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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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