Health and Care Dependency of Older Adults in Dresden, Germany: Results from the LAB60+ Study

Starke, Karla Romero; Hegewald, Janice; Schmauder, Stefanie; Kaboth, Pauline; Uhlmann, Lena Marie; Reissig, David; Kaufmann, Kristin Klaudia; Wegge, Jürgen; Marquardt, Gesine; Seidler, Andreas

doi:10.3390/ijerph191811777

Cited by 3 publications

(3 citation statements)

References 45 publications

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“…Despite varied previous findings on the correlation between health status and ICOPE demand [8,10,15,16], we captured the association between health and ICOPE demand from the perspective of geographic inequalities in health resources. First, although low GAMR has a significant positive effect on ICOPE demand in both older people with good and poor subjective health status, unsurprisingly, its positive impact on older people with good subjective health status seems more significant.…”

Section: Discussionmentioning

confidence: 99%

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Geographical accessibility of medical resources, health status, and demand of integrated care for older people: a cross-sectional survey from Western China

Lin,

Guo,

et al. 2024

BMC Geriatr

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Background The World Health Organization (WHO) published the Integrated Care for Older People (ICOPE) framework to help healthcare providers cope with the population aging crisis. However, the relevant evidence on the demands of older people and the compensatory capacity of the environment is limited. This study reports for the first time the level of the ICOPE demand in Western China that includes the impact of geographic accessibility of medical resources (GAMR) on ICOPE demand and the potential mechanism of health status. Methods A cross-sectional questionnaire survey was conducted among 1200 adults aged 60 years and older selected through multi-stage stratified cluster sampling to obtain relevant data, including ICOPE demand, health status, and GAMR. Propensity score matching (PSM) was used to analyze the impact of GAMR on ICOPE demand among older people and those with different health statuses. Results Among the prospective research participants, 1043 were eligible for the study. The mean score of ICOPE demand among all participants was 3.68 (standard deviation [SD] = 0.78). After adjusting for covariates between high and low GAMR groups (1:1 match), ICOPE demand was significantly higher in the low GAMR group than in the high GAMR group (average treatment effect on the treated [ATT] = 0.270, p < 0.05). For both good and poor self-rated health status, the ICOPE demand of the low GAMR group was significantly higher than that in the high GAMR group (ATT = 0.345, p < 0.05; ATT = 0.190, p < 0.05). For chronic diseases, the ICOPE demand of older people with multimorbidity in the low GAMR group was significantly higher than that in the high GAMR group (ATT = 0.318, p < 0.01). Conclusions The older population in Western China has a relatively high demand for ICOPE. Low GAMR is a key factor in ICOPE demand growth in this region. It accelerates demand release for both older people with multimorbidity and self-perceptions of health.

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Section: Discussionmentioning

confidence: 99%

“…Health is an important factor of ICOPE demand. Previous studies positively associate the extent of impaired health and the integrated demand of older people [8,10,15,16]. The comprehensive evaluation of health status is generally measured by objective and subjective health statuses [17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Geographical accessibility of medical resources, health status, and demand of integrated care for older people: a cross-sectional survey from Western China

Lin,

Guo,

et al. 2024

BMC Geriatr

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show abstract

“…Health is a vital determinant of ICOPE demands. Previous studies positively associate the extent of impaired health and the integrated demand of the elderly [6,8,13,14]. The comprehensive evaluation of health status is generally measured by objective and subjective health statuses [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Geographical accessibility of medical resources, health status, and demand of integrated care for the elderly: a cross-sectional survey from Western China

Lin,

Guo,

et al. 2023

Preprint

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Background WHO calls for the Integrated Care for Older People (ICOPE) system to cope with the population aging crisis. However, the relevant evidence on the demands of older people and the compensatory capacity of the environment is limited. This study aims to clarify the ICOPE demands in Western China and analyze the impact of geographic accessibility of medical resources (GAMR) on ICOPE demands and the potential mechanism of health status. Methods A cross-sectional questionnaire survey was conducted among 1200 people aged 60 years and above selected through multi-stage stratified cluster sampling to obtain relevant data, including ICOPE demands, health status, and GAMR. Propensity score matching was used to analyze the impact of GAMR on ICOPE demand. The Sobel mediation test with a bootstrapping process was used to analyze the mediating effect of self-rated health status on the impact of chronic disease on ICOPE demand in different GAMR groups. Results Of the total participants, 1043 were eligible for the study. The mean score of ICOPE demands among all participants was 3.68 (SD = 0.78). After adjusting for covariates between high and low GAMR groups (1:1 match), ICOPE demand was significantly higher in the low GAMR group than in the high GAMR group (ATT = 0.270, p < 0.05). For both good and poor self-rated health status, the ICOPE demand of the low GAMR group was significantly higher than that in the high GAMR group (ATT = 0.345,p < 0.05; ATT = 0.190, p < 0.05). For chronic diseases, the ICOPE demand of elderly with multimorbidity in the low GAMR group was significantly higher than that in the high GAMR group (ATT = 0.318, p < 0.01). In the low GAMR group, multimorbidity directly affected ICOPE demand independent of self-rated health (β = 0.342, p < 0.001) and indirectly affected ICOPE demand through self-rated health (β = 0.036, p < 0.05). Conclusion The elderly population in Western China has a high demand for ICOPE. Low GAMR is a key factor in ICOPE demand growth in this region. It accelerates demand release for both the elderly with multimorbidity and self-perceptions of healthy and unhealthy, opens the mediation path of the subjective health status between the complications and ICOPE demand, and increases the ICOPE demand gap.

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RoboMind: Supporting Older Adults Through Robotic Web Applications

Veisi,

Akbarinigjeh,

Motaee

et al. 2023

2023 Seventh IEEE International Conference on Robotic Computing (IRC)

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Health and Care Dependency of Older Adults in Dresden, Germany: Results from the LAB60+ Study

Cited by 3 publications

References 45 publications

Geographical accessibility of medical resources, health status, and demand of integrated care for older people: a cross-sectional survey from Western China

Geographical accessibility of medical resources, health status, and demand of integrated care for older people: a cross-sectional survey from Western China

Geographical accessibility of medical resources, health status, and demand of integrated care for the elderly: a cross-sectional survey from Western China

RoboMind: Supporting Older Adults Through Robotic Web Applications

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