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Connecting Family Physicians to Community Health Resources. Anthony J. Costa, M.D. Northeastern Ohio Universities College of Medicine Val Lay, CFRE Ohio Academy of Family Physicians Foundation. Goal.
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Connecting Family Physicians to Community Health Resources Anthony J. Costa, M.D. Northeastern Ohio Universities College of Medicine Val Lay, CFRE Ohio Academy of Family Physicians Foundation
Goal • To provide family physicians with reliable resources that will enable them to guide their patients to wellness information that promotes a healthy lifestyle.
Objectives Following this session participants will be able to: • list common problems presenting to family physicians for which patient education resources are available and necessary for optimal care. • readily access patient information resources concerning those topics. • use these resources to guide their patients to more effective management of a healthy lifestyle.
Hand washing Nutrition Exercise Tobacco Cancer Alcohol Substance abuse Domestic violence Depression Dementia Topics
Why Do Patients Visit Doctors? • National Ambulatory Medical Care Survey • 2002 • CWRU • NEOUCOM
Reasons for Visits • Acute Care 40% • Chronic Care 30% • Preventive Care 10% • Injury Care 10% • Other 10%
(in order of frequency) Hypertension Well Child URI Diabetes Arthritis Routine Exam Back Pain Otitis Media Cancer Chronic Sinusitis Allergic Rhinitis Asthma GYN Exam Hyperlipidemia CHF CHD Top 16 Diagnoses
What’s Missing? • Obesity • Tobacco Abuse • Alcohol Abuse • Substance Abuse • Domestic Violence • Depression • Dementia
Why Are They Missing? • History • Co-morbidities • Underlying Causes of Disease • Not Considered a Disease • Not Coded
What Do Most Have in Common? • Chronic Disease • No Cure • Continuity of Care • Patient Centered Care • Patient Education is Important • Community Back-up is Important
Chronic Disease Model • Patient-Centered Care • Team Care • Continuity • Patient Education • Community Resources • 24/7 Care
Resources for Hand Awareness • Henry the Hand: Champion Handwasher www.henrythehand.com
Resources for Nutrition • National http://www.drink-milk.com/health/ • State http://www.ohioafp.org/members/resources_references/ • Local http://www.growinghealthyhabits.com
Resources for Physical Activity • National www.AmericansinMotion.org • State http://www.ohioafp.org/members/resources_references/ • Local www.GrowingHealthyHabits.com • Action for Healthy Kids—zone leader Zone 10 Leader, Randi Dunn randi.dunn@cancer.org
Resources for Tobacco Use Prevention/Cessation • National www.askandact.org www.tarwars.org • State http://smokefreeohio.org/oh/default.aspx • Local Polly Anne Johnsonserving Wayne, Ashland, Holmes, Stark CountiesPolly.Johnson@cancer.org 330-287-4605
Resources for Cancer • National http://www.cancer.org/docroot/home/index.asp • State http://www.cancer.org/docroot/COM/content/div_OH/COM_6_1x_Patient_Navigator.asp?sitearea=COM • Local http://www.cancer.org/asp/search/mla/mla_global.asp?sort=name
Resources for Alcohol Abuse • National http://familydoctor.org/006.xml http://www.niaaa.nih.gov/ • State http://www.odadas.state.oh.us • Local http://www.ci.akron.oh.us/Health04/Counseling/index.htm
Resources for Substance Abuse • National http://familydoctor.org/357.xml http://www.nida.nih.gov/ • State http://www.odadas.state.oh.us • Local http://www.ci.akron.oh.us/Health04/Counseling/index.htm
Resources for Domestic Violence • National http://familydoctor.org/052.xml http://www.nlm.nih.gov/medlineplus/domesticviolence.html • State http://www.aardvarc.org/dv/states/ohdv.shtml • Local http://www.aardvarc.org/dv/states/ohdv.shtml
Resources for Depression • National http://familydoctor.org/046.xml http://www.nlm.nih.gov/medlineplus/depression.html • State http://www.mh.state.oh.us/ • Local http://www.mentalhealth.samhsa.gov/databases/MHDR.asp?D1=OH&Type=MDR
Resources for Dementia • National http://familydoctor.org/585.xml http://www.nlm.nih.gov/medlineplus/dementia.html • State http://www.alz.org/ http://www.vistacare.com/caregiver/ • Local http://www.alz.org/
Conclusion • Common Medical Problems • Chronic Care Model • Patient-Centered Care • Patient Education • Community Resources • Future of Medicine