scholarly journals Consequences of falling in older men and women and risk factors for health service use and functional decline

2003 ◽  
Vol 33 (1) ◽  
pp. 58-65 ◽  
Author(s):  
V. S. Stel ◽  
J. H. Smit ◽  
S. M. F. Pluijm ◽  
P. Lips
Keyword(s):  
Risk Factors ◽  
Health Service ◽  
Service Use ◽  
Functional Decline ◽  
Older Men ◽  
Health Service Use ◽  
Men And Women ◽  
Older Men And Women

scholarly journals Gender and mental health service use in bipolar disorder: national cohort study

BJPsych Open ◽  
2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Ruth Cunningham ◽  
Marie Crowe ◽  
James Stanley ◽  
Tracy Haitana ◽  
Suzanne Pitama ◽  
...  
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Patient Treatment ◽  
Men And Women ◽  
Service Contact

Background Despite evidence of gender differences in bipolar disorder characteristics and comorbidity, there is little research on the differences in treatment and service use between men and women with bipolar disorder. Aims To use routine data to describe specialist mental health service contact for bipolar disorder, including in-patient, community and support service contacts; to compare clinical characteristics and mental health service use between men and women in contact with secondary services for bipolar disorder. Method Cross-sectional analysis of mental health patients with bipolar disorder in New Zealand, based on complete national routine health data. Results A total of 3639 individuals were in contact with specialist mental health services with a current diagnosis of bipolar disorder in 2015. Of these 58% were women and 46% were aged 45 and over. The 1-year prevalence rate of bipolar disorder leading to contact with specialist mental health services was 1.56 (95% CI 1.50–1.63) per 100 000 women and 1.20 (95% CI 1.14–1.26) per 100 000 men. Rates of bipolar disorder leading to service contact were 30% higher in women than men (rate ratio 1.30, 95% CI 1.22–1.39). The majority (68%) had a diagnosis of bipolar I disorder. Women were more likely to receive only out-patient treatment and have comorbid anxiety whereas more men had substance use disorder, were convicted for crimes when unwell, received compulsory treatment orders and received in-patient treatment. Conclusions Although the prevalence of bipolar disorder is equal between men and women in the population, women were more likely to have contact with specialist services for bipolar disorder but had a lower intensity of service interaction.

Risk factors for fractures in older men and women: The Leisure World Cohort Study

2006 ◽  
Vol 3 (2) ◽  
pp. 110-123 ◽  
Author(s):  
Stuart C. White ◽  
Kathryn A. Atchison ◽  
Jeffrey A. Gornbein ◽  
Aurelia Nattiv ◽  
Annlia Paganini-Hill ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Older Men ◽  
Men And Women ◽  
Older Men And Women

Influence of living arrangements on health services utilisation in Australia

2012 ◽  
Vol 36 (1) ◽  
pp. 34 ◽  
Author(s):  
M. Afzal Mahmood ◽  
Anna E. Bauze ◽  
Justin T. Lokhorst ◽  
Peng Bi ◽  
Arthur Saniotis
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Health Service ◽  
Health Services ◽  
Informal Care ◽  
Living Arrangements ◽  
Service Use ◽  
Household Composition ◽  
Health Service Use ◽  
Use Of Health Services

Background. The number of people living alone is increasing markedly. Others live as couples only, couples with child(ren) and single adult with child(ren). Health service utilisation could differ for people in different living arrangements as a result of varying levels of risk factors, health status, access to informal care and decision-making for accessing care. Objective. To identify the association between living arrangements and health service use. Methods. The Australian Bureau of Statistics’ National Health Survey 2001 data for people 18–65 years old were analysed for household composition and service use. Results. People in various household types differ in terms of their overall use of health services and their use of services by general practitioners. Sex, rurality, socioeconomic status and status of heart condition significantly influenced the use of health services. Conclusion. There are implications for health services provision and planning within the context of rapid changes in living arrangements. Additional research is required to explore the reasons to such differences, level of access to informal care, healthcare decision-making processes and consequences of under- or over-utilisation of services. What is known about the topic? Health service use is influenced by the disease burden and pattern, demography, economic factors, access to social support, quality of care and satisfaction with standards of care. These factors may influence access to and use of care. What does this paper add? This research points to the potential role of living arrangements on health services use. Many people now live alone and may not have access to informal care, and access to health information and education. People in different living arrangements appear to have different health service use. What are the implications for practitioners? Practitioners, in both primary care and acute care sectors, need to consider that patients, including younger people, may not have access to informal care, may present with delays and may not have the needed adequate support during convalescence. Health education needs to consider that people in different living arrangements may be exposed to different levels of risk factors in terms of their healthcare use.

