Issues of health in relation to world cities
Health care throughout the world is under extreme pressure to reorganize and improve outcomes for their populations with increased demand through the development of new technologies and the ageing population. As the population ages the number of people with at least one long-term condition is predicted to rise dramatically as the lifetime prevalence of a number of conditions are age related. Diseases such as diabetes, chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF) have been identified as key conditions leading to the increased costs of managing long term conditions.
The Health Club has agreed to focus on CHF as a major condition associated with ageing. CHF affects approximately 1% of people aged 50 years and older and about 5% of those aged 75 years and older. About 10% of patients diagnosed with heart failure die within 1 year, and about 40% die within 5 years of diagnosis.
The Health Club has 2 studies on Heart Failure:
1. An exercise physiology study run in Sao Paulo
2. A self management study to be run in Boston with a PhD studentship attached. This will be managed by Northeastern University and City University London.
The second area of focus for the Health club is on comparative health economics. It is difficult to compare the relative performance of health systems. In making these comparisons it is important not only to account for cost but also to include an assessment of the quality of health care.The Health Club has two projects that are being conducted to tackle this question.
1. Study 1 is performing a comparison between health inequalities in major urban centres involving all members of the Health Club.
2. The second study will perform a systematic comparison of European performance measurement systems with a view to proposing a system for use in the German Health Care Sector. The focus will be on integrating performance measures and where possible patient reported outcomes. This will be run jointly between The Technical University of Berlin and City University London.