scholarly journals Association of Anticholinergic Burden with Cognitive Impairment and Health Care Utilization Among a Diverse Ambulatory Older Adult Population

2016 ◽  
Vol 36 (11) ◽  
pp. 1123-1131 ◽  
Author(s):  
Noll L. Campbell ◽  
Anthony J. Perkins ◽  
Pamela Bradt ◽  
Sinem Perk ◽  
Ronald C. Wielage ◽  
...  
Keyword(s):  
Health Care ◽  
Cognitive Impairment ◽  
Health Care Utilization ◽  
Older Adult ◽  
Adult Population ◽  
Care Utilization ◽  
Older Adult Population ◽  
Anticholinergic Burden

Communicating with the Older Adult Cancer Patient

2021 ◽  
pp. 678-684
Author(s):  
Patricia A. Parker ◽  
Smita C. Banerjee ◽  
Beatriz Korc-Grodzicki
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Psychological Distress ◽  
Cancer Patients ◽  
Older Adult ◽  
Adult Population ◽  
Healthcare Providers ◽  
Multiple Morbidity ◽  
Older Adult Population

The older adult population continues to increase. Among all known risk factors for developing cancer, the most important is growing old. Thus, caring for older adults with cancer is of increasing importance. This chapter describes important considerations involved in communicating with cancer patients including sensory impairment, cognitive impairment, multiple morbidity, polypharmacy, and psychological distress. It also describes how stereotyping and ageism affect communication with older adults with cancer. Finally, the chapter discusses ways to facilitate communication with older adult cancer patients and their families and provides an example of a training program that was created specifically to enhance communication between healthcare providers and older adult cancer patients and their families.

scholarly journals Characteristics and Circumstances of Falls in the Community-Dwelling Older Adult Population

2020 ◽  
Vol 11 ◽  
pp. 215013272094050 ◽  
Author(s):  
María Pilar Molés Julio ◽  
Ana Lavedán Santamaría ◽  
Teresa Botigué Satorra ◽  
Olga Masot Ariño ◽  
Aurora Esteve Clavero ◽  
...  
Keyword(s):  
Health Care ◽  
Older Adult ◽  
Statistical Significance ◽  
Adult Population ◽  
Community Dwelling ◽  
Survey Study ◽  
Single Family ◽  
Cross Sectional ◽  
Randomized Sampling ◽  
Older Adult Population

Objective: The study aimed to describe the characteristics and circumstances of falls in the community-dwelling older adult population. Design: This was a cross-sectional observational and descriptive study involving primary health care centers in Lleida and Castellón de la Plana, Spain. Randomized sampling was used to include 966 individuals aged 75 years or older residing in single-family homes and in possession of a health care card. Data were obtained using the Survey on Fragility in Older People in Lleida (FRALLE survey). Study variables included the occurrence of falls in the past year and fall characteristics such as whether it was a first or successive fall, cause, season, and time of the day the fall occurred, whether the respondent fell flat on the ground, and time the participant remained on the floor. Other variables involved the circumstances of the fall, including the general location of the fall and specific location within the home if applicable, lighting/weather conditions, objects which may have precipitated the fall, floor conditions, and type of footwear. Results: The prevalence of falls was 25.9% with regard to the previous year, with 70% of these participants reporting having fallen previously. Falls most often occurred by accident, during the daytime, and in the winter. Variables that showed statistical significance with regard to age group were: falling flat on the ground ( P = .031), fall location ( P = .000), presence of an object favoring the fall ( P = .039), floor conditions ( P = .011), and type of footwear ( P = .029). By sex, variables that showed statistical significance included the need for assistance to get up ( P = .045) and type of footwear ( P = .028). Conclusions: The prevalence of falls was found to be similar in the studied cities. The results show the most common characteristics and circumstances of falls in older adults in the community, making it possible to guide future preventive strategies.

scholarly journals Gender differences in the utilization of health-care services among the older adult population of Spain

2006 ◽  
Vol 6 (1) ◽  
Author(s):  
Áurea Redondo-Sendino ◽  
Pilar Guallar-Castillón ◽  
José Ramón Banegas ◽  
Fernando Rodríguez-Artalejo
Keyword(s):  
Health Care ◽  
Gender Differences ◽  
Older Adult ◽  
Health Care Services ◽  
Adult Population ◽  
Care Services ◽  
Older Adult Population

scholarly journals Inequities in curative health-care utilization among the adult population (20–59 years) in India: A comparative analysis of NSS 71st (2014) and 75th (2017–18) rounds

