Posted on by Judy

Rationing Health Care for the Elderly

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This question is comprised of three parts. In the introduction to Chapter 3 of your text, Cockerham states: Four of the most important variables employed in epidemiological research are age, gender, race and socioeconomic status. It has been found that each of these four variables represents important differences between people that correlate with health and life expectancy. (p. 40) As instructed below, please discuss the relationship of age to each of the other three variables – gender, race and socioeconomic status ¬- in terms of the implications for health and life expectancy of the elderly. (A 1½-page response is required for the combination of Parts A, B, and C.) Part A Consider the relationship between age and gender. List and describe at least two (2) demographic trends and health characteristics of the elderly based on gender differences. What are the implications for the future of health care for the elderly based on gender? (8 points) Part B Consider the relationship between age and race. List and describe at least two (2) of the demographic trends and health characteristics of the elderly based on racial differences. What are the implications for the future health care for the elderly in this group? (8 points) Part C Consider the relationship between age and socioeconomic status. List and describe at least two (2) demographic trends and health characteristics of the elderly based on social class and affluence. What are the future implications for the health care of the elderly based on socioeconomic status? (9 points)

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  1. Private and Public Health are working together through many program initiatives to promote cost-effective, quality, and compassionate patient care and population health. Under the Affordable Care Act (2010), and the patient-centered medical home model (PCMH) and programs such as the All-Inclusive Care for the Elderly (PACE), how are health professionals in both private and public health working together to meet the critical needs of the elderly populations?
  2. Public Policy: Do you think the Affordable Care Act will lead to health care rationing? If so, what are some limits or caps to care in the current act that you think might lead to rationing? Explain.
  3. Ethical Issues: Describe the long-term care initiative in the Affordable Care Act, referred to as the CLASS Act (long-term care initiative). What are the barriers to implementation? Should reimbursement follow the patient in a long-term care model? Should reimbursement be physician or payer driven? Explain. Public Policy: Do you think the Affordable Care Act will lead to health care rationing? If so, what are some limits or caps to care in the current act that you think might lead to rationing? Explain.
  4. What model of care do you think should be created to meet the future demand of the elderly, the increasingly obese, and the information-savvy health care consumer?