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HEALTH STATUS - Chronic Conditions
Hypertension  |  Cholesterol  |  Diabetes
Chronic Conditions Common and Increasing: Chronic conditions is a general category that includes chronic illnesses and impairments. It includes conditions that are expected to last a year or longer, limit what an individual can do, and/or may require ongoing medical care. Common chronic conditions include hypertension, high cholesterol, diabetes, heart disease, asthma, respiratory diseases, arthritis, eye conditions, and certain mental conditions. According to Partnership for Solutions, a project headed by Johns Hopkins University and the Robert Wood Johnson Foundation, almost half of the U.S. population suffers from some type of chronic condition.1 Twenty-five percent of people with chronic conditions have some type of activity limitation. Because of the expected increase in Hawai'i's elderly population and long life expectancy, the incidence for chronic conditions will likely grow over the next 10 to 20 years. Advances in medical technology may also increase the incidence of chronic conditions as detection and treatment methods improve.

Rising Cost of Treatment: People with chronic conditions, particularly those with multiple chronic conditions, are the heaviest users of health care services. In 2001, the care given to people with chronic conditions accounted for 83 percent of U.S. health care spending. Ninety-six percent of Medicare spending is on behalf of people with multiple chronic conditions.2 Average per capita spending on people with one or more chronic conditions is more than five times greater than spending on people without any chronic conditions.3 Over the next two decades, chronic conditions in Hawai'i will need to be closely monitored to address resource and cost issues.


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