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An Aging Population And Growing Disease Burden Will Require ALarge And Specialized Health Care Workforce By 2025

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TLDR
The market indicators suggest that the current supply of many specialists throughout the United States is inadequate to meet the current demand, which could exacerbate already long wait times for appointments, reduce access to care for some of the nation's most vulnerable patients, and reduce patients' quality of life.
Abstract
As the US population ages, the increasing prevalence of chronic disease and complex medical conditions will have profound implications for the future health care system. We projected future prevalence of selected diseases and health risk factors to model future demand for health care services for each person in a representative sample of the current and projected future population. Based on changing demographic characteristics and expanded medical coverage under the Affordable Care Act, we project that the demand for adult primary care services will grow by approximately 14 percent between 2013 and 2025. Vascular surgery has the highest projected demand growth (31 percent), followed by cardiology (20 percent) and neurological surgery, radiology, and general surgery (each 18 percent). Market indicators such as long wait times to obtain appointments suggest that the current supply of many specialists throughout the United States is inadequate to meet the current demand. Failure to train sufficient numbers a...

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Journal ArticleDOI

Is the Physician Shortage Real? Implications for the Recommendations of the Institute of Medicine Committee on the Governance and Financing of Graduate Medical Education

TL;DR: The author argues that although some communities and specialties do face shortages, currently and in the future a general national physician shortage is unlikely and the approach recommended by the IOM Committee—steady funding levels but improved targeting to meet documented needs—may be the best strategy for maintaining GME funds and meeting the nation’s physician workforce needs.
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Effect of Overlapping Operations on Outcomes in Microvascular Reconstructions of the Head and Neck.

TL;DR: Patients had similar complication rates and durations of hospitalization for overlapping and nonoverlapping operations and similar results when minor, major, and medical complications between groups were assessed.
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Practitioner perspectives from seven health professional groups on core competencies in the context of chronic care

TL;DR: Findings indicated a high level of agreement that the core competencies were appropriate and relevant for chronic care practitioners but that many educational and practice gaps existed and interprofessional education in New Zealand was not currently addressing these gaps.
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Feasibility of Implementing a Patient-Centered Postoperative Wound Monitoring Program Using Smartphone Images: A Pilot Protocol

TL;DR: This protocol will provide preliminary evidence for a shift in the delivery of postdischarge care in a patient-centered and cost-effective manner and will assess patient and provider satisfaction.
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Caring for Older Surgical Patients: Contemporary Attitudes, Knowledge, Practices, and Needs of General Surgeons and Residents.

TL;DR: In this article, the authors gain contemporary insights from residents and surgeons regarding the care of older surgical patients regarding their attitudes, attitudes, and behaviors regarding older adults. But, they do not consider the long-term effects of these attitudes on patients.
References
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Journal ArticleDOI

Forecasting the Future of Cardiovascular Disease in the United States A Policy Statement From the American Heart Association

TL;DR: Findings indicate CVD prevalence and costs are projected to increase substantially and effective prevention strategies are needed if the authors are to limit the growing burden of CVD.
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Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence.

TL;DR: This analysis suggests that widespread implementation of reasonably effective preventive interventions focused on high-risk subgroups of the population can considerably reduce, but not eliminate, future increases in diabetes prevalence.
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Hospital and Physician Volume or Specialization and Outcomes in Cancer Treatment: Importance in Quality of Cancer Care

TL;DR: The literature suggests that, for all forms of cancer, efforts to concentrate its initial care would be appropriate, and the absolute benefit from care at high-volume centers exceeds the benefit from break-through treatments.
Journal ArticleDOI

The current and projected economic burden of Parkinson's disease in the United States

TL;DR: The burden of chronic conditions such as PD is projected to grow substantially over the next few decades as the size of the elderly population grows, giving impetus to the need for innovative new treatments to prevent, delay onset, or alleviate symptoms of PD and other similar diseases.
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