Cardiovascular Disease and Diabetes: Policies for Better Health and Quality of Care

image of Cardiovascular Disease and Diabetes: Policies for Better Health and Quality of Care

This report examines how countries perform in their ability to prevent, manage and treat cardiovascular disease (CVD) and diabetes. The last 50 years have witnessed remarkable improvements in CVD outcomes. Since 1960, overall CVD mortality rates have fallen by over 60%, but these improvements are not evenly spread across OECD countries, and the rising prevalence of diabetes and obesity are threatening to offset gains.

This report examines how OECD countries deliver the programmes and services related to CVD and diabetes. It considers how countries have used available health care resources to reduce the overall burden of CVD and diabetes, and it focuses on the variation in OECD health systems’ ability to convert health care inputs (such as expenditure) into health gains.



Improved control of cardiovascular disease risk factors and diabetes: The central role of primary care

The importance of primary care is increasing in managing cardiovascular disease (CVD) and diabetes. focuses on the role of the primary care system and its ability to diagnose and control common CVD-related risk factors. It examines the strengths and weaknesses of primary care across countries by looking at the resources available, its accessibility, and quality. It includes data on prescribing patterns for diabetic patients and the rates of CVD and diabetes-related hospital admissions that are largely avoidable through proper primary care management. The chapter assesses country performance on the basis of its relative incidence of high blood pressure and cholesterol levels, avoidable hospital admissions, and quality prescribing and diabetes-related complications. It also examines primary care quality initiatives taking place across countries such as integrated and co-ordinated care, strengthening information systems for performance monitoring and pay-for-performance.


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