Abstract
Originalsprog | Engelsk |
---|---|
Tidsskrift | BMC Geriatrics |
Vol/bind | 9 |
Sider (fra-til) | 43 |
ISSN | 1471-2318 |
DOI | |
Status | Udgivet - 2009 |
Bibliografisk note
Keywords: Aged; Aged, 80 and over; Cohort Studies; Delivery of Health Care; Family Practice; Female; Follow-Up Studies; Health Services Accessibility; Humans; Male; Memory Disorders; Prospective StudiesAdgang til dokumentet
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Association between subjective memory complaints and health care utilisation: a three-year follow up. / Waldorff, Frans Boch; Siersma, Volkert; Waldemar, Gunhild.
I: BMC Geriatrics, Bind 9, 2009, s. 43.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
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TY - JOUR
T1 - Association between subjective memory complaints and health care utilisation: a three-year follow up
AU - Waldorff, Frans Boch
AU - Siersma, Volkert
AU - Waldemar, Gunhild
N1 - Keywords: Aged; Aged, 80 and over; Cohort Studies; Delivery of Health Care; Family Practice; Female; Follow-Up Studies; Health Services Accessibility; Humans; Male; Memory Disorders; Prospective Studies
PY - 2009
Y1 - 2009
N2 - BACKGROUND: Subjective memory complaints (SMC) are common among elderly patients and little is know about the association between SMC and health care utilisation. Thus, the aim of this study was to investigate health care utilisation during a three-year follow-up among elderly patients consulting their general practitioner and reporting subjective memory complaints (SMC). METHODS: This study was conducted as a prospective cohort survey in general practice with three-year follow-up. Selected health care utilisation or costs relative to SMC adjusted for potential confounders were analyzed in a two-part model where the incidence of use of a selected health care service were analyzed separately from the quantity of use for those that use the service. The former analyzed in a Poisson regression approach, the latter in a generalized linear regression model. RESULTS: A total 758 non-nursing home residents aged 65 years and older consulted their GP in October and November 2002 and participated in the present study. The adjusted probability of nursing home placement was significantly increased in subjects with SMC relative to subjects without SMC (RR = 2.3). More generally, SMC was associated with an increase in the cost of selected health care utilisation of 60% over three years (p = 0.003). CONCLUSION: The data of this study indicated that in an elderly primary care population the presence of SMC increased the cost of health care utilisation by 60% over three years. Thus, inquiry into SMC may contribute to a risk profile assessment of elderly patients and may identify patients with an increased use of health care services.
AB - BACKGROUND: Subjective memory complaints (SMC) are common among elderly patients and little is know about the association between SMC and health care utilisation. Thus, the aim of this study was to investigate health care utilisation during a three-year follow-up among elderly patients consulting their general practitioner and reporting subjective memory complaints (SMC). METHODS: This study was conducted as a prospective cohort survey in general practice with three-year follow-up. Selected health care utilisation or costs relative to SMC adjusted for potential confounders were analyzed in a two-part model where the incidence of use of a selected health care service were analyzed separately from the quantity of use for those that use the service. The former analyzed in a Poisson regression approach, the latter in a generalized linear regression model. RESULTS: A total 758 non-nursing home residents aged 65 years and older consulted their GP in October and November 2002 and participated in the present study. The adjusted probability of nursing home placement was significantly increased in subjects with SMC relative to subjects without SMC (RR = 2.3). More generally, SMC was associated with an increase in the cost of selected health care utilisation of 60% over three years (p = 0.003). CONCLUSION: The data of this study indicated that in an elderly primary care population the presence of SMC increased the cost of health care utilisation by 60% over three years. Thus, inquiry into SMC may contribute to a risk profile assessment of elderly patients and may identify patients with an increased use of health care services.
U2 - 10.1186/1471-2318-9-43
DO - 10.1186/1471-2318-9-43
M3 - Journal article
C2 - 19775441
VL - 9
SP - 43
JO - B M C Geriatrics
JF - B M C Geriatrics
SN - 1471-2318
ER -