Behavioral Health Service Utilization and Preferences of Older Adults Receiving Home-Based Aging Services

2010 ◽  
Vol 18 (6) ◽  
pp. 491-501 ◽  
Author(s):  
Amber M. Gum ◽  
Lindsay Iser ◽  
Andrew Petkus
2019 ◽  
Vol 40 (6) ◽  
pp. 451-457 ◽  
Author(s):  
Megan E. Narad ◽  
Emily Moscato ◽  
Keith Owen Yeates ◽  
H. Gerry Taylor ◽  
Terry Stancin ◽  
...  

2019 ◽  
Vol 64 (6) ◽  
pp. 700-708 ◽  
Author(s):  
Laura M. White ◽  
Matthew C. Aalsma ◽  
Michelle P. Salyers ◽  
Alexandra R. Hershberger ◽  
Valerie R. Anderson ◽  
...  

2019 ◽  
Vol 35 (2) ◽  
pp. 199-209 ◽  
Author(s):  
Stella T Lartey ◽  
Barbara de Graaff ◽  
Costan G Magnussen ◽  
Godfred O Boateng ◽  
Moses Aikins ◽  
...  

Abstract Obesity is a major risk factor for many chronic diseases and disabilities, with severe implications on morbidity and mortality among older adults. With an increasing prevalence of obesity among older adults in Ghana, it has become necessary to develop cost-effective strategies for its management and prevention. However, developing such strategies is challenging as body mass index (BMI)-specific utilization and costs required for cost-effectiveness analysis are not available in this population. Therefore, this study examines the associations between health services utilization as well as direct healthcare costs and overweight (BMI ≥25.00 and <30.00 kg/m2) and obesity (BMI ≥30.00 kg/m2) among older adults in Ghana. Data were used from a nationally representative, multistage sample of 3350 people aged 50+ years from the World Health Organization’s Study on global AGEing and adult health (WHO-SAGE; 2014/15). Health service utilization was measured by the number of health facility visits over a 12-month period. Direct costs (2017 US dollars) included out-of-pocket payments and the National Health Insurance Scheme (NHIS) claims. Associations between utilization and BMI were examined using multivariable zero-inflated negative binomial regressions; and between costs and BMI using multivariable two-part regressions. Twenty-three percent were overweight and 13% were obese. Compared with normal-weight participants, overweight and obesity were associated with 75% and 159% more inpatient admissions, respectively. Obesity was also associated with 53% additional outpatient visits. One in five of the overweight and obese population had at least one chronic disease, and having chronic disease was associated with increased outpatient utilization. The average per person total costs for overweight was $78 and obesity was $132 compared with $35 for normal weight. The NHIS bore approximately 60% of the average total costs per person expended in 2014/15. Overweight and obese groups had significantly higher total direct healthcare costs burden of $121 million compared with $64 million for normal weight in the entire older adult Ghanaian population. Compared with normal weight, the total costs per person associated with overweight increased by 73% and more than doubled for obesity. Even though the total prevalence of overweight and obesity was about half of that of normal weight, the sum of their cost burden was almost doubled. Implementing weight reduction measures could reduce health service utilization and costs in this population.


2020 ◽  
Author(s):  
Jing Guo ◽  
Dexia Kong ◽  
Anao Zhang ◽  
Liming Fang ◽  
Yingxue Zhu

Abstract Background: The prevalence of depressive symptoms has been steadily increasing in recent years, however middle aged and older adults was less likely to use mental health services. The aims of this study were to 1) examine the cross-sectional and longitudinal relationships between depressive symptoms and health services utilization among Chinese middle-aged and older adults; and 2) evaluate whether there exists a rural-urban difference in such relationships. Methods: Data was obtained from China Health and Retirement Longitudinal Study (CHARLS) in 2013 and 2015, a nationally representative survey of 13,551 adults aged 45 years and above in China. Multivariate logistic regression analyses were conducted to assess the cross-sectional and longitudinal relationship between depressive symptoms and health services utilization in the whole sample, and urban and rural subsamples respectively. Results: Depressive symptoms were positively associated with a greater likelihood of outpatient and inpatient health services utilization. In addition, the relationships between depressive symptoms and health service use were consistent across rural and urban settings, indicating the robustness of such findings across geographic areas. Conclusions: Findings indicate that depressive symptoms are significantly associated with both in-patient and out-patient health service utilization among Chinese adults. Screening for depressive symptoms needs to be incorporated in these care settings in China.


2020 ◽  
Vol 56 (8) ◽  
pp. 1549-1556
Author(s):  
Helen Anne Sweeney ◽  
Cynthia A. Fontanella ◽  
Danielle L. Steelesmith ◽  
Camille Quinn

Sign in / Sign up

Export Citation Format

Share Document