Public healthcare eligibility and the utilisation of GP services by older people in Ireland

Hudson, Eibhlin; Nolan, Alexis

doi:10.1016/j.jeoa.2014.08.005

Cited by 25 publications

(16 citation statements)

References 72 publications

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“…This method identifies the incremental health service use and costs for people with diabetes compared to those without, therefore capturing all costs associated with diabetes. The incremental costing approach also allows for the consideration of other factors known to influence health service use, including age, sex, ethnicity, education, socio‐economic status, health status and lifestyle factors . Thus, it is possible to estimate health service use that is independently associated with diabetes .…”

Section: Introductionmentioning

confidence: 99%

Health service utilization and related costs attributable to diabetes

et al. 2018

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Section: Introductionmentioning

confidence: 99%

Health service utilization and related costs attributable to diabetes

et al. 2018

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“…regular physical activity, tend to use fewer health care services. Recent studies analysing health care utilisation amongst older Europeans using either SHARE or other surveys have also found these associations [ 42 – 45 ].…”

Section: Discussionmentioning

confidence: 97%

Health care utilisation amongst older adults with sensory and cognitive impairments in Europe

Lugo-Palacios

Gannon

2017

Health Econ Rev

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Worldwide, the high prevalence of multiple chronic conditions amongst older population has led to increased utilisation of health care and rising associated costs, becoming a major public health concern. Hearing, vision and cognitive disorders are common chronic conditions amongst older Europeans and recent studies have documented its high co-occurrence. While it has been shown separately that suffering either mental disorders or sensory (hearing and vision) impairments is associated with higher health care utilisation, the association between health care utilisation and the interaction of these conditions has received little attention in the literature. Therefore, using four waves of the Survey of Health, Ageing and Retirement in Europe (SHARE), this study applies the correlated random effects method to the negative binomial and finite mixture models to analyse the extent to which the interaction of cognitive and sensory impairments is associated with health care use. We found that individuals with cognitive impairment tend to have more hospitalisations. The finite mixture approach indicates a positive association between sensory impairment and the number of hospitalisations amongst low users of health care. Additionally, our findings suggest a positive association between suffering both impairments at the same time and the number of doctor and GP visits.

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“…The inequalities created in the medical card system between the haves and have nots has been debated since the introduction of the General Medical Scheme in the 1970s, particularly with regard to access to GP care (15,16). Recent health policy has focussed on widening access to healthcare, specifically GP care, for the Irish population (17),…”

Section: Discussionmentioning

confidence: 99%

“…We firstly examined frailty severity. The majority (69%) of TILDA participants with frailty and using the PHN service are threshold frail (defined as 8-12 health problems), while the proportion who are very-frail(13)(14)(15)(16)(17)(18)…”

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confidence: 99%