Assessing the Association of Walking with Health Services Use and Costs among Socioeconomically Disadvantaged Older Adults

2001 ◽  
Vol 32 (6) ◽  
pp. 492-501 ◽  
Author(s):  
Anthony J. Perkins ◽  
Daniel O. Clark
Keyword(s):  
Older Adults ◽  
Health Services ◽  
Socioeconomically Disadvantaged ◽  
Health Services Use ◽  
Services Use

scholarly journals The Clinical Frailty Scale and Health Services Use for Older Adults in the Emergency Department

2020 ◽  
Author(s):  
Peter Serina ◽  
Alexander X. Lo ◽  
Masha Kocherginsky ◽  
Elizabeth Gray ◽  
Lee A. Lindquist ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Health Services ◽  
Health Services Use ◽  
Clinical Frailty Scale ◽  
Services Use

Mortality, Health Services Use, and Health Behavior in a Cohort of Well Older Adults

1999 ◽  
Vol 47 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Judith A. Malmgren ◽  
Thomas D. Koepsell ◽  
Diane P. Martin ◽  
Paula Diehr ◽  
Andrea Z. LaCroix
Keyword(s):  
Older Adults ◽  
Health Services ◽  
Health Behavior ◽  
Health Services Use ◽  
Services Use

Health services use by older adults in an urban public health system

2005 ◽  
Vol 23 (2) ◽  
pp. 233-234 ◽  
Author(s):  
Kevin M. Terrell ◽  
Carey D. Chisholm ◽  
Roland B. McGrath ◽  
Anthony J. Perkins ◽  
Amna B. Buttar ◽  
...  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Services ◽  
Health System ◽  
Public Health System ◽  
Health Services Use ◽  
Services Use

Accuracy of Self-Reported Health Services Use and Patterns of Care Among Urban Older Adults

Medical Care ◽  
1999 ◽  
Vol 37 (7) ◽  
pp. 662-670 ◽  
Author(s):  
Daniel B. Wallihan ◽  
Timothy E. Stump ◽  
Christopher M. Callahan
Keyword(s):  
Older Adults ◽  
Health Services ◽  
Patterns Of Care ◽  
Health Services Use ◽  
Reported Health ◽  
Services Use

Assisted self-report of health-services use showed excellent reliability in a longitudinal study of older adults

2007 ◽  
Vol 60 (10) ◽  
pp. 1040-1045 ◽  
Author(s):  
Marie-France Dubois ◽  
Michel Raîche ◽  
Réjean Hébert ◽  
N'Deye Rokhaya Gueye
Keyword(s):  
Older Adults ◽  
Longitudinal Study ◽  
Health Services ◽  
Self Report ◽  
Health Services Use ◽  
Services Use

scholarly journals 0843 Prospective Associations of Insomnia Symptoms With Health Services Use in Community-Dwelling Older Adults

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A321-A321
Author(s):  
M Tzuang ◽  
J T Owusu ◽  
J Huang ◽  
O C Sheehan ◽  
G W Rebok ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Services ◽  
Home Health Care ◽  
Home Health ◽  
Community Dwelling ◽  
Health Services Use ◽  
Ed Visits ◽  
Insomnia Symptoms ◽  
Services Use

Abstract Introduction Limited research has examined links of insomnia with health services use, particularly using claims-based data. We investigated the association of insomnia symptoms with costly health services use, measured by Medicare claims, in a nationally representative sample of U.S. older adults. Methods Participants were 4,302 community-dwelling Medicare beneficiaries aged ≥65 years from Round 1 (2011) of the National Health and Aging Trends Study who had continuous fee-for-service Medicare coverage 1 year before and after the Round 1 interview. Participants reported past-month insomnia symptoms (i.e., sleep onset latency >30 minutes, difficulty returning to sleep after early awakening) which we categorized as 0, 1, or 2 symptoms. Outcomes were linked Medicare claims occurring after Round 1 interviews: emergency department (ED) visits, all-cause hospitalizations, preventable hospitalizations, all-cause 30-day readmissions, home health care (all measured as yes/no); and number of hospitalizations and ED visits. Results Overall, 18.9% of participants were hospitalized, 29.3% visited the ED, 3.1% had a preventable hospitalization, 2.6% had a readmission, and 11.7% used home health care. After adjustment for demographics, compared to participants with no insomnia symptoms, those with 2 symptoms had a higher odds of ED visits (odds ratio (OR)=1.42, p<0.001), all-cause hospitalizations (OR=1.30, p<0.01), preventable hospitalizations (OR=1.83, p<0.05), 30-day readmissions (OR=1.73, p<0.05), and home health care use (OR=1.27, p<0.05). These associations did not hold, however, upon further adjustment for health characteristics (i.e., depressive/anxiety symptoms, medical comorbidities and BMI). After full adjustment, reporting 2 insomnia symptoms, versus no insomnia symptoms, was associated with a greater number of ED visits (Incidence Rate Ratio=1.16, p<0.05). Conclusion Among older adults, a greater number of insomnia symptoms is associated with greater health services use. Insomnia symptoms may be a marker of, or exacerbate, health conditions. Targeting insomnia may lower health services use. Support National Institute on Aging: R01AG050507 & R01AG050507-02S (PI: Spira); F31-AG058389; U01AG032947 (PI: Kasper) for the National Health and Aging Trends Study. Johns Hopkins Center on Aging and Health Data Use Agreement (PI: Roth, Co-I: Sheehan) with Centers for Medicare & Medicaid Services titled, “Potentially modifiable factors influencing outcomes in NHATS.”

scholarly journals The effect of trends in health and longevity on health services use by older adults

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Bram Wouterse ◽  
Martijn Huisman ◽  
Bert R. Meijboom ◽  
Dorly J.H. Deeg ◽  
Johan J. Polder
Keyword(s):  
Older Adults ◽  
Health Services ◽  
Health Services Use ◽  
Services Use
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