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241994
Author(s):  
Shreya Banerjee ◽  
Indrani Roy Chowdhury
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Economic Status ◽  
Adult Population ◽  
Supply And Demand ◽  
Strong Association ◽  
Sample Survey ◽  
Necessary Condition ◽  
Care Utilization ◽  
Socio Economic Status

Objective The study attempts (a) to compute the degree of socio-economic inequity in health care utilization and (b) to decompose and analyze the drivers of socio-economic inequity in health care utilization among adults (20–59 years) in India during the periods 2014 and 2017–18. Data source The analysis has been done by using the unit level data of Social Consumption: Health (Schedule number 25.0), of National sample Survey (NSS), corresponding to the 71st and 75th rounds. Methods Odds ratios were computed through logistic regression analysis to examine the effect of the socio-economic status on the health seeking behaviour of the ailing adult population in India. Concentration Indices (CIs) were calculated to quantify the magnitude of socio-economic inequity in health care utilization. Further, the CIs were decomposed to find out the share of the major contributory factors in the overall inequity. Results The regression results revealed that socio-economic status continues to show a strong association with treatment seeking behavior among the adults in India. The positive estimates of CIs across both the rounds of NSS suggested that health care utilization among the adults continues to be concentrated within the higher socio-economic status, although the magnitude of inequity in health care utilization has shrunk from 0.0336 in 2014 to 0.0230 in 2017–18. However, the relative contribution of poor economic status to the overall explained inequities in health care utilisation observed a rise in its share from 31% in 2014 to 45% in 2017–18. Conclusion To reduce inequities in health care utilization, policies should address issues related to both supply and demand sides. Revamping the public health infrastructure is the foremost necessary condition from the supply side to ensure equitable health care access to the poor. Therefore, it is warranted that India ramps up investments and raises the budgetary allocation in the health care infrastructure and human resources, much beyond the current spending of 1.28% of its GDP as public expenditure on health. Further, to reduce the existing socio-economic inequities from the demand side, there is an urgent need to strengthen the redistributive mechanisms by tightening the various social security networks through efficient targeting and broadening the outreach capacity to the vulnerable and marginalized sections of the population.

Associations Between Health and Driving in an Older Adult Cohort in Rancho Bernardo

2016 ◽  
Vol 29 (8) ◽  
pp. 1367-1387
Author(s):  
Linda L. Hill ◽  
Gail A. Laughlin ◽  
Richele Bettencourt ◽  
Elizabeth Barrett-Connor
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Utilization ◽  
Older Adult ◽  
Neurological Disease ◽  
Care Utilization ◽  
Self Assessment ◽  
Driving Pattern ◽  
Temporal Relationships ◽  
Ed Visits

Objective: The purpose of this study was to identify the associations between health and health care utilization with driving patterns in a cohort of older adults. Method: In 2012, a total of 1,826 surviving participants in the Rancho Bernardo cohort were sent a health and driving pattern survey; 1,277 were returned. Results: The majority of the respondents (1,151, 91%) were still driving. Older age, female sex, hospitalizations, emergency department (ED) visits and physical therapy visits, neurological disease, depression, limited vision, and limited hearing were associated with non-driving status. A total of 809 (71%) of drivers reported no citations or crashes in the last 5 years. Discussion: The vast majority of older drivers in this cohort continued to drive, and did so safely. Health care utilization, medications, medical conditions, and self-assessment of health were associated with non-driving status. Prospective studies are needed to clarify the temporal relationships between these factors.

Functional status and use of health care services: Longitudinal study on the older adult population in Spain

Maturitas ◽  
2007 ◽  
Vol 58 (4) ◽  
pp. 377-386 ◽  
Author(s):  
Luz María León-Muñoz ◽  
Esther López-García ◽  
Auxiliadora Graciani ◽  
Pilar Guallar-Castillón ◽  
José R. Banegas ◽  
...  
Keyword(s):  
Health Care ◽  
Longitudinal Study ◽  
Functional Status ◽  
Older Adult ◽  
Health Care Services ◽  
Adult Population ◽  
Care Services ◽  
Older Adult Population ◽  
Use Of Health Care

scholarly journals Impact of Mental Health Comorbidities on Health Care Utilization and Expenditure in a Large US Managed Care Adult Population with ADHD

