Health Care Access and the Elderly: Policies, Ethical and Legal Provisions Jacqueline Collins Capella University November 12, 2016 Health Care Access and the Elderly: Policies, Ethical and Legal Provisions The elderly population in the United States has been and is expected to increase due to the aging of the baby boomers’ generation. The percentage of the elderly in relation to the U.S. total population is approximately 14% (Novak, 2012). With the expected increment, the overall state of health across the nation will be dependent on how healthy the elderly are. Consequently, measures to ensure optimal health of this age group should be a priority for policymakers and other stakeholders in the health sector. Among the various issues addressed by the Healthy People 2020 vision is solving disparities in health (Sullivan, 2010; Healthy People, 2016). Minority groups, including the elderly, are the most affected by these disparities. Health care access among the elderly is still negatively affecting the overall health and economy of the United States, despite various policies developed to curb the issue. In truth, accessibility of health care services for the elderly has been a continuing problem, and the greatest contributor is the health care system itself. While others may direct the blame to increase health care costs, it should be noted that the root of the escalating costs is arising from the health care system. The current system is heavily based on the
Health care in the United States is currently facing a looming crisis that requires an urgent response of intervention. With the baby boomers population on the rise, there will ultimately be an increased need for long-term care (LTC) services. Pratt (2015) defines baby boomers as “the name given to the large number of people born in the period following World War II, between 1946 and 1964” (p. 17). According to Mikulaschek (2013), “Beginning in 2010, the roughly seventy-eight million baby boomers began turning sixty-five at a rate of three to four million per year leading to growing concerns over meeting their healthcare demands” (p. 86). This brings the number from about forty million in 2010 to seventy-two million in 2030 causing them to account for almost twenty percent of the total U.S. population (Mikulaschek, 2013, p. 96; Pratt, 2015, p. 17). This alarming rate will correspond to the increasing number of elderly individuals with chronic conditions who depend on LTC services for daily functioning (Pratt, 2015, p. 17). This influx of baby boomers presents the health care industry with a plethora of issues related to costs, quality, and access to the LTC services that this population so desperately needs.
Many Americans have access to health care that enable them to receive the care they need. Other faces a variety of barriers that make it difficult to receive health care services. According to the National Healthcare Disparities Reports, racial and ethnic groups are disproportionately represented among the uninsured and lower socioeconomic status. The report showed that health insurance is a contributing factor for poor health for some of the core measures and little improvement (AHRQ, 2014).
This document will discuss how demographics disease trends affect the delivery of health care. Starting with current age composition of the United States population and how future changes will occur in the next 10 to 20 years. Next will be identifiable factors that support environmental and changing demographic trends. Providing examples of relevant diseases and how the aging trend will increase or decrease health issues and how to reduce health complications because of age. The current rate of obesity will be discussed and how it will change in the next 10 to 20
Within the United States some populations groups face greater challenges then the general public with being able to access needed health care services in a timely fashion. These populations are at a greater risk for poor physical, psychological, and social health. The correct term would be underserved populations or medically disadvantaged. They are at a disadvantaged for many reason such as socioeconomic status, health, and geographic conditions. Within these groups are the racial and ethnic minorities, uninsured children, women, rural area residents, mentally ill, chronic illness and the disabled. These groups experience greater barriers in access to care, financing of care, and cultural acceptance. Addressing these
Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the
There continues to be racial and ethnic disparities in the United States, and these problems need to be addressed since the rate of racial/ethnic populations in the country are steadily rising. According to the 2001 United States Census, “racial/ethnic minority populations are growing at such a fast rate that by 2050 more than 50% of the population will belong to a minority group” (Weech-Maldonado, Al-Amin, Nishimi, Salam, 2011). Race and ethnicity should not determine the levels of health care people receive. Certain races have genetic predispositions for certain diseases and that fact cannot be changed. However, the differences among race for things such as treatment, access to health care, and availability of medicine should not be as great as they are. One of the most important disparities that exists between racial/ethnic groups is access to care, specifically how access to care is limited due to treatment not being tailored to the needs of different minorities.
