An Analysis of Types and Costs of Health Care Services Provided to an Elderly Inner-City Population

Steel, Knight; Markson, Elizabeth W.; Crescenzi, Caroline; Hoffman, Sumner; Bissonnette, Anna

doi:10.1097/00005650-198211000-00004

Cited by 10 publications

(11 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, neither the types of chronic diseases diagnosed nor the numbers of drugs prescribed predicted hospital admission or death. Nonetheless, several broad categories of diagnosis were most frequently responsible for hospital admission: dehydration (12), pneumonia (8), fracture other than that of hip (7), heart failure (5), urinary tract infection (5), fracture of the hip (4), acute myocardial infarction (4), and decubitus ulceration (4). The following factors did appear to correlate with an increased risk of hospital admission: 1) tendency to self‐neglect (while there were only three subjects in this group, all were admitted); 2) recent discharge from hospital (of 39 patients admitted in the first year, 51 per cent were readmitted during the study period); and 3) the use of a visiting nurse service ( P < 0.05).…”

Section: Resultsmentioning

confidence: 99%

“…This population was exceedingly well supplied with both home medical and social services and had easy access to both consultative medical care and acute hospitalization. Home consultation was even available from a specialist in arthritis, a surgeon, and a psychiatrist 8 …”

Section: Discussionmentioning

confidence: 99%

“…The patient population was drawn from the Home Medical Service at University Hospital (Boston University Medical Center) 8 . This service provides domiciliary primary care to about 800 predominantly elderly patients within Boston with a mean age of approximately 81 years.…”

Section: Patients and Study Settingmentioning

confidence: 99%

“…A pharmacist is available, as well as pharmacy students, and visits are made by physician‐assistant students under the tutelage of an internist. All social services and nursing services are either provided or coordinated by the team caring for each patient 8 …”

Section: Patients and Study Settingmentioning

confidence: 99%

See 3 more Smart Citations

Hospital Use by the Extremely Elderly (Nonagenarians): A Two‐year Study

Patterson

Crescenzi

Steel³

1984

J American Geriatrics Society

Self Cite

View full text Add to dashboard Cite

Eighty-seven community-dwelling nonagenarians provided with extensive medical and social services as needed were followed for two years. Fifty-one subjects were admitted to an acute care hospital at least once. Total durations of hospitalization for those who required it averaged 44 days per individual over the two years. This represents about 13 hospital days per year per nonagenarian . Since it is likely that few, if any, hospitalizations would have been preventable by additional services, these data suggest that at a minimum one hospital bed would be continuously occupied for every 28 persons of this age and of this degree of infirmity . In these times of fiscal restraint it is especially important that the government and third-party payers determine the level of funding for expensive services such as acute hospitalization by assessing the needs of those who use them.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Patients and Study Settingmentioning

confidence: 99%

Section: Patients and Study Settingmentioning

confidence: 99%

See 2 more Smart Citations

Hospital Use by the Extremely Elderly (Nonagenarians): A Two‐year Study

Patterson

Crescenzi

Steel³

1984

J American Geriatrics Society

Self Cite

View full text Add to dashboard Cite

show abstract

“…La distribución por estado civil muestra un patrón que se informa en otros países, [23][24][25] donde la mayoría de las mujeres ancianas son casadas, o bien, son viudas debido principalmente a la mayor esperanza de vida. En cuanto a la distribución de la población anciana por género no se encontraron diferencias por zona de residencia (urbana o rural), esto es, las condiciones asociadas con la mayor sobrevivencia de las mujeres respecto de los hombres están presentes tanto en zonas urbanas como en rurales.…”

Section: Discussionunclassified