01-新加坡(Violeta Lopez) ---满足日益增长的医疗保健需求之护理管理.pdfVIP

First Xiaoxiang Care International Forum Changsha, Hunan, China Nursing management to meet the changing health care need Professor Violeta Lopez Director of Research RN, MNA, MPET, PhD, JBICF, FACN Greetings from Singapore and National University Hospital What will be covered? 1. Changing health care needs 2. Changing health care services 3. Changing health care workforce 4. Changing nursing management 5. Key messages Changing health care needs CHRONIC DISEASES Chronic Diseases: The Leading Causes of Death and Disability • 1: 4 adults have chronic diseases and conditions—such as heart disease, stroke, cancer, diabetes, obesity, and arthritis • Most common, costly, and preventable of all health problems Centre for Disease Control and Prevention Report • Seven of the top 10 causes of death - heart disease and cancer—together accounted for nearly 48% of all deaths. • Obesity - more than one-third of adults with BMI ≥30 kg/m2) • Obesity – 1:5 youths aged 2– 19 years with BMI ≥95th percentile • Arthritis - 53 million adults diagnosed, more than 22 million have trouble with ADL • Diabetes - leading cause of kidney failure, lower-limb amputations other than those caused by injury, and new cases of blindness among adults Global aging phenomena Profiles of death causing diseases Declining Fertility Changing health care services Changing health care services • Complex and dynamic • Focus on health care costs • Focus on quality • Globalization