The changing health needs of the UK population.
The changing health needs of the UK population.
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DOI：
10.1016/s0140-6736(21)00229-4
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发表时间：
2021-05-22
期刊：
影响因子：
168.9
通讯作者：
Watt, Richard G.
中科院分区：
文献类型：
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作者：
McKee, Martin;Dunnell, Karen;Anderson, Michael;Brayne, Carol;Charlesworth, Anita;Johnston-Webber, Charlotte;Knapp, Martin;McGuire, Alistair;Newton, John N.;Taylor, David;Watt, Richard G.
英国人口的人口结构正在发生变化，医疗保健的需求也在变化。在这项卫生政策中，我们探讨了当前人口的健康、不断变化的卫生需求以及未来对健康的威胁。与其他高收入国家相比，英国在预期寿命和婴儿死亡率等许多健康结果方面落后，精神疾病的负担也越来越大。取得了一些成功，例如口腔健康有了显著的改善，但健康方面的不平等现象仍然存在。老龄化人口相对于劳动年龄人口的增长，多发病的增加，以及持续存在的健康不平等，特别是在可预防的疾病方面，这些都是国民保健服务(NHS)在未来几年将面临的问题。迎接未来的挑战将需要更加注重健康促进和疾病预防，包括更加协调一致地努力了解和解决处于健康不平等核心的多重社会、环境和经济因素。英国国民健康保险制度的当务之急将是减轻新冠肺炎大流行带来的更广泛和长期的健康后果，但它也必须增强其韧性，以减少其他健康威胁的影响，如英国退出欧盟、气候变化和抗菌素耐药性。
The demographics of the UK population are changing and so is the need for health care. In this Health Policy, we explore the current health of the population, the changing health needs, and future threats to health. Relative to other high-income countries, the UK is lagging on many health outcomes, such as life expectancy and infant mortality, and there is a growing burden of mental illness. Successes exist, such as the striking improvements in oral health, but inequalities in health persist as well. The growth of the ageing population relative to the working-age population, the rise of multimorbidity, and persistent health inequalities, particularly for preventable illness, are all issues that the National Health Service (NHS) will face in the years to come. Meeting the challenges of the future will require an increased focus on health promotion and disease prevention, involving a more concerted effort to understand and tackle the multiple social, environmental, and economic factors that lie at the heart of health inequalities. The immediate priority of the NHS will be to mitigate the wider and long-term health consequences of the COVID-19 pandemic, but it must also strengthen its resilience to reduce the impact of other threats to health, such as the UK leaving the EU, climate change, and antimicrobial resistance.