scholarly journals The Influence of Depressive Mood on Activities of Daily Living and Health Care Utilization in the Elderly - The MEMO Study on the KORA Platform Augsburg

2005 ◽  
Vol 67 (S 01) ◽  
pp. 176-179 ◽  
Author(s):  
B Braune ◽  
K Berger
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
The Elderly ◽  
Depressive Mood ◽  
Care Utilization

Impact of Physical and Functional Limitations on Health Care Utilization in Older Cancer Survivors: A Medicare Current Beneficiary Survey

2019 ◽  
Vol 32 (9) ◽  
pp. 987-997 ◽  
Author(s):  
Prachi P. Chavan ◽  
Satish K. Kedia ◽  
Xinhua Yu
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Activities Of Daily Living ◽  
Cancer Survivors ◽  
Daily Living ◽  
Functional Limitations ◽  
Emergency Department Visits ◽  
Care Utilization ◽  
Care Needs ◽  
Medicare Current Beneficiary Survey

Objective: This study examines effects of physical and functional limitations on health care utilization among older cancer survivors, compared with those without cancer and without physical and functional limitations. Method: Medicare Current Beneficiary Survey data from 2008 to 2011 were used. Physical limitations (PL), activities of daily living (ADL), and instrumental activities of daily living (IADL) were measured on a 5-point scale. Propensity score weighting was developed using logistic regressions. Results: Older cancer survivors with physical and functional limitations had higher rate of emergency department visits than those without limitations (PL: 21.8% vs.17%, adjusted odds ratio [aOR]:1.72, 95% confidence interval [CI]: [1.26, 2.35], p < .05; ADL: 25.8% vs.17.4%, aOR: 2.68, 95% CI: [1.86, 3.86], p < .001), and higher cost of hospitalization (IADL: M = US$24,916, SD: 3,877.1). Conclusion: Older cancer survivors with physical and functional limitations had higher health care utilization compared with those without cancer. Addressing complex and unique health care needs in this population will help reduce excess burden on the health care system.

scholarly journals Determinants of Health Care Utilization among the Elderly Population in Jimma Town, Oromia Region, Southwest Ethiopia

2019 ◽  
Vol 5 (3) ◽  
Author(s):  
Terfa Yonas Biratu ◽  
Germossa Gugsa Nemera ◽  
Hailu Fikadu Balcha ◽  
Feyisa Garuma Tolu ◽  
Jeleta Fikru Tafese ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Elderly Population ◽  
The Elderly ◽  
Determinants Of Health ◽  
Care Utilization ◽  
Southwest Ethiopia ◽  
Jimma Town

scholarly journals Evaluating the Impact of a Risk Assessment System With Tailored Interventions in Germany: Protocol for a Prospective Study With Matched Controls (Preprint)

2019 ◽  
Author(s):  
Marten Pijl ◽  
Jorn op den Buijs ◽  
Andreas Landgraf
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Hospital Admissions ◽  
Intervention Group ◽  
Case Manager ◽  
The Elderly ◽  
Risk Scores ◽  
Care Utilization ◽  
Hospital Transport ◽  
Care Costs

BACKGROUND With a worldwide increase in the elderly population, and an associated increase in health care utilization and costs, preventing avoidable emergency department visits and hospitalizations is becoming a global priority. A personal emergency response system (PERS), consisting of an alarm button and a means to establish a live connection to a response center, can help the elderly live at home longer independently. Individual risk assessment through predictive modeling can help indicate what PERS subscribers are at elevated risk of hospital transport so that early intervention becomes possible. OBJECTIVE The aim is to evaluate whether the combination of risk scores determined through predictive modeling and targeted interventions offered by a case manager can result in a reduction of hospital admissions and health care costs for a population of German PERS subscribers. The primary outcome of the study is the difference between the number of hospitalizations in the intervention and matched control groups. METHODS As part of the Sicher Zuhause program, an intervention group of 500 PERS subscribers will be tracked for 8 months. During this period, risk scores will be determined daily by a predictive model of hospital transport, and at-risk participants may receive phone calls from a case manager who assesses the health status of the participant and recommends interventions. The health care utilization of the intervention group will be compared to a group of matched controls, retrospectively drawn from a population of PERS subscribers who receive no interventions. RESULTS Differences in health care utilization and costs between the intervention group and the matched controls will be determined based on reimbursement records. In addition, qualitative data will be collected on the participants’ satisfaction with the Sicher Zuhause program and utilization of the interventions offered as part of the program. CONCLUSIONS The study evaluation will offer insight into whether a combination of predictive analytics and case manager-driven interventions can help in avoiding hospital admissions and health care costs for PERS subscribers in Germany living at home independently. In the future, this may lead to improved quality of life and reduced medical costs for the population of the study. CLINICALTRIAL Deutsches Register Klinischer Studien (DRKS), DRKS00017328; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&amp;TRIAL_ID=DRKS00017328 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/17584

scholarly journals The Utilization of Health Care Services and their Determinants Among the Elderly Population of Dhulikhel Municipality

2012 ◽  
Vol 10 (1) ◽  
pp. 24-29 ◽  
Author(s):  
S Sanjel ◽  
N Mudbhari ◽  
A Risal ◽  
K Khanal
Keyword(s):  
Health Care ◽  
Health Services ◽  
Marital Status ◽  
Daily Living ◽  
Informal Education ◽  
Elderly Population ◽  
The Elderly ◽  
Care Utilization ◽  
Background Population ◽  
Regular Medication

Background Population ageing is a common problem faced in many countries world-wide. Due to physiological and biochemical changes in the elderly, increased incidence of diseases is observed. There is often low use of health services by the elderly for a variety of reasons. Objective To examine the status of health care utilization and to determine the factors associated with utilization of health care among the elderly population of Dhulikhel Municipality. Methods A quantitative descriptive-cross sectional study, with a total number of 200 elderly people residing in Dhulikhel Municipality, was selected for the study. Data were collected across the months of June - July 2011 applying two-staged cluster and systematic random sampling method. Both descriptive and inferential statistics were measured. Results Sixty eight percent of the elderly visited medical personnel in the past year. Eight percent of them visited the emergency department where most of them reported with symptoms attributed to heart disease. Among 200 elderly, 12.5% of them were admitted to the hospital and 53.0% utilized diagnostic services. Age, marital status, activities of daily living, and regular medication showed significant association with health services utilization at 95% level of confidence (p >0.05). Conclusion Marital status, daily living habits, existence of chronic disease, and regular medication demonstrated significant association with the utilization of health care. Social support services, informal education, and awareness programs targeting the senior citizens and studies covering a diverse population are recommended. KATHMANDU UNIVERSITY MEDICAL JOURNAL  VOL.10 | NO. 1 | ISSUE 37 | JAN - MAR 2012 | 34-39 DOI: http://dx.doi.org/10.3126/kumj.v10i1.6911

Factors associated with health care utilization by the elderly in a public health care system

Health Policy ◽  
2006 ◽  
Vol 75 (2) ◽  
pp. 131-139 ◽  
Author(s):  
C. Fernández-Olano ◽  
J.D. López-Torres Hidalgo ◽  
R. Cerdá-Díaz ◽  
M. Requena-Gallego ◽  
C. Sánchez-Castaño ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Health Care System ◽  
The Elderly ◽  
Public Health Care ◽  
Care Utilization ◽  
Public Health Care System ◽  
Factors Associated ◽  
Care System
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