2014 ◽  
Vol 17 (6) ◽  
pp. 661-668 ◽  
Author(s):  
Aniket A. Kawatkar ◽  
Tara K. Knight ◽  
Robert A. Moss ◽  
Vanja Sikirica ◽  
Li-Hao Chu ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Managed Care ◽  
Health Care Utilization ◽  
Adult Population ◽  
Care Utilization ◽  
Health Comorbidities

scholarly journals Utility of Geriatric Syndrome Indicators for Predicting Subsequent Health Care Utilization in Older Adults in Taiwan

2019 ◽  
Vol 16 (3) ◽  
pp. 456
Author(s):  
Ching-Ju Chiu ◽  
Ya-Yun Cheng
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Cognitive Impairment ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Geriatric Syndromes ◽  
Emergency Visits ◽  
Old Patients ◽  
Young Old ◽  
Diabetes Patients

Background: The predictive utility of both individual and combined indicators of geriatric syndromes on subsequent emergency use and hospitalization is not clear. Methods: Nationally representative data on adults aged 65+ (N = 2345) (with 1148 male, 1197 female) in Taiwan were analyzed. The receiver operating characteristic (ROC) curve examined the diagnostic accuracy of the combined effects of geriatric syndromes on predicting health care utilization in three years. Negative binomial regressions identified the individual effect of each indicator with the control of sociodemographic and baseline health status. Results: The combined indicators of geriatric syndromes predicted future hospitalization of old-old (75+ yrs) diabetes patients, with area under the curve (AUC) = 0.709, 95% confidence interval (CI) = 0.635–0.782, and young-old patients (65–74 yrs) with mild cognitive impairment (AUC = 0.727, 95% CI = 0.610–0.845 for hospitalization and AUC = 0.770, 95% CI = 0.664–0.877 for emergency visits). As for individual indicators, while incontinence was the indicator having the most influence on hospitalization (incidence rate ratio (IRR) = 1.81, 95% CI = 1.21–2.72) and emergency visits (IRR = 1.78, 95% CI = 1.23–2.59) for general older adults (65+), and for old-old emergency visits, especially (IRR = 2.21, 95% CI = 1.39–3.49), falls was the most prominent indicator of hospitalization for young-old (65-74) adults (IRR = 1.61, 95% CI = 1.13–2.28). In addition, pain was another significant indicator for predicting future hospitalization of old-old diabetes patients (IRR = 1.61, 95% CI= 1.07–2.44). Conclusions: Combined indicators of geriatric syndromes effectively predict hospitalization in old-old (75+ yrs) diabetes patients and hospitalization and emergency visits in young-old (65–74 yrs) patients with cognitive impairment. Incontinence, falls, and pain were the most predictive independent geriatric assessment indicators.

scholarly journals A systematic review of the prevalence of mental and neurocognitive disorders amongst older adults’ populace in Egypt

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Opeyemi Odejimi ◽  
George Tadros ◽  
Noha Sabry
Keyword(s):  
Systematic Review ◽  
Cognitive Impairment ◽  
Older Adult ◽  
Adult Population ◽  
Female Gender ◽  
Educational Status ◽  
Neurocognitive Disorders ◽  
Current Evidence ◽  
Diagnostic Tools ◽  
Older Adult Population

Abstract Background Mental and neurocognitive disorders are the leading cause of disabilities amongst the older adult populace worldwide. The population of the older adult in Egypt is fast growing. The national census in 2017 revealed a 2.56% increase in the older adult population from the 2006 census, and these figures are expected to double by year 2031. This study aims to review current evidence about the prevalence of mental and neurocognitive disorders amongst older adult population in Egypt. Results A systematic review was carried out, and 16 studies met the inclusion criteria outlined in this study. Four main mental and neurocognitive disorders were identified: depression, anxiety, cognitive impairment and dementia. The reported prevalence of depression, anxiety, dementia and cognitive impairment are 23.7–74.5%, 14.2–72%, 3.66–39.2% and 1.74–51.4%, respectively. Anxiety and depression were positively correlated with the female gender, increasing age and lower educational status. Also, cognitive impairment and dementia were positively correlated with age, illiteracy or low education. However, there appears to be inconsistencies in the diagnostic tools used. Conclusion Egypt aging population is growing, and this research brings to forefront the scale of mental and neurocognitive disorders amongst the older adult population. This may help ensure evidence-based initiatives are put in place and priority is given to resource allocation for geriatric mental and neurocognitive disorders in Egypt. Systematic review registration PROSPERO CRD42018114831

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