Problems encountered by people with chronic conditions
38% Cannot afford a service
19% Service not available when needed
15% Cannot easily get to a service
13% Quality of service so poor, won’t use it
11% Cannot find needed medical service
SOURCE: Chronic Care in America: A 21st Century Challenge. The Robert Wood Johnson Foundation.
The magnitude of this figure is important for several reasons:
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Chronic Care in America: A 21st Century Challenge. The Robert Wood Johnson Foundation
The Chronic Care Perspective. The Robert Wood Johnson Foundation
Figure 1. Categories of disabling chronic conditions
Source: Institute of Medicine, 1991
categories of conditions diagnostic condition codes proportion of people
mobility limitations arthritis, paralysis 38%
chronic diseases asthma, cancer, diabetes 32%
sensory limitations blindness, hearing impairment 8%
mental limitations senility, mental retardation 7%
other conditions 15%
Chronic Care in America: A 21st Century Challenge. The Robert Wood Johnson Foundation.
Figure 2. People with chronic conditions report on their service system.
Source: Unpublished data from The Gallop Organization, 1992.
YES NO DON’T KNOW
Understand services you are eligible for? 47% 47% 5%
Understand how to use the services you are eligible for? 60% 32% 8%
Know who provides what services? 57% 38% 5%
Feel it takes more effort to use these services than they are worth to you? 36% 48% 16%