1. i Chronic Disease 1: Quick facts 2: Approaches 3: Results 4: Models 5: SWOT 6: Andalusia 7: OPIMEC 8: Future challenges

2. 1 Chronic Disease 1: Quick facts 3. Calidad de la atencin a personas con mltiples enfermedades crnicas: nuevas oportunidades y desafos Chronic diseases are diseases of long duration and generally slow progression. Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, are by far the leading cause of mortality in the world, representing 60% of all deaths. Out of the 35 million people who died from chronic disease in 2005, half were under 70 and half were women. http://www.euro/who/int 4. Calidad de la atencin a personas conmltiples enfermedades crnicas:nuevas oportunidades y desafos Health care systems world wide are faced with the challenge of responding to the needs of people with chronic medical conditions such as diabetes, heart failure and mental illnesshttp://www.euro/who/int 5. Calidad de la atencin a personas conmltiples enfermedades crnicas:nuevas oportunidades y desafos http://www.natpact.nhs.uk 6. Calidad de la atencin a personas conmltiples enfermedades crnicas:nuevas oportunidades y desafos http://www.albertahealthservices.ca 7. Calidad de la atencin a personas conmltiples enfermedades crnicas:nuevas oportunidades y desafos http://www.natpact.nhs.uk 8. Calidad de la atencin a personas conmltiples enfermedades crnicas:nuevas oportunidades y desafos National Health Survey: 18 million people report a Chronic disease National Disability Survey: 3.85 Million people (8.5% Spanish pop.) Personas con2,2discapacidad de ms de 65 aos Personas con 1,5 discapacidad hasta 65 aos 0 0,511,52 2,5 Millones de personashttp://www.ine.es/infoine 9. Calidad de la atencin a personas con mltiples enfermedades crnicas: nuevas oportunidades y desafos Chronic Disease in Andalusia 2.88 Million people with chronic conditions 965,400 depression or other mental disorders472,700 diabetic patients333,400 COPD322,100 CHF163,900 ischemic heart disease139,000 Cancerhttp://www.ine.es/inebase/cgi/axi 10. 2 Chronic Disease 1: Quick facts 2: Approaches 11. Calidad de la atencin a personas con mltiples enfermedades crnicas: nuevas oportunidades y desafos http://www.euro/who/inthttp://www.paho.org 12. Calidad de la atencin a personas conmltiples enfermedades crnicas:nuevas oportunidades y desafos 13. Calidad de la atencin a personas con mltiples enfermedades crnicas: nuevas oportunidades y desafos WHA53.17 - Prevention and control of noncommunicable diseases The areas of work of the WHO Integrated Chronic Disease Prevention and ControlProgramme (ICP), which is one of the technical programmes within the Department ofChronic Diseases and Health Promotion (CHP), include:to raise awareness for chronic noncommunicable diseases and ensure that chronicnoncommunicable disease prevention is included in and placed on top of the agenda ofhealth care policies;to promote development and implementation of national policy & strategy, programmes,community-based demonstration projects for prevention and control of chronic diseases witha special focus on developing countries;to promote the development of regional networks of national chronic noncommunicabledisease prevention programmes;to promote collaboration and coordination of chronic noncommunicable diseaseprevention and control activities within and among WHO Regions;to link regional networks and international partners with the Global Forum to promotecollaboration for chronic noncommunicable disease prevention and control;to encourage the dissemination of scientific knowledge, experiences and best practices;to develop guidance packages for chronic noncommunicable disease prevention andcontrol;and to stimulate training and capacity building.http://www.who.int/topics/chronic_diseases/en/ 14. Calidad de la atencin a personas conmltiples enfermedades crnicas:nuevas oportunidades y desafos 15. Calidad de la atencin a personas conmltiples enfermedades crnicas:nuevas oportunidades y desafos 16. Calidad de la atencin a personas con mltiples enfermedades crnicas: nuevas oportunidades y desafos http://www.euro.who.int/__data/assets/pdf_file/0008/96632/E93736.pdf http://www.euro.who.int/__data/assets/pdf_file/0006/96468/E91878.pdf 17. 3 Chronic Disease 1: Quick facts 2: Approaches 3: Results 18. Calidad de la atencin a personas con mltiples enfermedades crnicas:nuevas oportunidades y desafosCastlefields Health Centre Cardiac events 6050 40Non-fatal Mis 30IHD Deaths 20100023 4 5 6 7 8 9 0 1 /9/9/9/9/9/9/9/0/01/94 9592009396 97 98 99'0 http://www.natpact.nhs.uk/cms/328.phpLyon D et al. J Integ Care 2006;14:7-12 19. Calidad de la atencin a personas conmltiples enfermedades crnicas:nuevas oportunidades y desafosCastlefields Health Centre HBA1c in diabetic patients1008060>10