Evolution in the use of health services by older people in Spain (2009–2017)

Dios-Guerra, Caridad; Carmona‐Torres, Juan Manuel; Morales‐Cané, Ignacio; Rodríguez‐Borrego, María Aurora; López‐Soto, Pablo Jesús

doi:10.1111/hsc.13229

Cited by 6 publications

(2 citation statements)

References 33 publications

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“…No student wrote about being denied access to health care, which would represent a clear form of structural ageism [10]. However, health care system in countries like Canada [29] and the USA [30] continues to be unprepared for the complexities of caring for some older adults [31][32][33]. Although these studies do not mention denial of care, longer waiting times for an appointment may be the norm in a health care crisis, which further contributes to worsening general health [34].…”

Section: Discussionmentioning

confidence: 99%

Dental Students’ Positive and Negative Views on Aging at an Undergraduate Course at the University of British Columbia, Canada

Brondani

Siqueira

Grazziotin‐Soares

et al. 2023

International Journal of Dentistry

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Background. Different views of aging exist, including ageism as the stereotyped idea about older adults in general. The objective of this study was to perform an initial exploration on how third-year undergraduate dental students at the University of British Columbia (UBC), Vancouver, Canada self-perceived themselves at ages 65, 75, or 85 years old. Methods. For a period of 10 years, and using a cross-sectional design, third-year undergraduate dental students were asked to envision themselves at 65, 75, or 85 years old in a brief 150-word written essay. We employed a thematic analysis of the textual data via a coding process as suggested. The main themes were identified and displayed in a table with their respective categories of information. NVivo® 12 (QSR International) software was used for data analysis. Results. Between 2010 and 2020, a total of 519 students enrolled in the UBC undergraduate dental program; 425 essays were collected. Initial coding and thematic analysis led to the identification of four main themes and eight categories; themes included “Ups and Downs,” “Financial Sustainability,” while categories focused on “Trade-offs,” and “Camaraderie,” for example. Different levels of ageism were also apparent when students saw themselves experiencing isolation and forgetfulness regardless of the selected age and the academic year. For other students, they anticipate aging would be healthy, joyful, and productive. Conclusion. Ageism was present when students imagined themselves at three different older ages, but so were more realistic views of an aging. Further studies are warranted to unravel the impact of geriatric education in tackling stereotypes and ageism.

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Section: Discussionmentioning

confidence: 99%

Dental Students’ Positive and Negative Views on Aging at an Undergraduate Course at the University of British Columbia, Canada

Brondani

Siqueira

Grazziotin‐Soares

et al. 2023

International Journal of Dentistry

View full text Add to dashboard Cite

show abstract

“…Other students saw themselves utilizing more health care resources as they age, while none mentioned being denied access to health services or treatments, which would represent a clear form of structural ageism (Chang et al 2020). Furthermore, our health care system remains unprepared for the complexity of caring for older adults (Dios-Guerra et al 2021). Nonetheless, it is welcoming to read that many students saw themselves as still active and functionally fit as they age, even though not all older adults will age functionally or be able to perform daily activities regardless of not necessarily straining the medical care system.…”

Section: Living Wagementioning

confidence: 99%

Perceptions about Aging and Ageism from 14 Cross-sectional Cohorts of Undergraduate Dental Students

Brondani

Donnelly

Christidis

et al. 2023

JDR Clinical & Translational Research

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Background: Although positive and negative views of aging and older adults exist, how undergraduate dental students imagine their lives to be as they grow older remains to be fully explored. This study aimed at determining the self-perceived views of being 65, 75, or 85 y of age, as expressed by undergraduate dental students at the University of British Columbia (UBC), Vancouver, Canada. Methods: A 14-y cross-sectional study design was utilized involving third-year undergraduate dental students at UBC’s Faculty of Dentistry. Brief individual essays (150 words) encompassing students’ self-perceived views were gathered as part of a dental geriatric course from 2009 to 2022; however, essays were not mandatory. Saldaña’s inductive coding and thematic analysis of textual data were used. Themes and categories of information were identified and matched with their excerpts while aiming for data saturation. Results: Over the 14-y period, 657 students were enrolled in UBC’s undergraduate dental geriatric course, and 561 essays were collected. Inductive coding and thematic analysis identified 5 main themes and 11 categories. While themes included “oral health, general health, and the mind” and “me, myself, and familial relationships,” the categories focused on “(un)able bodies” and “general health.” Positive views about the aging process were shared, while less optimistic ideas—and even ageism—were apparent when students saw themselves as not employable or living in isolation. Positive and negative views were not bound by the students’ academic year but might have been influenced by the COVID-19 pandemic. Conclusion: Although the number of older adults already surpasses the number of children in many countries, ageism appears to have permeated through students’ views of 3 older ages. More positive yet realistic views of growing older were also shared. Follow-up studies are needed to explore the impact of dental education on decreasing ageism. Knowledge Transfer Statement: As the proportion of older adults in the global population steadily grows, it is important to educate heath care providers about normal and pathologic aging to avoid ageism—stereotypes, prejudices, and discrimination against older adults. This cross-sectional study involved 14 cohorts of undergraduate dental students exploring their self-perceived views of growing older. Although positive and negative views of aging were shared, dental education must focus on decreasing ageism.

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Relationship of frailty status with health resource use and healthcare costs in the population aged 65 and over in Catalonia

et al. 2023

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Background Frailty is a geriatric syndrome with repercussions on health, disability, and dependency. Objectives To assess health resource use and costs attributable to frailty in the aged population. Methods A population-based observational longitudinal study was performed, with follow-up from January 2018 to December 2019. Data were obtained retrospectively from computerized primary care and hospital medical records. The study population included all inhabitants aged ≥ 65 years ascribed to 3 primary care centres in Barcelona (Spain). Frailty status was established according to the Electronic Screening Index of Frailty. Health costs considered were hospitalizations, emergency visits, outpatient visits, day hospital sessions, and primary care visits. Cost analysis was performed from a public health financing perspective. Results For 9315 included subjects (age 75.4 years, 56% women), frailty prevalence was 12.3%. Mean (SD) healthcare cost in the study period was €1420.19 for robust subjects, €2845.51 for pre-frail subjects, €4200.05 for frail subjects, and €5610.73 for very frail subjects. Independently of age and sex, frailty implies an additional healthcare cost of €1171 per person and year, i.e., 2.25-fold greater for frail compared to non-frail. Conclusions Our findings underline the economic relevance of frailty in the aged population, with healthcare spending increasing as frailty increases.

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Evolution in the use of health services by older people in Spain (2009–2017)

Cited by 6 publications

References 33 publications

Dental Students’ Positive and Negative Views on Aging at an Undergraduate Course at the University of British Columbia, Canada

Dental Students’ Positive and Negative Views on Aging at an Undergraduate Course at the University of British Columbia, Canada

Perceptions about Aging and Ageism from 14 Cross-sectional Cohorts of Undergraduate Dental Students

Relationship of frailty status with health resource use and healthcare costs in the population aged 65 and over in Catalonia

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