Aging 2000: Our Health Care Destiny: Volume II: Psychosocial by Robert H. Binstock (auth.), Charles M. Gaitz M.D., George

By Robert H. Binstock (auth.), Charles M. Gaitz M.D., George Niederehe Ph.D., Nancy L. Wilson M.A. (eds.)

The 17th annual symposium subsidized via the Texas examine Institute of psychological Sciences used to be held October 23-26, 1983, in Houston, Texas. The topic used to be getting older 2000: Our well-being Care future. This quantity on social, mental, financial, and moral elements and a spouse quantity (Volume I) on biomedical features comprise edited types of the displays through approximately eighty audio system. Their papers have been directed at practitioners, researchers, and scientific educators who may be energetic and efficient within the yr 2000, and we interested in those that might impact the evolution of care of aged individuals in the course of the subsequent 17 years. We selected issues that will be of specific curiosity to academics and present planners within the disciplines focused on supply of health and wellbeing and social providers. We think that having a center of extra certified and higher expert practitioners can help the inhabitants of elderly people in attaining a better point of actual and psychological well-being, existence delight and happiness, locate higher coping ideas and regulate of environmental stresses, and achieve own and social pursuits. Our pursuits whereas getting ready for the symposium we knew that the prestige ofthe artwork in 1983 evidently could be the base from which we'd paintings, yet we requested our audio system to offer precedence to destiny making plans and directions.

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Even when resources are scarce, the identification of essential services is a dynamic process that continually brings about different answers, in the form of resource allocation, at the community level. Cohesion in values is always easier to achieve at the community level than at the level of a mass society of 240 million persons. Conclusion The picture just presented of our health-care destiny is not especially uplifting. I have tried to place the trends, dilemmas, and prospects for the health care of the aging in their proper perspective.

S. policy for the aging-a commitment to ourselves. Nat. Journ. 10, 1576 (1978). : Aging and social care. , and Shanas, E. ), Handbook of Aging and the Social Sciences, Ch. 26. New York: Van Nostrand Reinhold (in press). -Massachusetts' new hospital payment law. New Eng. J. Med. 308, 542-543 (1983). : Federal expenditures for the elderly: past and future. The Gerontologist 21,132-137 (1981). : Health implications of aging in America. Proceedings of Conference on the Impact of Technology on Aging, Feb.

Unfortunately, the optimistic argument presented by Fries (1980), predicting the compression of morbidity in old age, has been responsibly and effectively demolished (Schneider and Brody, 1983). Ironically, an unintended consequence of improvements in longevity has been extension of the life span into the pathways of long-term, chronic, disabling conditions that rob life of its quality. The age-specific prevalence of long-term chronic diseases and other disabling conditions, particularly organic brain syndromes such as Alzheimer's disease, rises exponentially in the last decades of life, particularly in the late 70s and 80s (Gruenberg, 1977).

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