Profiles of Hospital, Physician, and Home Health Service Use by Older Persons in Rural Areas

Dansky, Kathryn H.; Brannon, Diane; Shea, Dennis G.; Vasey, Joseph; Dirani, Riad

doi:10.1093/geront/38.3.320

Cited by 46 publications

(63 citation statements)

References 14 publications

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“…These findings are similar to those reported by other researchers who have examined the effect of metropolitan status on health care use among older people. 17,20,41,42,48 There was some geographic variation in physical therapy use and amount of physical therapy received (as measured by cost and number of visits). Relative to the South Atlantic census division, physical therapy use was less in the East South Central census division and greater in the Pacific census division, and amount of physical therapy received was less in the West North Central and West South Central census divisions.…”

Section: Discussionmentioning

confidence: 99%

“…The few studies that have considered physical therapy in their analyses are outdated, examined physical therapy use in a cursory manner, or included physical therapy in an aggregate measure of health care use. [17][18][19][20][21][22] White-Means, 22 for example, in her analysis of health care use by older people with disabilities, created one variable to represent the number of visits to a physical therapist, occupational therapist, speech therapist, or hearing therapist. Because the care provided by these therapists is different, grouping the data in this manner precludes any meaningful conclusions about physical therapy.…”

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confidence: 99%

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Physical Therapy Use by Community-Based Older People

Freburger

Holmes²

2005

Physical Therapy

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Background and Purpose. Little information is available on factors associated with physical therapy use. Identifying the characteristics of people who use physical therapy and some of the factors associated with its use is a useful first step in determining whether disparities exist in physical therapy use. The purpose of this study was to identify factors associated with physical therapy use by community-based older people. Subjects. The subjects were community-based people 65 years of age or older who participated in the Medicare Current Beneficiary Survey and had at least one physician encounter (Nϭ38,312 person-years across 20,227 individuals). Methods. Logit and ordinary least squares regression analyses were conducted to identify factors associated with physical therapy use. Results. Several measures of health and function were associated with physical therapy use. Several demographic, insurance, and geographic characteristics also were associated with physical therapy use. Income, education, having supplemental private insurance, participating in a managed care plan, and physical therapist supply were positively associated with physical therapy use. Age was negatively associated with physical therapy use. For people who saw a physical therapist, amount of physical therapy received was positively associated with income, having supplemental private insurance, living in a metropolitan area, physical therapist supply, and being African American. Amount of physical therapy received was negatively associated with being in a managed care plan. Discussion and Conclusions. Variation in physical therapy use, explained by factors other than need, suggests potential underuse or overuse of physical therapy by community-based older people. [Freburger JK, Holmes GM. Physical therapy use by community-based older people. Phys Ther. 2005;85:19 -33.]

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Physical Therapy Use by Community-Based Older People

Freburger

Holmes²

2005

Physical Therapy

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“…Rurality, however, does not explain gender differences in access to care. Among rural populations, men and boys in general are less likely than women and girls to visit a physician or to seek help from a mental health clinician (Cook & Tyler 1989;Dansky, Brannon, Shea, Vasey & Dirani, 1998;Hoyt, Conger, Valde, & Weihs, 1997). The unavailability of health services during nonwork hours may further limit access to health care for many working men.…”

Section: Health-care Accessmentioning

confidence: 99%

Key Determinants of the Health and Well-Being of Men and Boys

Courtenay

2003

International Journal of Men's Health

229

215

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Men in the United States suffer more severe chronic conditions and die 6 years younger than women. For all leading causes of death, and in every age group, men and boys have higher death rates than women and girls. Despite these risks, little is known about the gender-specific health and health care needs of men and boys. This multidisciplinary review provides an overview and summary of key determinants of the health and wellbeing of men and boys in the United States. Thirty key determinants of physical and mental health were identified from a review of literature and are summarized under the following four categories: behaviors of men and boys, health-related beliefs and the expression of emotions and physical distress, underlying factors that influence the health behaviors and beliefs of men and boys, and health care. The findings reported in this review suggest that men's greatest health risks are the result of modifiable factors, and that efforts to address these factors through practice, policy, and research could contribute to enhanced health conditions for men and boys, as well as to healthier families and communities.

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“…Among the predisposing characteristics that have been identified as being associated with home-care use are age (Bowles, Naylor, & Foust, 2002;Dansky, Brannon, Shea, Vasey, & Dirani, 1998;Norgard & Rodgers, 1997), gender Johnson & Wolinsky, 1996), racial or ethnic status (Altman & Walden, 1993;Johnson & Wolinsky, 1996) (Norgard & Rodgers), contact with family members (Johnson & Wolinsky), and limited social resources (Slivinske et al). The MEPS-HC includes measures that reflect most of these characteristics.…”

mentioning

confidence: 99%