Absence of routine medical consultation among hypertensive and/or diabetic elders: an epidemiological study based on the Brazilian National Household Survey 2008

Ferreira, Daniela Karina da Silva; Matos, Divane Leite; Filho, Antônio Ignácio de Loyola

doi:10.1590/1980-5497201500030005

Cited by 10 publications

(15 citation statements)

References 28 publications

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“…The identification of systemic arterial hypertension (SAH) as the most prevalent comorbidity among the elders in this research is evidenced in studies indicating that the disease, with diabetes mellitus and other cardiocirculatory diseases, is one of the most frequent chronic-degenerative conditions among the elders in our country. SAH is among the main diseases that affect elders, being one of the main responsible for reducing the quality and expectation of life in this population (20)(21) .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of delirium in aged patients assisted at emergency hospital service

et al. 2019

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Objective: identify the occurrence of delirium in aged patients assisted in emergency services and verify its relationship with sociodemographic and clinical variables. Method: cross-sectional, prospective study with a quantitative approach. Two hundred aged hospitalized patients participated. The Confusion Assessment Method was used for data collection. For statistical analysis, chi-square tests, likelihood ratio and Fisher’s test were used, with a significance level of 5%. Results: male gender and mean age of 71.8 years were predominant. In the first 24 hours of hospitalization, 56 (28%) aged individuals presented delirium. An association of the disease with lack of physical activity, presence of a caregiver, hypertension, dyslipidemia and cerebrovascular diseases was identified. Conclusion: Delirium was associated with no physical activity, the need of a caregiver, and the presence of comorbidities. The importance of conducting other studies that may lead to early identification of the condition to prevent its complications is emphasized.

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Section: Discussionmentioning

confidence: 99%

Evaluation of delirium in aged patients assisted at emergency hospital service

et al. 2019

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“…This association was also found by the authors of a crosssectional study, with a population base of 686 elderly people ( p<0.006) 8 . It is common for the elderly to see themselves as having poor health, a fact explained by their morbidity, frailty and higher risk of mortality [9][10][11][12][13] conditions that result in a greater demand for health services, which may explain this finding 2,3,5,11 .…”

Section: Discussionmentioning

confidence: 99%

“…It is understood that the regular use of the health service can be considered as an easing factor for entering the health system. In addition, the process of population aging contributes to the increased use of health services 10 .…”

Section: Discussionmentioning

confidence: 99%

“…The findings of the present study should be interpreted in the light of certain limitations, as in some cases the respondents were not the elderly themselves and part of the PNS data was provided by another resident of the household. However, studies have shown that the use of another respondent does not modify distribution or the associated factors 10 .…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with the hospitalization of the elderly: a national study

Bordin

Cabral

Fadel

et al. 2018

Rev. bras. geriatr. gerontol.

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Objective :to analyze the factors associated with hospitalization among the Brazilian elderly based on multidimensional methodology. Method: a cross-sectional, quantitative study was performed with data from the National Health Survey (2013) population-based study. The sample was composed of 23,815 individuals over the age of 60 years. Hospitalization was considered the outcome variable and 53 independent variables were included, relating to: sociodemographic characteristics; limitations and illness; difficulties in performing basic and instrumental activities of daily living; use of health services and medical emergencies. Results: it was found that 10% of the elderly were hospitalized in the previous year. This event was related to: a negative self-perception of health (OR = 1.35); stopping performing any of their usual activities due to health reasons (OR = 2.14); difficulty going to the doctor (OR = 1.65) or walking alone (OR = 1.55); a recent search for a site, service or health professional for health-related care (OR = 1.47); increased frequency of annual medical visits (OR = 2.93) and household emergency (OR = 5.40). Conclusion: the results reinforce the fact that multiple factors are associated with the hospitalization of the elderly. The analysis of these associations has the potential to make health professionals and administrators aware of the need to improve health care for the elderly and to assist in the organization and planning of the actions of the entire health service network.

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“…16 Studies in other LMICs have shown that HI facilitates health care seeking for people with NCDs and results in a reduction of inequities in health-care utilization. [17][18][19][20] In Vietnam, studies investigating the role of HI have found evidence that it increases health-care utilization and reduces household health-care expenditure in general. [21][22][23][24] A recent study found no association between HI and health services utilization for NCDs in Hanoi.…”

Section: Introductionmentioning

confidence: 99%

Is Health Insurance Associated with Health Service Utilization and Economic Burden of Non-Communicable Diseases on Households in Vietnam?

Giang

Oanh

Tuan

et al. 2019

Health Systems & Reform

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The rising burden of Non-Communicable Diseases (NCDs) in developing countries has caused high out-of-pocket (OOP) health spending leading to many households suffering Catastrophic Health Expenditure (CHE). This study examined the association between health insurance (HI) on health-care utilization and the burden of OOP expenditure among people with reported NCDs and on their households in Vietnam. The study draws on a cross-sectional household survey of accessibility and utilization of health services in Vietnam. Data were obtained from three provinces to represent urban, rural and mountainous areas of the country. The study used a sample of 2,038 individuals with reported NCD aged over 18 years from 1,642 households having at least one person with reported NCD. The results show that people with reported NCD who had HI were twice as likely to use outpatient care compared with those without HI. Having more than one member with reported NCD resulted in double the odds of a household suffering CHE. Households in the three lowest wealth quintiles were more likely to encounter CHE and financial distress than economically better-off households. HI did not provide a protective effect to households, as there was no significant association between the HI status of household members with reported NCD and CHE or financial distress. Seeking care at higher-level facilities was significantly associated with CHE. This study highlights the need for evidence to design future HI-based interventions targeting susceptible populations to narrow the gaps in health service utilization among the population and mitigate financial catastrophe associated with NCDs.

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Absence of routine medical consultation among hypertensive and/or diabetic elders: an epidemiological study based on the Brazilian National Household Survey 2008

Cited by 10 publications

References 28 publications

Evaluation of delirium in aged patients assisted at emergency hospital service

Evaluation of delirium in aged patients assisted at emergency hospital service

Factors associated with the hospitalization of the elderly: a national study

Is Health Insurance Associated with Health Service Utilization and Economic Burden of Non-Communicable Diseases on Households in Vietnam?

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