Functional status and use of health care services: longitudinal study on the older adult population in Spain.
Identifieur interne : 000572 ( Main/Exploration ); précédent : 000571; suivant : 000573Functional status and use of health care services: longitudinal study on the older adult population in Spain.
Auteurs : Luz María Le N-Mu Oz [Espagne] ; Esther L Pez-García ; Auxiliadora Graciani ; Pilar Guallar-Castill N ; José R. Banegas ; Fernando Rodríguez-ArtalejoSource :
- Maturitas [ 0378-5122 ] ; 2007.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (classification), Admission du patient (statistiques et données numériques), Adulte d'âge moyen (MeSH), Bilan opérationnel (statistiques et données numériques), Espagne (MeSH), Facteurs sexuels (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Médecine (statistiques et données numériques), Orientation vers un spécialiste (statistiques et données numériques), Personne âgée fragile (statistiques et données numériques), Service hospitalier d'urgences (statistiques et données numériques), Services de santé (statistiques et données numériques), Services de soins à domicile (statistiques et données numériques), Soins de santé primaires (statistiques et données numériques), Spécialisation (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Visites à domicile (statistiques et données numériques), Études de cohortes (MeSH), Études longitudinales (MeSH), Études prospectives (MeSH).
- MESH :
- statistiques et données numériques : Admission du patient, Bilan opérationnel, Médecine, Orientation vers un spécialiste, Personne âgée fragile, Service hospitalier d'urgences, Services de santé, Services de soins à domicile, Soins de santé primaires, Visites à domicile.
- classification : Activités de la vie quotidienne, Adulte d'âge moyen, Espagne, Facteurs sexuels, Facteurs âges, Femelle, Humains, Mâle, Spécialisation, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de cohortes, Études longitudinales, Études prospectives.
English descriptors
- KwdEn :
- Activities of Daily Living (classification), Age Factors (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Cohort Studies (MeSH), Emergency Service, Hospital (statistics & numerical data), Female (MeSH), Frail Elderly (statistics & numerical data), Health Services (statistics & numerical data), Home Care Services (statistics & numerical data), House Calls (statistics & numerical data), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Medicine (statistics & numerical data), Middle Aged (MeSH), Patient Admission (statistics & numerical data), Primary Health Care (statistics & numerical data), Prospective Studies (MeSH), Referral and Consultation (statistics & numerical data), Sex Factors (MeSH), Spain (MeSH), Specialization (MeSH), Utilization Review (statistics & numerical data).
- MESH :
- classification : Activities of Daily Living.
- statistics & numerical data : Emergency Service, Hospital, Frail Elderly, Health Services, Home Care Services, House Calls, Medicine, Patient Admission, Primary Health Care, Referral and Consultation, Utilization Review.
- Age Factors, Aged, Aged, 80 and over, Cohort Studies, Female, Humans, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Sex Factors, Spain, Specialization.
Abstract
BACKGROUND
Follow-up studies on the association between functional status and use of health care services among the older people are scarce and have studied only a few types of service.
OBJECTIVE
To examine prospectively the relationship between limitation in instrumental activities of daily living (IADL) and utilization of a wide variety of health care services among older adults in Spain.
METHODS
Prospective study from 2001 to 2003 of a cohort of 2806 persons, representative of the non-institutionalized Spanish population aged 60 years and over. Limitation in IADL was measured in 2001 using the Lawton and Brody's test. Data on the use of health care services were collected in 2003 and classified into home services (home visits by physicians and nurses) and non-home services (visits to primary care physicians, visits to hospital specialists, hospital admissions, emergency care, and influenza vaccination). Analyses were performed with logistic regression and adjusted for the main confounders.
RESULTS
Compared to men with no limitation in IADL, a higher percentage of those with limitation in one IADL in 2001 made use of both home (odds ratio [OR] 2.64; 95% confidence interval [95% CI] 1.73-4.03) and non-home services (OR 2.02; 95% CI 1.04-3.93) in the period 2001-2003. Limitation in one IADL among women was associated with a greater utilization of home services (OR 1.50; 95% CI 1.05-2.14) and visits to hospital specialists (OR 1.61; 95% CI 1.21-2.15). In women, however, a greater number of limited IADL at baseline was inversely associated with visits to primary care physicians in the 2-year follow-up (p for linear trend <0.001).
CONCLUSION
Population aging will increase the demand for health services in general, and for home services in particular.
