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This article examines how healthcare will change in response to demographic changes, workforce changes, healthcare policy, economics, consumerism, technology advances, and globalization.
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scanning the horizon of healthcare June 6, 2006
How healthcare will change with…. • Demographic changes • Workforce changes • Healthcare policy • Economics • Consumerism • Technology advances • Globalization
Demographics At a glance our nation will experience • an annual rate of growth of 1% • 20% increase in total population by 2020 • increased diversity; 30% of total population will be Hispanic or African American • growth in elderly segment of population
States in the South and West are Expected to Show Big Gains Through 2020 Average Annual Percent Change in State Populations: 0.5 to 0.9
Population trends • By 2020 the Echo Boomers will be between 21 and 43 years of age. • • The Echo Boomers currently make up 31% of the civilian work force • This group has values and expectations that are drastically different from the ones employers have traditionally encountered.
Growing need for services for aged… Estimates of Future Demand for Long-Term Care
Michigan Demographics • Growth by 2020 – • Estimates range from a loss of 1 million residents by 2020 up to 7% growth • Michigan is projected to slip from the 8th most populous state to the 10th spot • Under 18 declining by 6% by 2030, 65+ increasing 71% • Diversity • Although change will be less than any other region in the US, largest growth will be among Hispanics • Counties, regions expected to grow • SE Michigan (including Ann Arbor), and Grand Rapids area
The workforce will change…. • GROWTH in aged population will…. • DEMAND for physicians will…. • DEMAND for full time RN’s per 1,000 will ….. • CAREGIVERS will spend ……. time caring for elderly. • HEALTHCARE WORKERS in general will be ……. • SUPPLY of healthcare workers will be . • PRESSURE on Medicare and Medicaid will …….as it strains to supply care to elderly.
Workforce trends • Shortages in • Nursing • Pharmacy • Specialized technical fields (imaging • Some physician specialty areas • Long term care and support for aged • More attention by employers to building a healthy workforce
Physician Shortages in Michigan • In July 2005, MSMS released its study on physician supply. Michigan faces a shortage of nearly 6,000 physicians by 2020. • A number of factors can be attributed to the projected shortage, including the aging baby boom generation, the anticipated retirement of older physicians, and the changing demographics and practice patterns of physicians in Michigan and across the nation. • More than 57 percent of practicing Michigan physicians plan to retire by 2020.
Healthcare Policy • Economic constraints • Information systems • Informing consumers of cost • Push to cover uninsured • Healthcare will compete for dollars with anti-terrorism, epidemics ( Asian bird flu), safety
U.S. Spending up …. • Healthcare spending growth is projected to outpace • overall economic growth, • Share of the GDP to increase to almost 18.7% by 2014, up from 15.6% in 2005.
Spending up in states… GRAPH here on MICHIGAN Medicaid Spending
Uninsured rates up…. Differences in Average Uninsured Rates by State (2001-2003) • Alarming truths: • Wages are not keeping up with premiums • For more than 14 million Americans, health care costs consumed ¼ of wages • One out of every three Americans went without health insurance for some period of time in 2004. • Numbers of uninsured are growing in Michigan
Resulting in… • Growing pressure to change how we do things • More uninsured • Shift in emphasis to prevention
Emphasis on prevention According to Hewitt Associates, about two-fifths of employers use some type of incentive or disincentive related to healthcare decisions.
Consumers will be…. • More informed • Growing use of internet for information, even in elderly • Have higher expectations, baby boomer generation
Technology • Continued advances • Human genomics emerging field • Micro-invasive procedures • Pharmaceutical management of more conditions • Continued increase in computer enabled and assisted technologies
Resulting in… • Demand for highly skilled healthcare workers • Computer literacy vital • Specialized niche jobs
Globalization • Bio-terrorism threat • Pandemic disease spread • “Spa” health offerings in various parts of the world • Foreign born workers in healthcare