medical mission frank talk
TRANSCRIPT
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Medical MissionAklan, Philippines
February 2008
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Expanding Roles for Nurses in US
The United States is facing a healthcare crises
The good news is that it may providenew opportunities for nurses
The tradition of working in a hospitalsetting is changing
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American Health Status
US spends more per capita than anyother country on health & itcontinues to grow. (CDC)
Heart Disease & Stroke are the firstand third leading cause of death inUS, accounting for > 40% of alldeaths (CDC)
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In 2000, > 105 million people weretold they high cholesterol (Over 200mg/dL (CDC)
About 30% of US population areobese (> 30 pounds over healthyweight) compared to 23% in 1980s
and 15 % in 1970s.
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The US Census Bureau predicts theUS population will grow by 50 million
between 2000 and 2020, thesepeople will need primary care.
According to HeLP (Healty Lifestylesand Preventive America Act of 2004,38.2% of all US deaths in 2000 were
due to tobacco use, poor nutrition &physical inactivity, and alcoholconsumption.
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Unhealthy diet and the lack ofconsistent exercise play importantrole in many chronic diseases,including type 2 diabetes,hypertension, heart disease, stroke,
breast cancer, colon cancer,gallbladder disease and arthritis,(CDC)
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Cost of Health Care in US
In 1950, the US health careexpenditures were 4.5% of GDP.
By 2001, they rose to 14.1% of GDP.
Expected to continue to rise due totechnology, medications, and agingpopulation.
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In 2001, the US spent $1.4 trillion on
health care-$ 1,400,000,000,000-
The entire French economy was $1.5
trillion US health system spent thesame as Frances total economy.
US is the most technologicallyadvanced and most expensive in theworld.
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The US out spends the nearestcompetitor, Switzerland, by >40%and the entire industrial world by anaverage of 134% per person.
The largest portion of health caredollars (33%) spent on hospitalinpatient stays, physician payments
22%, Pharmaceuticals 10%
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The remaining expenditures are for
administration (10%), home health &nursing care (11%),Dental/vision/misc. (10%) and
research (3.5%)
About 1/3rdof health care costs
($300 billion) each year are for olderadults.
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Health care spending due to aging
population will increase by 25%,between 2000 and 2030 simplybecause a larger percentage of theUS population will be older than 65(CDC)
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Why is Health Care Costs
Important?
Pressure for cost containment
National Health care approach
Canada over 30% GCP to Healthcare system
Costs will shift from hospital
inpatient base
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New Opportunities for Nurses
Long term care Nursing Homes
Now offer Sub-acute orRehabilitation wing
Home health agencies
Hospital based satellites, surgicalsuites, ambulatory centers
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Fountain View of Monroe
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