DOI: 10.1016/j.maturitas.2007.09.008
PubMed: 17980522
Affiliations:
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Banegas</name></author><author><name sortKey="Rodriguez Artalejo, Fernando" sort="Rodriguez Artalejo, Fernando" uniqKey="Rodriguez Artalejo F" first="Fernando" last="Rodríguez-Artalejo">Fernando Rodríguez-Artalejo</name></author></analytic><series><title level="j">Maturitas</title><idno type="ISSN">0378-5122</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (classification)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Cohort Studies (MeSH)</term><term>Emergency Service, Hospital (statistics & numerical data)</term><term>Female (MeSH)</term><term>Frail Elderly (statistics & numerical data)</term><term>Health Services (statistics & numerical data)</term><term>Home Care Services (statistics & numerical data)</term><term>House Calls (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Medicine (statistics & numerical data)</term><term>Middle Aged (MeSH)</term><term>Patient Admission (statistics & numerical data)</term><term>Primary Health Care (statistics & numerical data)</term><term>Prospective Studies (MeSH)</term><term>Referral and Consultation (statistics & numerical data)</term><term>Sex Factors (MeSH)</term><term>Spain (MeSH)</term><term>Specialization (MeSH)</term><term>Utilization Review (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (classification)</term><term>Admission du patient (statistiques et données numériques)</term><term>Adulte d'âge moyen (MeSH)</term><term>Bilan opérationnel (statistiques et données numériques)</term><term>Espagne (MeSH)</term><term>Facteurs sexuels (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Médecine (statistiques et données numériques)</term><term>Orientation vers un spécialiste (statistiques et données numériques)</term><term>Personne âgée fragile (statistiques et données numériques)</term><term>Service hospitalier d'urgences (statistiques et données numériques)</term><term>Services de santé (statistiques et données numériques)</term><term>Services de soins à domicile (statistiques et données numériques)</term><term>Soins de santé primaires (statistiques et données numériques)</term><term>Spécialisation (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Visites à domicile (statistiques et données numériques)</term><term>Études de cohortes (MeSH)</term><term>Études longitudinales (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Activities of Daily Living</term></keywords><keywords scheme="MESH" 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Studies</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Sex Factors</term><term>Spain</term><term>Specialization</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte d'âge moyen</term><term>Espagne</term><term>Facteurs sexuels</term><term>Facteurs âges</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Spécialisation</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de cohortes</term><term>Études longitudinales</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Follow-up studies on the association between functional status and use of health care services among the older people are scarce and have studied only a few types of service.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To examine prospectively the relationship between limitation in instrumental activities of daily living (IADL) and utilization of a wide variety of health care services among older adults in Spain.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Prospective study from 2001 to 2003 of a cohort of 2806 persons, representative of the non-institutionalized Spanish population aged 60 years and over. Limitation in IADL was measured in 2001 using the Lawton and Brody's test. Data on the use of health care services were collected in 2003 and classified into home services (home visits by physicians and nurses) and non-home services (visits to primary care physicians, visits to hospital specialists, hospital admissions, emergency care, and influenza vaccination). Analyses were performed with logistic regression and adjusted for the main confounders.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Compared to men with no limitation in IADL, a higher percentage of those with limitation in one IADL in 2001 made use of both home (odds ratio [OR] 2.64; 95% confidence interval [95% CI] 1.73-4.03) and non-home services (OR 2.02; 95% CI 1.04-3.93) in the period 2001-2003. Limitation in one IADL among women was associated with a greater utilization of home services (OR 1.50; 95% CI 1.05-2.14) and visits to hospital specialists (OR 1.61; 95% CI 1.21-2.15). In women, however, a greater number of limited IADL at baseline was inversely associated with visits to primary care physicians in the 2-year follow-up (p for linear trend <0.001).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Population aging will increase the demand for health services in general, and for home services in particular.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17980522</PMID><DateCompleted><Year>2008</Year><Month>04</Month><Day>09</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0378-5122</ISSN><JournalIssue CitedMedium="Print"><Volume>58</Volume><Issue>4</Issue><PubDate><Year>2007</Year><Month>Dec</Month><Day>20</Day></PubDate></JournalIssue><Title>Maturitas</Title><ISOAbbreviation>Maturitas</ISOAbbreviation></Journal><ArticleTitle>Functional status and use of health care services: longitudinal study on the older adult population in Spain.