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Increasing Patient Participation in Diabetes Prevention
Programs by Using Culturally-relevant Tools and Resources

Manuel A. Selva, Jr., MD, MBA
National Medical Director
UnitedHealthcare Latino Health Solutions

Washington, DC
March 19, 2011
Presentation Outline

 • The Toll of Diabetes

 • U.S. Hispanic Population Overview

 • UnitedHealthcare PlanBienSM Tools & Resources

 • UnitedHealth Group Diabetes Prevention & Control
   Alliance (DPCA)

 • Questions/Answers
           The Toll of Diabetes
           A Correlating Prediabetic and Diabetic Trend
      The diagnosed diabetic population is growing on
       average by 1.5 million annually; that number                                                                   U.S. Diagnosed Diabetics1
       has doubled in 6 years2
      24 million people (10.7% of U.S. adults age 20+)
       are diabetic3                                                                                          24M
            18 million (78%) are diagnosed diabetics                                                                                                      24 M
            5.7 million (24%) are undiagnosed
      57 million people, (26% of U.S. adults age 20+)                                                        16M
       are prediabetic
      CDC reports that by the year 2050, 1 in 3                                                                                  12 M
       Americans will likely have Type 2 Diabetes                                                               8M

            Hispanics born in the year 2000 face a 2 in 5 risk for
             diabetes                                                                                           4M
            In 2006, Hispanics were 1.5 times as likely as non-
             Hispanic Whites to die from diabetes                                                               0M
                                                                                                                                   2002                    2008
      2.0 million; 8.2% of all Hispanic/Latino                                                                         US Department of Health and Human Services, June 2009

       Americans aged twenty years or older have
    1. Source for statistics: Center for Disease Control, (2009) 2. American Diabetes Association 3. American Diabetes Association Source for statistics

Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
       U.S. Hispanic Demographics

               •      There are a number of barriers that impede Hispanics from seeking medical
                      care. These can range from financial to cultural.

               •      The perception among many Hispanics is that medical care is reserved only
                      for emergencies. This is why many Hispanics fail to have PCP’s and often
                      rely on the Emergency Room as a source of medical care.

               •      Those Hispanics, who do seek regular medical attention, are often frustrated
                      by their inability to express their true symptoms to physicians who don’t
                      speak Spanish.

               •      Linguistic challenges also cause some Hispanics to receive medications for
                      which there is no indication, i.e., they may describe symptoms of everyday
                      anxiety and yet receive potent anti-depressants.

Source: U.S. Census Bureau, <
Release/www/releases/archives/population/010048.html> and <
Release/www/releases/archives/population/007910.html> and
Release/www/releases/archives/population/001720.html US Pop. Projections 2005 to 2050
Kaiser Family Foundation: State Health Facts 2008 - 2009

            UnitedHealthcare PlanBienSM
            • PlanBienSM was specifically designed to address these issues and break-
              down linguistic (and sometimes cultural) barriers

            • A suite of health plans enhanced with bilingual materials and services to
              better serve Spanish-speaking employees, their dependents and their

            • Access to physician offices that indicate they have Spanish-speaking
              doctors and/or staff.

            • A large selection of Spanish-language/bilingual capabilities and culturally-
              relevant materials:
               – Plan Materials
               – Enrollment forms
               – Benefit summaries
               – Dedicated Customer Service with toll-free number
               – Bilingual health education fliers, tools and resources for employers and
               – Bilingual websites
Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Hispanic-focused Health & Wellness
Brochures: Nutrition & Diet
Hispanic-focused Health & Wellness
Brochures: Fotonovelas

 • Award-winning educational
 • Easy-to-understand health
 • Developed following American
   Heart Association nutritional
 • Friendly format
 • Focuses on prevention
 • Guides reader to take action
 • Provides helpful tips on health-
   related issues

                    Bilingual site featuring:
                    • Health information
                        •Lifestyle and Habits
                        •Health Education Tools
                        •Bilingual Health &
                        Wellness Podcasts
                    • Provider Search
                    • News
                        •Scholarship info
                        •Community Outreach

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