scholarly journals Aging And Health In South Dakota: Who Will Provide Care?

Author(s):  
Diane K. Duin ◽  
DeVee Dykstra

<p class="MsoNormal" style="text-align: justify; margin: 0in 35.75pt 0pt 37.4pt;"><span style="font-size: 10pt;"><span style="font-family: Times New Roman;">Demographers have long been writing of an aging population.<span style="mso-spacerun: yes;">&nbsp; </span>The forthcoming demographic changes predicted include the doubling of the elderly in selected states between 1995 and 2025, and the possibility that the numbers of people over age 85 is expected to reach at least 27 million by 2050.<span style="mso-spacerun: yes;">&nbsp; </span>These changes in the population will have a major impact on many sectors of the United States economy, including health care.<span style="mso-spacerun: yes;">&nbsp; </span>The effect on health care will include changes in technology to provide needed services to the elderly, access to medications by the elderly, overall service provision to the elderly by health care organizations, as well as reimbursement for services to the elderly.<span style="mso-spacerun: yes;">&nbsp; </span>The most dramatic affect on health care is still a couple of decades away.<span style="mso-spacerun: yes;">&nbsp; </span>As a result of the demographic trends there will be an insufficient supply of health care workers, while at the same time an increase in the health care needs of the elderly. <span style="mso-spacerun: yes;">&nbsp;</span>In South Dakota the working population, those 16 to 64 years of age, is experiencing significant changes.<span style="mso-spacerun: yes;">&nbsp; </span>The 16 to 44 year old segment of the population has declined by 10.4%.<span style="mso-spacerun: yes;">&nbsp; </span>The 45 to 64 year old segment has increased by 23.5%.<span style="mso-spacerun: yes;">&nbsp; </span>These changes in the South Dakota demographics indicate that the working population is aging, while the numbers of individuals available to replace them in the work force (the replacement group) is declining.<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>The data provides an indication that there will be more elderly consuming greater amounts of health care resources and fewer health care professionals, specifically nurses, in South Dakota to provide health care for the elderly.<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span></span></span></p>

2019 ◽  
Author(s):  
Jessica Shank Coviello

In 2016, the Institute of Medicine (IOM) reported medical error as the 3rd leading cause of death in healthcare systems in the United States. Effective communication of patient care needs across healthcare disciplines is critical to ensure patient safety, quality of care, and to improve operational efficiencies in healthcare systems. Ineffective collaboration and communication among healthcare professionals within the procedural areas increases the potential of harm as a patient moves from one healthcare professional to another. Health care systems are thus encouraged to train employees with a focus on interprofessional education (IPE) and collaborative practice. IOM and World Health Organization (WHO) recommend the use of IPE to help improve communication and collaboration. However the current educational structure in many institutions does not include IPE. As such, healthcare professionals work in silos, with little or no collaboration with one another, which may result in service duplication, increased service cost, and poor health outcomes for patients.


2020 ◽  
Vol 54 (10) ◽  
pp. 1038-1046
Author(s):  
Barbara J. Zarowitz

Advances in the application of artificial intelligence, digitization, technology, iCloud computing, and wearable devices in health care predict an exciting future for health care professionals and our patients. Projections suggest an older, generally healthier, better-informed but financially less secure patient population of wider cultural and ethnic diversity that live throughout the United States. A pragmatic yet structured approach is recommended to prepare health care professionals and patients for emerging pharmacotherapy needs. Clinician training should include genomics, cloud computing, use of large data sets, implementation science, and cultural competence. Patients will need support for wearable devices and reassurance regarding digital medicine.


2019 ◽  
Vol 29 (Supp2) ◽  
pp. 359-364 ◽  
Author(s):  
Brian McGregor ◽  
Allyson Belton ◽  
Tracey L. Henry ◽  
Glenda Wrenn ◽  
Kisha B. Holden

 Racial/ethnic disparities have long persisted in the United States despite concerted health system efforts to improve access and quality of care among African Americans and Latinos. Cultural competence in the health care setting has been recognized as an important feature of high-quality health care delivery for decades and will continue to be paramount as the society in which we live becomes increasingly culturally diverse. Unfortunately, there is limited empirical evidence of patient health benefits of a culturally competent health care workforce in integrated care, its feasibility of imple­mentation, and sustainability strategies. This article reviews the status of cultural competence education in health care, the merits of continued commitment to training health care providers in integrated care settings, and policy and practice strategies to ensure emerging health care professionals and those already in the field are prepared to meet the health care needs of racially and ethnically diverse populations. Ethn Dis. 2019;29(Supp 2):359-364. doi:10.18865/ed.29.S2.359