</ArticleTitle><Pagination><MedlinePgn>377-86</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Follow-up studies on the association between functional status and use of health care services among the older people are scarce and have studied only a few types of service.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To examine prospectively the relationship between limitation in instrumental activities of daily living (IADL) and utilization of a wide variety of health care services among older adults in Spain.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Prospective study from 2001 to 2003 of a cohort of 2806 persons, representative of the non-institutionalized Spanish population aged 60 years and over. Limitation in IADL was measured in 2001 using the Lawton and Brody's test. Data on the use of health care services were collected in 2003 and classified into home services (home visits by physicians and nurses) and non-home services (visits to primary care physicians, visits to hospital specialists, hospital admissions, emergency care, and influenza vaccination). Analyses were performed with logistic regression and adjusted for the main confounders.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Compared to men with no limitation in IADL, a higher percentage of those with limitation in one IADL in 2001 made use of both home (odds ratio [OR] 2.64; 95% confidence interval [95% CI] 1.73-4.03) and non-home services (OR 2.02; 95% CI 1.04-3.93) in the period 2001-2003. Limitation in one IADL among women was associated with a greater utilization of home services (OR 1.50; 95% CI 1.05-2.14) and visits to hospital specialists (OR 1.61; 95% CI 1.21-2.15). In women, however, a greater number of limited IADL at baseline was inversely associated with visits to primary care physicians in the 2-year follow-up (p for linear trend <0.001).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Population aging will increase the demand for health services in general, and for home services in particular.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>León-Muñoz</LastName><ForeName>Luz María</ForeName><Initials>LM</Initials><AffiliationInfo><Affiliation>Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>López-García</LastName><ForeName>Esther</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Graciani</LastName><ForeName>Auxiliadora</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Guallar-Castillón</LastName><ForeName>Pilar</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Banegas</LastName><ForeName>José R</ForeName><Initials>JR</Initials></Author><Author ValidYN="Y"><LastName>Rodríguez-Artalejo</LastName><ForeName>Fernando</ForeName><Initials>F</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2007</Year><Month>11</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Maturitas</MedlineTA><NlmUniqueID>7807333</NlmUniqueID><ISSNLinking>0378-5122</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="Y">classification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016330" MajorTopicYN="N">Frail Elderly</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006296" MajorTopicYN="N">Health Services</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006699" MajorTopicYN="N">Home Care Services</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006792" MajorTopicYN="N">House Calls</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008511" MajorTopicYN="N">Medicine</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010343" MajorTopicYN="N">Patient Admission</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011320" MajorTopicYN="N">Primary Health Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012017" MajorTopicYN="N">Referral and Consultation</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013038" MajorTopicYN="N">Specialization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014600" MajorTopicYN="N">Utilization Review</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2007</Year><Month>07</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2007</Year><Month>09</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2007</Year><Month>09</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>11</Month><Day>6</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>4</Month><Day>10</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>11</Month><Day>6</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17980522</ArticleId><ArticleId IdType="pii">S0378-5122(07)00269-1</ArticleId><ArticleId IdType="doi">10.1016/j.maturitas.2007.09.008</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement><orgName><li>Université autonome de Madrid</li></orgName></list><tree><noCountry><name sortKey="Banegas, Jose R" sort="Banegas, Jose R" uniqKey="Banegas J" first="José R" last="Banegas">José R. Banegas</name><name sortKey="Graciani, Auxiliadora" sort="Graciani, Auxiliadora" uniqKey="Graciani A" first="Auxiliadora" last="Graciani">Auxiliadora Graciani</name><name sortKey="Guallar Castill N, Pilar" sort="Guallar Castill N, Pilar" uniqKey="Guallar Castill N P" first="Pilar" last="Guallar-Castill N">Pilar Guallar-Castill N</name><name sortKey="L Pez Garcia, Esther" sort="L Pez Garcia, Esther" uniqKey="L Pez Garcia E" first="Esther" last="L Pez-García">Esther L Pez-García</name><name sortKey="Rodriguez Artalejo, Fernando" sort="Rodriguez Artalejo, Fernando" uniqKey="Rodriguez Artalejo F" first="Fernando" last="Rodríguez-Artalejo">Fernando Rodríguez-Artalejo</name></noCountry><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Le N Mu Oz, Luz Maria" sort="Le N Mu Oz, Luz Maria" uniqKey="Le N Mu Oz L" first="Luz María" last="Le N-Mu Oz">Luz María Le N-Mu Oz</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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