Prevalence and predictors of healthcare utilization among older people (60+): Focusing on ADL dependency and risk of depression

Sandberg, Magnus; Kristensson, Jimmie; Midlöv, Patrik; Fagerström, Cecilia; Jakobsson, Ulf

doi:10.1016/j.archger.2012.02.006

Cited by 21 publications

(13 citation statements)

References 63 publications

(65 reference statements)

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“…However, the model in our study explained 11% of the variance, meaning that depressed mood explained 11% of the total use of outpatient services. This indicates that it is difficult to predict health care consumption for frail older people who often have multiple illnesses and needs, which also has been shown in previous research (31).…”

Section: Discussionmentioning

confidence: 74%

Loneliness and health care consumption among older people

Taube

Kristensson

Sandberg

et al. 2014

Scandinavian Caring Sciences

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Few studies have investigated loneliness in relation to health care consumption among frail older people. The aim of this study was to examine loneliness, health-related quality of life (HRQoL), and health complaints in relation to health care consumption of in- and outpatient care among frail older people living at home. The study, with a cross-sectional design, comprised a sample of 153 respondents aged from 65 years (mean age 81.5 years) or older, who lived at home and were frail. Data was collected utilising structured interviews in the respondent's home assessing demographic data, loneliness, HRQoL and health complaints. Patient administrative registers were used to collect data on health care consumption. Loneliness was the dependent variable in the majority of the analyses and dichotomised. For group comparisons Student's t-test, Mann-Whitney U-test and Chi-square test were used. The results showed that 60% of the respondents had experienced loneliness during the previous year, at least occasionally. The study identified that lonely respondents had a lower HRQoL (p = 0.022), with a higher total number of reported health complaints (p = 0.001), and used more outpatient services including more acute visits at the emergency department, compared to not lonely respondents (p = 0.026). Multiple linear regression analysis showed that a depressed mood was independently associated to total use of outpatient care (B = 7.4, p < 0.001). Therefore, it might not be loneliness, per se, that is the reason for seeking health care. However, reasons for using health care services are difficult to determine due to the complex situation for the frail older person. To avoid emergency department visits and to benefit the well-being of the frail older person, interventions targeting the complex health situation, including loneliness, are suggested.

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Section: Discussionmentioning

confidence: 74%

Loneliness and health care consumption among older people

Taube

Kristensson

Sandberg

et al. 2014

Scandinavian Caring Sciences

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“…Also, counties that show lower proportions of elderly individuals with shorter distances to basic services (grocery stores, ATM, health care center, and post office), tend to have lower fall rates. Moreover, some studies suggest that the presence of adequate and proper access to health care and social services may result in longer lifespans (Andersen 2008;Landi et al 2001;Sandberg et al 2012).…”

Section: Discussion Of the Resultsmentioning

confidence: 99%

“…Internationally, previous studies show that demographic and socio-economic characteristics affect the prevalence of the elderly fall (Andersen 2008;Cakar et al 2011;Cauley 2011;Dhanwal et al 2011;Galizia et al 2008;Graham et al 2008;Haan et al 1987;Hokby et al 2003;Jacobsen et al 1992;Kannus et al 1999;Landi et al 2001;Lopata 1982;Luukinen et al 1996;Megyesi et al 2011;Nguyen-Oghalai et al 2009;Penrod et al 2008;Reimers and Laflamme 2007;Sandberg et al 2012;Tinetti et al 1988;Trujillo et al 2011;Van Rossum et al 2000). Based on this literature, it is suggested that counties that have higher rates of falls are expected to be associated with one or more of these factors: lower proportion of nonSwedes, greater proportion of non-active population, larger share of low income earners, and single individuals.…”

Section: Theoretical Background and Hypothesesmentioning

confidence: 91%

“…Similarly, counties with higher costs for elderly care are correlated with counties with lower rates of seniors fall (Andersen 2008;Kehusmaa et al 2012;Landi et al 2001;Sandberg et al 2012). Burnett (2005), Bleijlevens et al (2010), and Giuliano et al (2003) related accessibility to services with elderly fall.…”

Section: Theoretical Background and Hypothesesmentioning

confidence: 93%

“…Municipalities are one of the sectors responsible for providing health and social services for individuals at the local and regional level. Studies on elderly care shows the associations between social and support care, and healthier life spans (Andersen 2008;Landi et al 2001;Sandberg et al 2012).…”

Section: Theoretical Background and Hypothesesmentioning

confidence: 99%

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The regional ecology of elderly falls in Sweden

Bamzar

Ceccato

2014

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The study assesses exploratory the geography of the elderly fall in Sweden in relation to the ecology of the socio-demographic characteristics of the Swedes older population. Kendall Test is used to measure the association between elderly fall rates and demographic, socio-economic characteristics of the population, costs of elderly care and accessibility measures at county level. Results show a number of significant associations: high rates of the elderly fall are associated with high cost of the elderly care but also low rate of elderly fall and good accessibility to basic services (e.g., grocery store, health care and cash machines). The articles finalizes with reflections of the results and suggestions for future research.

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Prevalence and predictors of healthcare utilization among older people (60+): Focusing on ADL dependency and risk of depression

Cited by 21 publications

References 63 publications

Loneliness and health care consumption among older people

Loneliness and health care consumption among older people

The regional ecology of elderly falls in Sweden

How “Dependent” Are We? A Spatiotemporal Analysis of the Young and the Older Adult Populations in the US

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