1987 ◽  
Vol 25 (1) ◽  
pp. 11-25 ◽  
Author(s):  
Cindy C. Wilson ◽  
F. Ellen Netting

Perceptions of 269 community-based elderly persons and eighty health-care professionals were compared for opinions related to the health-care needs of the elderly, and major barriers faced by the elderly to the utilization of health services. The data indicate a high degree of incongruence between the perceptions of the elderly and those of the professionals. Health professionals were not good predictors of the health status of the elderly, and they did not accurately predict the barriers faced by the elderly seeking health care. Congruence of responses was found only related to the cost of health services. Reasons for these differences were explored, and recommendations for future program planning were made.


1992 ◽  
Vol 17 (4) ◽  
pp. 763-782 ◽  
Author(s):  
Morris L. Barer ◽  
Clyde Hertzman ◽  
Robert Miller ◽  
Marina V. Pascali

2021 ◽  
Vol 25 (4) ◽  
pp. 273-284 ◽  
Author(s):  
Hisae Nishii

Lower urinary tract symptoms (LUTS) are common among elderly people, with significant effects on individuals, caregivers, and the wider health care system. As the elderly population with multiple comorbidities is increasing, the burden of LUTS will increase. This review describes the demographic trends in the aging society, changes in lower urinary tract function with aging, and deterioration of physical and cognitive function in aging, as well as what has been done regarding geriatric urology and what urologists should do to meet the health care needs of the aging population. Frailty and dementia are unmissable factors in the evaluation of elderly patients. Numerous reports have described associations between LUTS and frailty and between LUTS and dementia. Urologists must be aware of the multiplex physical, cognitive, and social characteristics of elderly people. Maintaining a geriatric viewpoint in the diagnosis, treatment, and management of elderly individuals with LUTS will fulfill the unmet needs of elderly people. It is also essential to discuss the treatment and management goals of LUTS with patients and caregivers. Active case identification, appropriate evaluations of LUTS and comorbidities, and a multidisciplinary approach with other health-care professionals are recommended for better treatment and management.


2019 ◽  
Vol 34 (7) ◽  
pp. 439-443
Author(s):  
Jamie McCarrell

PACE programs (Programs of All-inclusive Care for the Elderly) across the United States provide a valuable service to older adults with a significant nursing need by allowing them to remain safely living in the community for as long as possible through the provision of extensive, community-based health care services to its participants. Clinical pharmacists have previously been underutilized in PACE, but ample opportunity exists to provide meaningful pharmacy services within PACE programs. Pharmacists working in PACE programs can expect to significantly impact clinical outcomes, health care expenditures, and patient advocacy.


Author(s):  
Ganiyu Oluwaleke Sokunbi

Summary: This paper examines the concept, strength and weakness of Primary health care system (PHC) program in Nigeria, the opportunity and potential roles for physiotherapists in PHC delivery system as well as the perceived benefits of integrating physiotherapy profession into PHC delivery system in Nigeria.Currently, physiotherapy services are available at the big cities in the urban areas of the country, thus denying the myriads of people that might need the service that could not get to the big cities either due to their health conditions or due to financial incapacitation. Emphasis for the greater involvement of physiotherapists in PHC further arose from the fact PHC system in Nigeria is not yet adequately sensitized to promoting preventative measures needed to combats chronic non communicable diseases, the health care needs of the elderly and those of the people living with disability (PLWD).In conclusion, the paper recommendsa need for an urgent reform of the mode and delivery of PHC in Nigeria with emphasis on integrating physiotherapists and other relevant health care professionals and with enhancement of intersectoral/ interdisciplinary collaborations. This integration will undoubtedly increase health care providers’satisfaction and improve patients’ outcome in both acute and chronic care settingsKeywords: Primary Heath Care, Physiotherapy


1992 ◽  
Vol 13 (3) ◽  
pp. 265-276
Author(s):  
Mary Hoyte Sizemore

The issue of access to health care for the elderly and the quality of that care is of growing importance not only in the United States but also in less developed nations such as Mexico. An area of special interest is the U.S.-Mexico border region, where an increasing number of people are relocating to seek jobs they believe will open up as the North American Free Trade Agreement (NAFTA) loosens trade barriers. Workers flocking to the border often bring their families, including elderly relatives. This study examines a sample of lower-middle and mid-middle class Mexicans aged sixty to eighty-nine who reside in the border city of Ciudad Juárez, focusing on the principal ailments which affect these individuals and available treatment. A concluding section makes brief comparative remarks on access to health care for the elderly in Mexico and in the United States.


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