnesses have the highest likelihood of hospitalization. • Outpatient health care utilization, especially physician visits and home health care visits, increase substantially with the number of chronic illnesses an individual has. • Over 60% of annual health care spending is for individuals with multiple chronic illnesses. • 98% of annual Medicare expenditures are for individuals with chronic illnesses and over 66% of expenditures are for those with five or more chronic illnesses.
In clinical practice, chronic illness management typically falls short of effective communication and coordination across different care settings and providers. As a result, patients and their families/caregivers experience the brunt of the chronic illness burden. It has been acknowledged and acclaimed by medical experts and policy makers that our health care system is dysfunctional and for all purposes, broken. Almost all agree that changes are necessary, especially when it comes to financing and delivering medical care for individuals with chronic illnesses.