scholarly journals Gender differences in the utilization of health-care services among the older adult population of Spain

2006 ◽  
Vol 6 (1) ◽  
Author(s):  
Áurea Redondo-Sendino ◽  
Pilar Guallar-Castillón ◽  
José Ramón Banegas ◽  
Fernando Rodríguez-Artalejo
Keyword(s):  
Health Care ◽  
Gender Differences ◽  
Older Adult ◽  
Health Care Services ◽  
Adult Population ◽  
Care Services ◽  
Older Adult Population

Functional status and use of health care services: Longitudinal study on the older adult population in Spain

Maturitas ◽  
2007 ◽  
Vol 58 (4) ◽  
pp. 377-386 ◽  
Author(s):  
Luz María León-Muñoz ◽  
Esther López-García ◽  
Auxiliadora Graciani ◽  
Pilar Guallar-Castillón ◽  
José R. Banegas ◽  
...  
Keyword(s):  
Health Care ◽  
Longitudinal Study ◽  
Functional Status ◽  
Older Adult ◽  
Health Care Services ◽  
Adult Population ◽  
Care Services ◽  
Older Adult Population ◽  
Use Of Health Care

scholarly journals Inpatient and outpatient health care utilization and expenditures among older adults aged 50 years and above in India

2016 ◽  
Vol 15 (2) ◽  
pp. 11-19 ◽  
Author(s):  
Ankit Anand
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Adult Population ◽  
Socioeconomic Characteristics ◽  
Care Services ◽  
Access To Health ◽  
Older Adult Population

Background: Social and economic inequality in utilization of health care services, as well as high out of pocket expenditures are prevalent in overall Indian population. The situation among older adults will be much more critical as they require long-term health care services. The objective of this study is to assess the utilization of outpatient and inpatient care among older adults and incurred out of pocket health expenditure. It also tried to explore the association between socioeconomic factors on receiving health care services and out of pocket health expenditure among older adults in India.Data source: The data from the Study on Global Ageing and Adult Health (SAGE) Wave 1 was used, which was conducted in 2007-08 in India. Respondents aged 50 and above are taken as older adult population. The final sample size was 7150 respondents aged 50 years and above.Results: The percentage of older adults aged 50 years and above receiving outpatient and inpatient health care service were 87.5% and 14.6% respectively. The use of private health facilities was high compared to government health facility. High utilization of outpatient among women and high use of inpatient care among men were found, which was insignificant after adjusting for other variables. Socioeconomic characteristics also play an important role in access to health care among older adults. Place of residence, marital status, caste, education and presence of morbidity were related to the utilization of health care services. Place of residence, education and wealth quintile were also significantly associated with health expenditures.Conclusion: Requirement of long-term health care among older adult population may result in increasing burden of health care expenditures. Socioeconomic characteristics also play an important role in access to health care among older adults. Developing quality and affordable health care services for older adults to ensure equity in accessibility and affordablility will be a major task for the public health system in India.

scholarly journals Characteristics and Circumstances of Falls in the Community-Dwelling Older Adult Population

2020 ◽  
Vol 11 ◽  
pp. 215013272094050 ◽  
Author(s):  
María Pilar Molés Julio ◽  
Ana Lavedán Santamaría ◽  
Teresa Botigué Satorra ◽  
Olga Masot Ariño ◽  
Aurora Esteve Clavero ◽  
...  
Keyword(s):  
Health Care ◽  
Older Adult ◽  
Statistical Significance ◽  
Adult Population ◽  
Community Dwelling ◽  
Survey Study ◽  
Single Family ◽  
Cross Sectional ◽  
Randomized Sampling ◽  
Older Adult Population

Objective: The study aimed to describe the characteristics and circumstances of falls in the community-dwelling older adult population. Design: This was a cross-sectional observational and descriptive study involving primary health care centers in Lleida and Castellón de la Plana, Spain. Randomized sampling was used to include 966 individuals aged 75 years or older residing in single-family homes and in possession of a health care card. Data were obtained using the Survey on Fragility in Older People in Lleida (FRALLE survey). Study variables included the occurrence of falls in the past year and fall characteristics such as whether it was a first or successive fall, cause, season, and time of the day the fall occurred, whether the respondent fell flat on the ground, and time the participant remained on the floor. Other variables involved the circumstances of the fall, including the general location of the fall and specific location within the home if applicable, lighting/weather conditions, objects which may have precipitated the fall, floor conditions, and type of footwear. Results: The prevalence of falls was 25.9% with regard to the previous year, with 70% of these participants reporting having fallen previously. Falls most often occurred by accident, during the daytime, and in the winter. Variables that showed statistical significance with regard to age group were: falling flat on the ground ( P = .031), fall location ( P = .000), presence of an object favoring the fall ( P = .039), floor conditions ( P = .011), and type of footwear ( P = .029). By sex, variables that showed statistical significance included the need for assistance to get up ( P = .045) and type of footwear ( P = .028). Conclusions: The prevalence of falls was found to be similar in the studied cities. The results show the most common characteristics and circumstances of falls in older adults in the community, making it possible to guide future preventive strategies.

