Frailty transitions and health care use in Europe.
Age Factors
Aged
Aged, 80 and over
Ambulatory Care
/ statistics & numerical data
Dental Care
/ statistics & numerical data
Disabled Persons
/ statistics & numerical data
Europe
Female
Frail Elderly
/ statistics & numerical data
Health Expenditures
/ statistics & numerical data
Health Surveys
/ statistics & numerical data
Hospitalization
/ statistics & numerical data
Humans
Male
Patient Acceptance of Health Care
/ statistics & numerical data
dental care
dynamic panel data
elderly
frailty
health care use
Journal
Health services research
ISSN: 1475-6773
Titre abrégé: Health Serv Res
Pays: United States
ID NLM: 0053006
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
pubmed:
2
10
2019
medline:
28
1
2020
entrez:
2
10
2019
Statut:
ppublish
Résumé
There is relative consensus that chronic conditions, disability, and time-to-death are key drivers of age-related health care expenditures. In this paper, we analyze the specific impact of frailty transitions on a wide range of health care outcomes comprising hospital, ambulatory care, and dental care use. Five regular waves of the SHARE survey collected between 2004 and 2015. We estimate dynamic panel data models on the balanced panel (N = 6078; NT = 30 390 observations). Our models account for various sources of selection into frailty, that is, observed and unobserved time-varying and time-invariant characteristics. We confirm previous evidence showing that frailty transitions have a statistically significant and positive impact on hospital use. We find new evidence on ambulatory and dental care use. Becoming frail has greater impact on specialist compared to GP visit, and frail elderly are less likely to access dental care. By preventing transitions toward frailty, policy planners could prevent hospital and ambulatory care uses. Further research is needed to investigate the relationship between frailty and dental care by controlling for reverse causation.
Identifiants
pubmed: 31571222
doi: 10.1111/1475-6773.13208
pmc: PMC6863246
doi:
Types de publication
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1305-1315Subventions
Organisme : Innovative Medicines Initiative
ID : 115621
Pays : International
Organisme : German Ministry of Education and Research
Pays : International
Organisme : Max Planck Society for the Advancement of Science
Pays : International
Organisme : US National Institute on Aging
Pays : International
Informations de copyright
© Health Research and Educational Trust.
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