This is the healthcare delivery provider's part of
the Healthcare Marketplace Specialization.
This is Module 1.5.1, Changing Demographics.
The learning outcomes for this lecture are that you'll understand key
demographic changes that impact the healthcare delivery system and
discuss some of the challenges that might lie ahead.
Great job so far.
You're almost at the end of the first module in my course.
So, great job.
Great job with all of the quizzes.
Well done.
So these last few lectures, I will look at what are some of the other
influencing factors for health care delivery system in the US?
So this particular lecture will focus on the various changes in
the demographics that are happening in the US and how they are influencing, and
could potentially influence the healthcare delivery system.
So as you can imagine in any population, as it becomes more chronically ill or
it becomes more healthy or starts aging more.
The healthcare delivery system is going to have to change in response to that.
So, that's critical.
Obviously, the triple aim will change.
The cost may go up or it may go down, if the population becomes healthy.
So that's the point of this particular lecture to look at the demographics and
then we'll close off this module with looking at some of the other influencers,
and then you are done with the first module.
Great job and let's keep going.
So as I just discussed, this particular system
of care that we have discussed is not static and
it changes as the demographic changes.
So, let's think about Harlan.
Let's say, he gets better.
May not need as much hospitalization.
May not need as much skilled nursing facility.
May need much more primary care clinics and
specialty clinics or if he gets worse, he might need the opposite.
So again, the population and how it changes, both socioeconomically and
also health wise directly impacts the healthcare delivery system and
the healthcare delivery providers.
Let's look at a few of the important demographic changes.
The first one, obviously is aging.
So, here's a simple statistic of 65 plus individuals who represented
14% of the population in 2013 are estimated to grow to 22% by 2040.
So, with aging comes an increase in the burden of chronic illness sometimes.
Also, there is a direct impact on social and
welfare programs like Social Security, Medicare Medicaid and others.
And also, one direct correlation between aging that we need to
think about is the workforce.
The nurses and the physicians, and the pharmacists, and others are also aging.
So that needs to be thought about and what are the demands and
the needs of the new generations and the new workforce that is coming in?
So again, that will directly impact the healthcare delivery system.
Diabetes, for example is another condition that is growing in
the demographics of the US, the incidents is growing.
There's also increasing number of undiagnosed cases and there is obviously,
a direct correlation between diabetes and strokes, heart disease and
many other important conditions that cause morbidity and death.
Also, we are finding that there is some health disparities in diabetes and
we are starting to look at race, ethnicity and language data to look at
are we serving all the diabetics equally and is there health equity?
Also, data is emerging, for example, through ACOs and
other models that the cost for diabetics is double than those patients or
populations that do not have diabetes.