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The changing health needs of the UK population

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LANCET
卷 397, 期 10288, 页码 1979-1991

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ELSEVIER SCIENCE INC
DOI: 10.1016/S0140-6736(21)00229-4

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  1. LSE Knowledge and Exchange Impact (KEI) fund from the Higher Education Innovation Fund (HEIF)

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The changing demographics of the UK population necessitate a shift in healthcare needs, such as an increased focus on health promotion and disease prevention. Challenges such as an ageing population, rising multimorbidity, and persistent health inequalities require attention. Successes in oral health improvement exist, but inequalities in health outcomes persist. Healthcare systems must address these challenges, including mitigating the impact of wider health threats like the COVID-19 pandemic.
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.

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