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Demographic Trends
Pages 25-40

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From page 25...
... National arid local health care policies need to be sensitive to these charges arid the nature of Be populations they address. New Census Bureau projections anticipate that the over-65 age group, which now stands at roughly 35 million, will increase by nearly 5 million during the coming decade and double, to 70 million, by 2030.
From page 26...
... Spending for 65 and ogler have hypertension, pharmaceuticals and other costly new diabetes, or blood lipid disorders services and products will filet growth due to chronic disease. in health expenditures arid increase pressure on public and private insurance arrangements.
From page 27...
... As mentioned in the previous section, Improving the Quality of Long-Term Care (2000) , a study sponsored by the Robert Wood Johnson Foundation, provides a comprehensive look at the quality of care and quality of life in a variety of settings, including nursing homes, residential care facilities, home health agencies, and private residences where family members provide or direct most of the services.
From page 28...
... How can the needs and desires of each person be appropnately assessed and addressed in a rapidly changing health care environment? Health outcomes research, which studies the end results of the structure and processes of health care on the health and well-being of patients arid populations, has the potential of providing the measurement tools to make that assessment and the analytic knowledge to suggest ways of addressing the challenges posed.
From page 29...
... provides guidance to caregivers and health plans in identifying patients with particularly complicated medical conditions, and it recommends a strategy for identifying individuals enrolled in 29
From page 30...
... assesses skin-cancer screening, dental services for patients with certain medical conditions, and eliminating the time limit on coverage of immunosuppressive drugs for transplant patients; it also identifies those areas in which the evidence supports expansion of Medicare coverage. There is a solid case that Medicare should cover dental care that is effective in reducing infections and other complications associated with serious medical conditions arid their treatment.
From page 31...
... Maintaining and communities. However, changing promoting adolescent health is further societal and economic factors challenged by the increasing number of have had a significant impact on young Americans an estimated 7 the ability offamilies et all income million (one-quarter of adolescents lo levels to provide such supervision to 17-years That engage in be- and guidance.
From page 32...
... The committee report will be published in 2001 and provide findings and conclusions Named around the essential elements of adolescent well-being and hearty development and linked to program features that contribute to a successfill transition Tom adolescence to adulthood. The report will examine what we know about the current landscape of development programs for Amenca's youth, as well as how these programs are meeting their diverse needs with particular attention to racial, ethnic, and socioeconomic considerations.
From page 33...
... Assuming income support programs, the the cont~nuahon of current trends In the fraction of the population that is ava~lab~ty and cost of employment- uninsured will continue to rise based health insurance, immigration, over the next decade. and income support programs, the fraction of the population that is lminsured will continue to rise over the next decade.
From page 34...
... The particular contribution of health insurance coverage to an individual's access to quality health care and the consequent differences in health status and quality of life is not widely understood. The TOM is beginning a 3 ~ year study, sponsored by the Robert Wood Johnson Foundation, that will produce a series of reports to improve understanding of the con~ .
From page 35...
... New Findings on Poverty cent Child Health arid Nutrition`: Summary of a Research Briefing (1998) examines what has been learned about the specific ways in which poverty affects the health of children arid youth, arid it considers next steps for research that will inform debates about welfare policy and health outcomes for poor children and adolescents.
From page 36...
... that can better improve access for uninsured children to appropriate health care services. Reaching this goal will require developing a perfonnance monitonug system at the federal level, as well as continuing support of efforts to improve indicators of children's health and well-being, including indicators for children with special health care needs.
From page 37...
... Some racial and ethnic minorities experience more cancer than the majority population, and poor people no matter their ethnicity~ften lack access to adequate cancer care. The Unequal Burden of Cancer: An Assessment of NIH Research and Programs for Ethnic Minorities and ~7
From page 38...
... The report offers recommendations regarding improving the collection of cancerrelated data, particularly among ethnic minorities and the medically underserved; ensunug that clinical teals supported by the National Institutes of Health include participation by these special populations; disseminating research results to health professionals serving these groups; and increasing sensitivity to the issues of cancer survivorship. The United States is at a cntical juncture in fighting tuberculosis (TB)
From page 40...
... Long-Term Care: Federal and State governments should encourage the development of effective consumer advocacy and protection programs by providing support for consumer education and information dissemination and for complaint resolution programs. Improving the Quality of Long-Term Care)


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