The prevalence and risk factors for psychological distress in older men and women affected by the Wenchuan, China earthquake

2013 ◽  
Vol 33 (3) ◽  
pp. E20-E26 ◽  
Author(s):  
Xiaoyi Cao ◽  
Xiaolian Jiang ◽  
Samantha Pang ◽  
Sijian Li ◽  
Yijuan Cheng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Psychological Distress ◽  
Older Men ◽  
Men And Women ◽  
China Earthquake ◽  
Older Men And Women

scholarly journals Common elements of service delivery models that optimise quality of life and health service use among older people with advanced progressive conditions: a tertiary systematic review

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e048417
Author(s):  
Joanne Bayly ◽  
Anna E Bone ◽  
Clare Ellis-Smith ◽  
India Tunnard ◽  
Shuja Yaqub ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Health Service ◽  
Older People ◽  
Low Income ◽  
Service Use ◽  
Functional Decline ◽  
Low Income Countries ◽  
Health Service Use

IntroductionHealth and social care services worldwide need to support ageing populations to live well with advanced progressive conditions while adapting to functional decline and finitude. We aimed to identify and map common elements of effective geriatric and palliative care services and consider their scalability and generalisability to high, middle and low-income countries.MethodsTertiary systematic review (Cochrane Database of Systematic Reviews, CINAHL, Embase, January 2000–October 2019) of studies in geriatric or palliative care that demonstrated improved quality of life and/or health service use outcomes among older people with advanced progressive conditions. Using frameworks for health system analysis, service elements were identified. We used a staged, iterative process to develop a ‘common components’ logic model and consulted experts in geriatric or palliative care from high, middle and low-income countries on its scalability.Results78 studies (59 geriatric and 19 palliative) spanning all WHO regions were included. Data were available from 17 739 participants. Nearly half the studies recruited patients with heart failure (n=36) and one-third recruited patients with mixed diagnoses (n=26). Common service elements (≥80% of studies) included collaborative working, ongoing assessment, active patient participation, patient/family education and patient self-management. Effective services incorporated patient engagement, patient goal-driven care and the centrality of patient needs. Stakeholders (n=20) emphasised that wider implementation of such services would require access to skilled, multidisciplinary teams with sufficient resource to meet patients’ needs. Identified barriers to scalability included the political and societal will to invest in and prioritise palliative and geriatric care for older people, alongside geographical and socioeconomic factors.ConclusionOur logic model combines elements of effective services to achieve optimal quality of life and health service use among older people with advanced progressive conditions. The model transcends current best practice in geriatric and palliative care and applies across the care continuum, from prevention of functional decline to end-of-life care.PROSPERO registration numberCRD42020150252.

scholarly journals Different Aspects of Visual Impairment as Risk Factors for Falls and Fractures in Older Men and Women

2004 ◽  
Vol 19 (9) ◽  
pp. 1539-1547 ◽  
Author(s):  
Michiel R de Boer ◽  
Saskia MF Pluijm ◽  
Paul Lips ◽  
Annette C Moll ◽  
Hennie J Völker-Dieben ◽  
...  
Keyword(s):  
Risk Factors ◽  
Visual Impairment ◽  
Older Men ◽  
Men And Women ◽  
Risk Factors For Falls ◽  
Older Men And Women
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