Similarly, another population trend in is aging. Life expectancy in nearly every nation increased. In 2000, the World Health Organization noted that global life expectaney was 65.5 years, nearly six years longer than in 1980 (Bonita & Mathers, 2003). Moreover, by 2050, there will be approximately two billion people over the age of 60, and the global median age will have increased from 28 (in 2007 to 38. (United Nations Department of Economic and social Affairs, 2 Elderly tend to utilize health care resources more often than people under the age of 65. As such, the shift in demographics should be an indicator that utilization of health services is likely to increase. However, desp increased likelihood of use, there are many determinants which can create unmet need for health services. For example, physical disability has been shown to be a significant predictor of health care utilization among elderly. Elderly who are disabled are less likely to access care than are physically h older adults (Linden, Horgas, Gilberg. & Steinhagen-Thiessen. 1997). Although seemingly self as global explanatory, population continues t age, health care organizations must recognize the determinants and ments to health care utilization.