This year marks the 30th anniversary of the first report published
by the Institute of Medicine(IOM) on the health care workforce for
older patients, Aging and Medical Education. That report and others
have called for an expansion of geriatric training, but so far the
geriatric discipline has grown little in numbers or in stature.
This current report builds upon the IOMs broader work in the area
of quality. In 2001, the IOMs Crossing the Quality Chasm noted that
a major challenge in transitioning to a 21st-century health system
is preparing the workforce to acquire new skills and adopt new ways
of relating to patients and to each other.
The IOM charged the Committee on the Future Health Care
Workforce for Older Americanswith determining the health care needs
of Americans over 65 years of age and analyzing the forces that
shape the health care workforce for these individuals
This study considers a range of care settings and health care
team members, including professionals, direct-care workers,
informal caregivers, and patients. The committee focused on atarget
date of 2030by which time all baby boomers will have reached age
65because it allows enough time to achieve significant goals, yet
it is not so far in the future that projections become highly
uncertain or advances in health care treatment or technologies
change the medical landscape too greatly. Although the target year
of 2030 may not seem to imply a sense of urgency, the contrary is
true, as the preparation of a competent health care workforce and
widespread diffusion of effective models of care will require many
years of effort.
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