Warshaw Gregg A, Bragg Elizabeth J
Health Aff (Millwood). 2014 Apr;33(4):633-41. doi: 10.1377/hlthaff.2013.1232.
In the United States, one in nine people ages sixty-five and older and one-third of people ages eighty-five and older have Alzheimer's disease. The number of cases of Alzheimer's disease is projected to triple by 2050, from 5.0 million in 2013 to 13.8 million. This will challenge the health care workforce, which is already inadequate in both size and training. We assessed what is likely to be an increasing shortage of physicians, nurses, and social workers with specialized training in geriatrics and, more specifically, in the care of people with dementia. We highlight the limited training of health care professionals in best practices of dementia care and chronic disease management. To address these shortfalls, we recommend the dissemination of team-based models of care that integrate health and social services; expansion of education loan forgiveness and faculty development programs to attract students into clinician-educator careers focusing on Alzheimer's disease; inclusion of curricula specific to the disease in all health professions training; expansion of federal programs to train existing workers; and increased compensation for the direct care workforce.
在美国,65岁及以上的人群中每九人就有一人患阿尔茨海默病,85岁及以上的人群中有三分之一患此病。预计到2050年,阿尔茨海默病病例数将增至三倍,从2013年的500万例增至1380万例。这将对医疗保健人员队伍构成挑战,因为其规模和培训目前都已不足。我们评估了老年医学专业,尤其是痴呆症患者护理方面接受过专门培训的医生、护士和社会工作者可能日益短缺的情况。我们强调了医疗保健专业人员在痴呆症护理最佳实践和慢性病管理方面的培训有限。为解决这些不足,我们建议推广整合健康和社会服务的团队式护理模式;扩大教育贷款免除和师资发展项目,以吸引学生投身专注于阿尔茨海默病的临床医生-教育工作者职业;在所有卫生专业培训中纳入针对该疾病的课程;扩大联邦项目以培训现有工作人员;并提高直接护理人员的薪酬。