There are a few population trends that are particularly important in regards to the planning, financing, and delivery of healthcare in the United States. The first of these trends, which likely has the greatest impact on our health care system for obvious reasons, is the aging of the U.S. population (Williams & Torrens, 2008). The aging Baby Boomer generation is beginning to enter the 65+ age group, and this age group is expected to continue to grow in number at a disproportional rate compared to other age categories in the coming decades (Colby & Ortman, 2015). According to the U.S Census Bureau, approximately 66% of individuals in the United States had private insurance coverage during some part of 2014, while 36.5% had some form of governmental …show more content…
This lower fertility rate not only impacts aging trends, but it also has impacts on the cultural and racial composition of our population. Foreign born and immigrant population growth is expected to exceed native born population growth in the near future, and minority population numbers will exceed white non-hispanics by 2044 (Colby & Ortman, 2015). Culturally competent and divorce health care workforces and planning will be an absolute necessity in the changing demographic landscape.
References
Balbo, N., Billari, F. C., & Mills, M. (2012). Fertility in Advanced Societies: A Review of Research. Eur J Population European Journal of Population / Revue Européenne De Démographie, 29(1), 1-38. doi:10.1007/s10680-012-9277-y
Colby, S. L., & Ortman, J. M. (2015, March). Projections of the size and composition of the U.S. population: 2014-2060 (United States, U.S Census Bureau). Retrieved June 14, 2016, from
Due to the Patient Protection and Affordable Care Act signed into law on March 23rd, 2010; health care in the US is presently in a state of much needed transition. As of 2008, 46 Million residents (15% of the population) were uninsured and 60% of residents had coverage from private insurers. 55% of those covered by private insurers received it through their employer and 5% paid for it directly. Federal programs covered 24% of Americans; 13% under Medicare and10% under Medicaid. (Squires, 2010)
Johnson, Hans. "California's Population (PPIC Publication)." Public Policy Institute of California, May 2011. Web. 19 Apr. 2014.
On a global scale, the United States is a relatively wealthy country of advanced industrialization. Unfortunately, the healthcare system is among the costliest, spending close to 18% of gross domestic product (GDP) towards funding healthcare (2011). No universal healthcare coverage is currently available. United States healthcare is currently funded through private, federal, state, and local sources. Coverage is provided privately and through the government and military. Nearly 85% of the U.S. population is covered to some extent, leaving a population of close to 48 million without any type of health insurance. Cost is the primary reason for lack of insurance and individuals foregoing medical care and use of prescription medications.
Immigration and the minority population is increasing each and every year. With a growing ethnically diverse population, it is vital that nurses are sufficiently equipped for and able to work with patients in a way that identifies and respects their diversity.
?Total Midyear Population for the World: 1950-2050? U.S. Census Bureau 26 April 2012. Web 8 April 2014 .
U.S. Census Bureau, (2010). Cumulative Estimates of the Components of Resident Population Change by Race and Hispanic Origin for the United States. Retrieved from http://www.prb.org/Publications/PopulationBulletins/2010/latinosupdate1.aspx
The healthcare workforce is suffering critically due to its lack in diversity. As healthcare organizations are growing and the number of patients is increasing, so is the diversity of the patients. There are more minority patients are the number of minorities increase in the United States. The need for minority employees is crucial in that they are needed to help assist patients who have the similar cultural, racial, and ethnic upbringings. There are many barriers in healthcare workforce that are keeping minorities from reaching their full potential to become employees in healthcare, particularly upper-level leadership positions; as patients continue to become more diverse, so does the need of employees.
The two major components of Medicare, the Hospital Insurance Program (Part A of Medicare) and the supplementary Medical Insurance program (Part B) may be exhausted by the year 2025, another sad fact of the Medicare situation at hand (“Medicare’s Future”). The burden brought about by the unfair dealings of HMO’s is having an adverse affect on the Medicare system. With the incredibly large burden brought about by the large amount of patients that Medicare is handed, it is becoming increasingly difficult to fund the system in the way that is necessary for it to function effectively. Most elderly people over the age of 65 are eligible for Medicare, but for a quite disturbing reason they are not able to reap the benefits of the taxes they have paid. Medicare is a national health plan covering 40 mi...
Vincent, Grayson W. and Victoria Velkoff. 2010. “United States Census.” Census.Gov. Retrieved May 2014 (https://www.census.gov/prod/2010pubs/p25-1138.pdf).
Healthcare is a dynamic, ever-changing environment. The complex circumstances around daily conversations that encompass life-threatening decisions are critical. In order to deliver high quality care, individuals must be able to communicate effectively. In the perfect world of communication, everyone receives the exact same information and is able to respond the exact same way. Unfortunately, communication breakdown is a prevalent issue among hospitals. On any given day of the hospital arena, multiple interactions take place. Some of the dialogue is planned, and some is not. While hospital departments are living in different silos within the same organization, the cultures may vary among the employees. Hospital leadership fosters the importance of collaboration within the organization and depends on the employees to ultimately drive the process. In order to overcome communication barriers in the workplace, conversations must occur. Engaging in daily face-to-face meetings with employees increases positive work culture, morale and overall productivity.
Over the last several weeks we have learned that we live in a culturally diverse world. We have learned that it is important to acknowledge our own cultural values and beliefs while also realizing that others around us have their own beliefs. In order to provide culturally sensitive care, we must also realize the meaning of diversity and how it can also relate to the health care workforce. The purpose of this post is to define what diversity means to me. I will describe what some of the benefits of having a diverse health care workforce is while acknowledging that this could also provide some barriers in the nursing profession. I will conclude by considering my own diverse cultural background and experiences and how it might relate to the
Elderly people, as a whole, use up much of the nation's healthcare budget; six times as much money is spent by the federal government on health services for those over 65 than those under 18 (Callahan, 1997). More people are entering into this age group than are dying due to medical advances that can now prolong life for years, using up hundreds of thousands of dollars on one feeble life that could possibly help hundreds of younger people and thereby prevent future health expenses (Caplan, 1987). America's healthcare budget is not large enough to support every patient adequately- instead of a few getting sufficient healthcare, many are merely getting a half-way supported (Callahan, 1997). With so many last- ditch efforts available, th...
The aging of the baby boomer generation along with the increasing longevity of life expectancies are evolving the demographics of the United States’ society. Older adults account for a much larger percentage of the population than ever before and it is expected that by 2030, one in every five Americans will be eligible for Medicare (Elder Workforce Alliance [EWA], 2012). As Americans are living longer they are also at a greater risk of chronic illness. This shift commands attention and analysis of our current health care system to better meet the needs of this growing population.
Today, world’s population is aging at a very fast pace and United States is no exception to this demographic change. According to the U.S Census Bureau, senior citizens will be accounted for 21% of the American population in 2050 (Older Americans, 2012). Although living longer lives may not seem like a negative sign, living longer does not necessarily mean living healthier. Older adults of today are in need of long-term and health care services more than any generation before them (Older Americans, 2012). Because of the growing need for senior care, millions of families are facing critical decisions on how to provide care for their parents. In addition, declining birthrates may cause people to have less familial care and support as they age. To be able to provide the necessary care for senior citizens government funded long term care insurance program is needed.
Teitelbaum, Michael S., Jay Winter. “Low Fertility Rates - Just a Phase?” YaleGlobal Online. Yale Global, 9 Jul. 2013. Web. 1 Mar. 2014.