
- Vol 38, Issue 12
Current Health Care System Cannot Survive Aging Population
It's time to take a critical look at our health care system.
MEDICAL ECONOMICS
The United States has the second largest oldest population in the world. By 2050, 21.4% of our population will be 65 years or older.
A new approach to care delivery is required. We are saddled with expensive, inefficient health care information technology (HIT) that has severed the personal connection between doctors and patients as well as between nurses and patients. If we do not change how care is delivered in this country, the health care system will collapse into a sea of red ink.
The move to value-based care is sometimes cited as a way to prepare for an aging population. But value-based models depend on enough patient volume to make the model work. Doctors and nurses are stressed enough due to inefficient HIT such as electronic health records, which were designed as billing systems that do not accommodate health care workflows. HIT needs to make the transition from data collection to supporting higher levels of productivity.
Appropriate strategies to decrease the incidence of chronic diseases and the associated costs to the health care system are critical if all Americans are to have appropriate access to care. For instance, a decrease of chronic diseases by 10% would result in savings of greater than $100 billion. Using primary and secondary prevention strategies that rely upon lifestyle changes are extremely cost-effective and will improve the quality of life for the aging population. In particular, improved education to the at-risk population will further enhance the positive effect on cost upon the health care system.
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Better technology will also support remote patient monitoring. This will enable the development of virtual care paradigms that will further enhance the ability of health care providers to extend and improve care to the at-risk population, concentrating efforts to the high-cost patient using population health powered by better data and analysis.
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Fine-tuning the patient’s diet and setting fitness goals are essential to this approach. Thus, patients meet with a dietician regularly and adjust their diet to a more balanced and healthier plan. Regularly scheduled small group exercise sessions with “homework” assignments for non-gym days improve fitness. This reduces overall metabolic abnormalities and improves functionality, particularly in patients previously limited by orthopedic issues. Programs such as these need to multiply many times over and eventually become standard for care.
It is past time for technology to create efficiencies and boost performance in health care as it has done in other industries. Despite its failings to date, improved HIT is the only way the current system can handle our nation’s aging population. Technology designed by clinicians for clinicians can restore the doctor-patient connection, empower remote care, and make population health more efficient. Only then will the current health care system be able to accommodate our aging population.
Dr Ciccone is the Chief Medical Officer of Document Storage Systems, Inc. A practicing cardiologist since 1982 and a leading advocate for better health IT, Dr Ciccone is board certified in internal medicine and cardiovascular disease and has additional board certification in integrative and holistic medicine. ❒
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Moving Beyond the Enormity Problem: Tackling the Global Refugee Crisisalmost 4 years ago
Exploring the Global Consequences of the COVID-19 Pandemicalmost 4 years ago
Issues in Women’s Health: Global Lessons, Opportunities, and Challengesalmost 4 years ago
Exploring the Link Between Migraine and PTSDalmost 4 years ago
Social Determinants and Clinical Realitiesalmost 4 years ago
Temperature Checkalmost 4 years ago
Conference Presents Clinical Reviews and Updatesalmost 4 years ago
Lithium Neurotoxicity: The SILENT Syndromealmost 4 years ago
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