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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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Presidential addressWe care

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A pressão arterial em idosos de uma academia da terceira idade

TL;DR: Conclui-se that a populacao idosa esta sob o risco de uma frequencia consideravel de comorbidade como a hipertensao arterial e that a atividade fisica, tem seu papel no controle, mais desde that seja bem orientada de forma that individuo esteja com os niveis pressorico ideais.
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Comparison of Bispectral Index-Guided Individualized Anesthesia with Standard General Anesthesia on Inadequate Emergence and Postoperative Delirium in Elderly Patients Undergoing Esophagectomy: A Retrospective Study at a Single Center.

TL;DR: BIS-guided individualized anesthesia (lighter) does not reduce inadequate emergence or PD compared with standard general anesthesia in elderly patients undergoing esophagectomy.
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Price versus clinical guidelines in primary care statin prescribing: a retrospective cohort study and cost simulation model.

TL;DR: In this article, the authors investigated the relative impact of generic entry and National Institute for Health and Care Excellence clinical guidelines on prescribing using statins as an exemplar and found that new patients prescribed statins for the first time between July 2003 and September 2018.
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Alumni survey of a combined doctor of pharmacy/graduate certificate in aging studies program.

TL;DR: A PharmD-Gerontology dual program is one way to enhance the workforce to care for the growing older population and should be considered by schools of pharmacy that also offer degree programs in gerontology.
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.
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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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