Danish Health and Medicines Authority  Denmark Dr. Else Smith Chief Medical Officer and Director General National Board of Health Chronic diseases – a challenge for all of us

Danish Health and Medicines Authority  Denmark 2 Challenge one We live longer – with well known risk factors

Danish Health and Medicines Authority  Denmark 3 1,5 million Danes live with a chronic disease In a typical municipality with 50,000 inhabitants:  2-3,000 citizens with type 2 diabetes  2,000 citizens with heart disease  2,000 citizens with COPD  2,300 citizens with cancer  8,000 citizens with muscular-skeletal disease  2,000 citizens with depression

Danish Health and Medicines Authority  Denmark 4 In a typical Danish municipality with 50,000 inhabitants  10,000 smokers  17,000 citizens that are not adequately physically active  20,000 overweight citizens  4,700 citizens who drink more alcohol than the high risk limits of 14/21 units per week

Danish Health and Medicines Authority  Denmark 5 Challenge two The health care systems ability to handle patients with chronic diseases

Danish Health and Medicines Authority  Denmark 6 Targeting the risk factors and diseases  Prevention  Early detection  Treatment  Rehabilitation In a proactive, coherent and continuous process

Danish Health and Medicines Authority  Denmark 7 Targeting the health care system The overall structure of the health care system  A citizen and patient-centered service focused on patient education and self-management 7 Highly specialised treatment/care (Assisted/)Specialized Care in the region for Multimorbidity/Multiple Risk Factor Management Community health care/ primary care including prevention, treatment and rehabilitation