Behavioral Health, Prevention and Primary Care: Opportunity

Knocks Again

Larry A. Green, MDEpperson Zorn Chair for Innovation in

Family Medicine and Primary CareUniversity of Colorado Denver

No Conflicts to Declare

Reasons Americans Die Prematurely

3McGinnis JM, Foege WH. Actual Causes of Death in the United States. JAMA 1993;270:2207-12.

Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual Causes of Death in the United States, 2000. JAMA 2004;291:1230-1245 .

40% is due to health-related behaviors. Since we know that health behaviors can be changed, it follows that programs of health behavior change should be systematically incorporated into any plan for comprehensive health care

Top Ten Estimated 2006 Annual GDP (PPP)

United States $12,980,000,000,000

China $10,000,000,000,000

Japan $ 4,220,000,000,000

India $ 4,042,000,000,000

Germany $ 2,585,000,000,000

“US Health Care” $>2,000,000,000,000

United Kingdom $ 1,903,000,000,000

France $ 1,871,000,000,000

Italy $ 1,727,000,000,000

Russia $ 1,723,000,000,000

Brazil $ 1,616,000,000,000

Annual Health Insurance Premiums and Household Income, 1996 to 2005

(Robert Graham Center: Devoe et al)

Annual Medical Expenditures with Specific Chronic Conditions (Robert Graham Center)

Cost Without Mental Health Condition

Cost With Mental Health Condition

All Adults (with and without chronic cond’)

$1913 $3454

Heart Condition $4697 $6919

High Blood Pressure $3481 $5492

Asthma $2908 $4028

Diabetes $4172 $5559

Can’t we work together?