census discloses that the county age group is rapidly increasing and the trend will continue grow from a 99,086 to 140,000 by the year 2030 (Maryland Department of Aging, 2014). Research has shown that social inequalities are inter-reliant in the society and the impacts on health are present in all ages, however, it is predominant with the seniors leaving in the community. As it indicates, to reduce these disparities, it requires multi-interventional and collaborative approaches in addressing the various factors of health, it services and it cost. Although the United States has had some effective policies and few good health programs, however, providing a stable and adequate income for most of the seniors and providing a good public health care system goes a long way in improving their health and also increasing life expectancy. Much can and should be done to reduce inequalities that exist among the seniors and public health should take led in addressing the various aspect that affects the seniors. This paper has discussed the barriers to healthcare among the seniors and it has provided innumerable recommendations that would help improve their
It is widely believed that the aging of the U.S. population is a major driver of the annual growth in the demand for health care and in national health spending
These terms are relevant for improving the health of all Americans by achieving improvements in overall quality of care and population health. Moreover, health disparities are costly, resulting in added health care costs, lost work productivity, and premature death (Kaiser Family Foundation, 2012). According to a recent analysis 30 percent of direct medical costs for Blacks, Hispanics, and Asian Americans are excess costs due to health inequities) and that, overall, the economy loses an estimated $309 billion per year due to the direct and indirect costs of
The United States is plagued with stark health disparities across its communities (Institute of Medicine, 2013). Defined as the “variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined population groups,” disparities describe the inequality of access to basic health services in America (HSRIC, 2016). Over the past decade, health reform has attempted to address this issue of health inequality by strategizing to insure more people and provide increased access to care.
Everyone should have the opportunity to achieve a healthy life and have comprehensive health care services available to them. To achieve this healthy life, people need to have access to the health care system and to a health care provider with whom they can develop a trusting relationship. However, existing barriers to attaining health care services often lead to disparities which in turn lead to differences in life expectancy, health status and a higher prevalence of certain chronic diseases (HealthyPeople.gov, 2012).
Yet of perhaps greatest importance to the American healthcare system and industry is the demographical information of this older population in terms of its particular characteristics and disposition. More specifically, healthcare professionals and policy analysts must understand the aging populations’ economic and living situations, and their overall health status (Jacobsen, Kent, Lee & Mather, 2011). Economic factors are key as they directly pertain to the likelihood of reliance on publically-funded healthcare programs, while “the marital status and living arrangements of the elderly are closely tied to levels of social support, economic well-being, and the availability of caregivers” (Jacobsen et al., 2011, p. 4). The importance of this population’s general health status is, of course, self-explanatory.
Disparities in healthcare are a real and urgent problem in our nation. There is indisputable data supporting the fact that disparities exist not only across different racial groups, but also across the cultural and economic stratification of our society. Moreover, there is even data showing disparities among each of these respective groups along gender lines. So what can be done about these disparities to assure that all patients receive equal and adequate care? Well, there are certainly many political and governmental changes or modifications that would go a long way towards narrowing the gaps in healthcare, but such changes are beyond the scope of this paper. Instead, I will focus on the steps that I,
Statistically, the majority of older adults require continual health care for at least one chronic condition, half of this group for multiple chronic conditions, and more than half are managing multiple prescription medications. In older adult groups without chronic illness, there is still a high demand for health care access for “acute conditions as well as for extensive preventative care services recommended by evidence-based guidelines, such as medical screenings and vaccinations” (Thorpe et al., 2011, p. 2). Education from research is necessary to address the efficacy of health care delivery within the communities nationwide, and to mitigate the disparities within a flawed system. “As this vulnerable population is expected to double by the year 2030, efforts to identify and eliminate disparities in access for older adults are among the most pressing health care issues for the 21st century” (Thorpe et al., 2011, p. 2). Ultimately, through exploration of predictive risk factors in the older adult population, along with implementation of various approaches for intervention and policy, health care accessibility for this vulnerable population can be greatly improved.
Changes in access to health care across different populations are the chief reason for current disparities in health care provision. These changes occur for several reasons, and some of the main factors that contribute to the problem in the United States are: Lack of health insurance – Several racial, ethnic, socioeconomic and other minority groups lack adequate health insurance coverage in comparison with people who can afford healthcare insurance. The majority of these individuals are likely to put off health care or go without the necessary healthcare and medication that is needed. Lack of financial resources – Lack of accessibility to funding is a barrier to health care for a lot of people living in the United States