Show Summary Details
Page of

Demographic and social changes 

Demographic and social changes
Demographic and social changes

Chris Dodds

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 15 July 2020

This chapter reviews global changes in populations occurring now that will have an impact on clinical care for the next 3 decades or more. Models for describing populations, including the transition model, and the use of population pyramid are used to explain these changes. General processes, including birth and death rates, fertility, replacement, and dependency ratios are described, as is the effect of migration. Social changes that follow population dynamics and the impact of retirement and healthcare provision are reviewed. Migration is explored as it has a social dimension especially within sovereign states where populations in rural areas become relatively older than urban areas, with isolation from family and friends and from immediate healthcare and personal care. Disproportionate increase in dependent elderly that makes even basic state-funded healthcare almost unaffordable are reviewed as are the radical changes that will occur in clinical practice and funding processes.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.