Aging issues: nursing imperatives for healthcare reform.
The people of the United States sent a clear message in November 2008 that they wanted a change in the nation's priorities, including healthcare. The question is whether healthcare reform will extend to the care of older adults, especially in the face of complex needs in the last years of their lives. This article addresses this question by examining the demographics of the older adult population, the eldercare workforce, and the current inadequate patchwork of financing. Some aging issues, such as chronic care, are being addressed in the broad context of healthcare reform, whereas health information technology and others remain marginal. The window of opportunity for a clear and coherent voice in a reformed/reshaped healthcare system is narrow. Now is the time for the "trusted" profession to advocate for meaningful change that will meet the current and future needs of older adults. The article concludes with strategies and Web-based resources for nurses to bring aging issues to the healthcare reform debate at both the national and local levels.
Beverly
Claudia
C
Arkansas John A. Hartford Center for Geriatric Nursing Excellence, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA. BeverlyClaudiaJ@uamsd.edu
Burger
Sarah Greene
SG
Maas
Meridean L
ML
Specht
Janet K Pringle
JK
D000367:Age Factors; D002908:Chronic Disease; D003710:Demography; D005851:Geriatric Nursing / Q000379:methods / Q000639:trends*; D018166:Health Care Reform / Q000639:trends*; D006291:Health Policy / Q000639:trends; D006301:Health Services Needs and Demand; D006801:Humans; D024802:Nurse's Role; D011057:Politics; D012956:Societies, Nursing; D014481:United States