The Hawaii Long Term Care Association (HLTCA) is the full-spectrum professional, political and policy voice for community-based long term care in the State of Hawaii. It is committed to:
- Setting the standard for ministering to the healthcare, emotional, social and spiritual needs of our kupuna, convalescent disabled and infirm;
- Being the most inclusive forum for developing progressive, cooperative approaches and the most effective force for implementing them – through legislative advocacy, professional and community education and regulatory representation;
- Enhancing public understanding that a sound, integrated care continuum affects not only those that we serve but impacts directly and significantly upon the well-being of our community as a whole.
How we provide for Hawaii’s kupuna (elderly), chronically ill and convalescent disabled is a measure of the respect and compassion we have for them….a reflection of our dignity as a society.
Long Term Care in Hawaii: Age is the single most important factor in understanding health status and the need and demand for health care resources. For the elderly, there is a clear relationship between age and mortality, prevalence of chronic conditions, and level of disability. Similarly, the elderly are the heaviest users of health care resources.
Hawaii vs. U.S. Elderly Trend: Until 2000, Hawaii’s elderly population, aged 65 and older, was growing at a much faster pace than the nation’s elderly population. Since 2008, Hawaii’s growth has leveled off. Consider these facts:
- Since statehood, Hawaii’s proportion of elderly to total population has increased three-fold, from roughly 5 percent in 1960 to 15 percent in 2008. During this same period, the elderly segment of the nation’s population increased by one-third, from 9 percent to 13 percent.
- Between 1990 and 2008, the number of elderly aged 75 and older increased 40 percent nationally compared to a 120 percent increase in Hawaii.
- Average life expectancy of males is 77.5 years and females 83.6 years.
Elderly Trend in the Counties: All counties exprienced significant growth (13-15 percent) in their elderly populations since 1970.
Projections: By 2030, the elderly population will represent 20 percent of the populations for each county, the state, and the nation as a whole; that is, one out of every five individuals will be aged 65 or older. In comparison, in 1970, one out of every 17 individuals was aged 65 or older.
As life expectancy increases, it is very evident that there is and will continue to be a need for long term care services in different areas, provided by family, but increasingly, by others, such as health care providers to support our kupuna in the various models of care available.