Gender Differences in Psychosocial Adjustment to Chronic Pain and Expenditures for Health Care Services Used

1996 ◽  
Vol 12 (4) ◽  
pp. 277-290 ◽  
Author(s):  
Robin Weir ◽  
Gina Browne ◽  
Eldon Tunks ◽  
Amiram Gafni ◽  
Jackie Roberts
Keyword(s):  
Health Care ◽  
Gender Differences ◽  
Chronic Pain ◽  
Psychosocial Adjustment ◽  
Health Care Services ◽  
Care Services

Mediators of marginalisation in discharge planning with older adults

2016 ◽  
Vol 37 (9) ◽  
pp. 1747-1769 ◽  
Author(s):  
EVELYNE DUROCHER ◽  
BARBARA E. GIBSON ◽  
SUSAN RAPPOLT
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Older Adult ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Discharge Planning ◽  
Health Care Systems ◽  
Urban Setting ◽  
Care Services ◽  
Care Systems

ABSTRACTReturning home or moving to a more supportive setting upon discharge from inpatient health-care services can have a tremendous impact on the lives of older adults and their families. Institutional concerns with patient safety and expedience can overshadow health-care professionals' commitments to collaborative discharge planning. In light of many competing demands and agendas, it can be unclear what is driving discharge-planning processes and outcomes. This paper presents the results of a study examining discharge planning in an older adult rehabilitation unit in a Canadian urban setting. Using microethnographic case studies, we explored the perspectives of older adults, family members and health-care professionals. Drawing on concepts of relational autonomy to guide the analysis, we found that discourses of ageing-as-decline, beliefs privileging health-care professionals' expertise and conventions guiding discharge planning intersected to marginalise older adult patients in discharge-planning decision making. Discharge planning in the research setting was driven by norms of ‘protecting physical safety’ at the expense of older adults’ self-declared interests and values. Such practices resulted in frequent recommendations of 24-hour care, which have significant personal, social and financial implications for older adults and their families, and ultimately might undermine clients' or health-care systems' aims. The analysis revealed social, political and institutional biases that diminish the rights and autonomy of older adults.

Gender differences in symptoms of depression among adolescents in Eastern Norway: Results from a cross-sectional study

2017 ◽  
Vol 47 (2) ◽  
pp. 157-165 ◽  
Author(s):  
Marie Dahlen Granrud ◽  
Anne Kjersti Myhrene Steffenak ◽  
Kersti Theander
Keyword(s):  
Health Care ◽  
Gender Differences ◽  
Family Conflict ◽  
Health Care Services ◽  
School Health ◽  
School Satisfaction ◽  
Lifestyle Habits ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Care Services

Aim: The aim of this study was to compare and describe gender differences and the associations between symptoms of depression and family conflict and economics, lifestyle habits, school satisfaction and the use of health-care services among adolescents. Methods: Data were retrieved from Ungdata which is a cross-sectional study. Adolescents ( n=8052) from secondary school grades 8, 9 and 10 (age 13–16 years) participated in the study from 41 municipal schools in four counties. Results: Girls reported a higher prevalence of symptoms of depression than boys. Gender differences were seen on all items related to symptoms of depression, family conflict and economics, lifestyle habits, school satisfaction and health-care services. Multiple regressions showed that family conflicts and economics contributed to 19.2% of the variance in symptoms of depression in girls and 12.4% in boys. School satisfaction made a strong contribution: 21.5% in girls and 15.4% in boys. The total model explained 49% of the total variance in symptoms of depression in girls and 32.5% in boys. Conclusions: Gender demonstrated a pattern through a higher proportion of girls reporting symptoms of depression, family conflict and economics, lifestyle habits, school satisfaction and use of health-care services. Even though the adolescents reported symptoms of depression, few used the school health-care services and public health nurses. This indicates that they need a person-centered approach for symptoms of depression. The findings may have important implications for planning for adolescents in school health services.

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