Actualizing Better Health And Health Care For Older Adults

被引:165
作者
Fulmer, Terry [1 ]
Reuben, David B. [2 ,3 ]
Auerbach, John [4 ]
Fick, Donna Marie [5 ]
Galambos, Colleen [6 ]
Johnson, Kimberly S. [7 ]
机构
[1] John A Hartford Fdn, New York, NY 10022 USA
[2] Univ Calif Los Angeles, Ctr Hlth Sci, Multicampus Program Geriatr Med & Gerontol, Los Angeles, CA 90024 USA
[3] Univ Calif Los Angeles, Ctr Hlth Sci, Div Geriatr, Los Angeles, CA 90024 USA
[4] Trust Amer Hlth, Washington, DC USA
[5] Penn State Univ, Coll Nursing, Ctr Geriatr Nursing Excellence, University Pk, PA 16802 USA
[6] Univ Wisconsin, Appl Gerontol, Milwaukee, WI 53201 USA
[7] Duke Univ, Sch Med, Div Geriatr, Durham, NC USA
关键词
POPULATION; MANAGEMENT;
D O I
10.1377/hlthaff.2020.01470
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
By 2030 more people in the United States will be older than age sixty-five than younger than age five. Our health care system is unprepared for the complexity of caring for a heterogenous population of older adults-a problem that has been magnified by the coronavirus disease 2019 (COVID-19) pandemic. Here, as part of the National Academy of Medicine's Vital Directions for Health and Health Care: Priorities for 2021 initiative, we identify six vital directions to improve the care and quality of life for all older Americans. The next administration must create an adequately prepared workforce; strengthen the role of public health; remediate disparities and inequities; develop, evaluate, and implement new approaches to care delivery; allocate resources to achieve patient-centered care and outcomes, including palliative and end-of-life care; and redesign the structure and financing of long-term services and supports. If these priorities are addressed proactively, an infrastructure can be created that promotes better health and equitable, goal-directed care that recognizes the preferences and needs of older adults.
引用
收藏
页码:219 / 225
页数:7
相关论文
共 52 条
[1]  
Administration for Community Living, 2018, 2018 PROFILE OLDER A
[2]  
American Academy of Nurse Practitioners, 2012, RET GNP NAT CERT EX
[3]  
[Anonymous], 2001, CROSS QUAL CHASM NEW, DOI DOI 10.17226/10027
[4]   Feasibility of Implementing Patient Priorities Care for Older Adults with Multiple Chronic Conditions [J].
Blaum, Caroline S. ;
Rosen, Jonathan ;
Naik, Aanand D. ;
Smith, Cynthia D. ;
Dindo, Lilian ;
Vo, Lauren ;
Hernandez-Bigos, Kizzy ;
Esterson, Jessica ;
Geda, Mary ;
Ferris, Rosie ;
Costello, Darce ;
Acampora, Denise ;
Meehan, Thomas ;
Tinetti, Mary E. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2018, 66 (10) :2009-2016
[5]   Rethinking racism: Toward a structural interpretation [J].
BonillaSilva, E .
AMERICAN SOCIOLOGICAL REVIEW, 1997, 62 (03) :465-480
[6]   Effectiveness of assistive technology in improving the safety of people with dementia: a systematic review and meta-analysis [J].
Brims, Lucy ;
Oliver, Kathryn .
AGING & MENTAL HEALTH, 2019, 23 (08) :942-951
[7]  
Brotherton Sarah E, 2019, JAMA, V322, P996, DOI 10.1001/jama.2019.10155
[8]   Why Population Health and Palliative Care Need Each Other [J].
Casarett, David ;
Teno, Joan .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 316 (01) :27-28
[9]  
Centers for Disease Control and Prevention, 2020, US TEL EXP ACC ESS H
[10]   Geographic Variation in Knowledge of Palliative Care Among US Adults: Findings From 2018 Health Information National Trends Survey [J].
Chen, Guanming ;
Hong, Young-Rock ;
Wilkie, Diana J. ;
Kittleson, Sheri ;
Huo, Jinhai ;
Bian, Jiang .
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2021, 38 (03) :291-299