Public health priorities in the United States: A comparison to Vietnam - Gerald W. Smetana

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Public health priorities in the United States: A comparison to Vietnam presents ten reasons leading patients to see a doctor in the United States, ten causes of death in the United States, public health in the United States, life expectancy in the United States, the reasons causing a shortage of doctors in the U.S. general Medicine, six basic priorities of public health in the United States,... Please read the reference.

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Nội dung Text: Public health priorities in the United States: A comparison to Vietnam - Gerald W. Smetana

1. Hypertension 6. Prenatal care 2. Upper respiratory 7. Routine check up infections (“colds”) 8. Cancer 3. Arthritis 4. Diabetes 9. Arthritis 5. Back pain 10. Heart disease 3
Rank Cause of Death Death Rate per 100,000 1 Heart disease 195 2 Cancer 185 3 COPD 45 4 Stroke 42 5 Accidental death 38 6 Alzheimer's Disease 26 7 Diabetes 22 8 Influenza and pneumonia 18 9 Kidney disease 16 10 Suicide 12 4
United States Public Health: Life Expectancy Leveling Off Source: CDC 5
Why is Life Expectancy Leveling Off? Preventable Causes of Death in the U.S. Daniels et al, PLoS 2009
Where Do We Stand in 2012? Only 32% of Americans Are at a Healthy Weight Obesity Overweight Healthy Healthy, Obesity, 32.10% 33.90% Overweight, 34.40%
Smoking Statistics in the U.S.: Sadly, Still a Major Problem  More deaths each year due to tobacco use than by all deaths from HIV, illegal drug use, alcohol use, motor vehicle injuries, and suicides combined  443,000 deaths annually  Adults who smoke cigarettes die an average of 14 years earlier than nonsmokers  Men who smoke increase their risk of dying from COPD by nearly 10 times and from lung cancer by more than 22 times. Source: U.S. CDC, 2012 Data
 46 million American have no health insurance  1/3 of all American have a major chronic illness  1/5 of Americans still smoke cigarettes  2/3 of Americans are overweight or obese  An increasing shortage of primary care (general medical) doctors even in major cities  Impending primary care crisis?  Aging population post “baby boom” 9
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 Low income compared to other specialties  High debt load of graduating medical students  Challenge to remain competent in many different areas of expertise (i.e. heart disease, cancer, prevention, etc)  Less prestige  Exhaustive amounts of paperwork and insurance forms  Long and unpredictable hours  1/3 of physician workforce but 2/3 of all office visits 11
Six Key U.S. Public Health Priorities  Improve access to care  Eliminate health disparities linked to ethnicity and socioeconomics factors  Strengthen the public health infrastructure  Increase investment in efforts to prevent disease, injury, and disability  Increase investment in public health research  Strengthen American leadership and investment in global health Assoc. of Schools of Public Health 2011 12
 Improve payment for general medical office visits  Loan forgiveness for medical students who become general medical doctors  Increase healthy eating habits and reduce obesity rates  Penalties to encourage cigarette cessation  Reduce the number of uninsured Americans  Reduce time for generic medication availability 13
Thank You  I also wish to thank Dr. Ha Phan Hai An who has been a gracious and talented course co-director  Thanks to my colleagues at Hanoi Medical University for making our novel collaborative education concept work  Thanks to the people and government of Vietnam for your kindness, and for your support of high quality medical education  I hope to see many of you again next year 14