| Title | The changing elderly population and future health care needs. | | Author(s) | Mechanic D | | Institution | Institute for Health, Health Care Policy, and Aging Research, Rutgers, State University, New Brunswick, NJ 08901-1293, USA. mechanic@rci.rutgers.edu | | Source | J Urban Health 1999 Mar; 76(1):24-38. | | MeSH | Aged
Aged, 80 and over
Aging
Chronic Disease
Costs and Cost Analysis
Forecasting
Health Maintenance Organizations
Health Policy
Health Services Needs and Demand
Health Services for the Aged
Humans
Long-Term Care
Managed Care Programs
Medicaid
Medicare
Population Dynamics
Research Support, Non-U.S. Gov't
United States
| | Abstract | The impending growth of the elderly population requires both fiscal and substantive changes in Medicare and Medicaid that are responsive to cost issues and to changing patterns of need. More emphasis is required on chronic disease management, on meaningful integration between acute and long-term care services, and on improved coordination between Medicare and Medicaid initiatives. This paper reviews various trends, including the growth in managed-care approaches, experience with social health maintenance organizations and Program of All-Inclusive Care for the Elderly demonstrations, and the need for a coherent long-term care policy. Such policies, however, transcend health care and require a broad range of community initiatives. | | Language | eng | | Pub Type(s) | Journal Article
Review
| | PubMed ID | 10091188 |
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