The Patterns of Health Care Utilization by Elderly Europeans: Frailty and Its Implications for Health Systems

被引：100

作者：

Ilinca, Stefania ^{[2
]}

Calciolari, Stefano ^{[1
]}

机构：

[1] Univ Svizzera Italiana, Fac Econ, CH-6904 Lugano, Switzerland

[2] European Ctr Social Welf Policy & Res, Vienna, Austria

来源：

HEALTH SERVICES RESEARCH | 2015年 / 50卷 / 01期

关键词：

Frailty; health care utilization; aging; Europe; prevention; OLDER-ADULTS; PEOPLE;

D O I：

10.1111/1475-6773.12211

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

ObjectiveTo examine the patterns of health care utilization by the elderly and test the influence of functional decline. Data Source and Study DesignWe used the three regular waves of the SHARE survey to estimate the influence of frailty on health care utilization in 10 European countries. We controlled for the main correlates of frailty and unobserved individual effects. ResultsThe frail elderly increase their primary and hospital care utilization before the onset of disability. Multimorbidity moderates the effect of frailty on care utilization. ConclusionsThe prevalence of frailty is high in most countries and is expected to increase. This renders frailty prevention and remediation efforts imperative for two complementary reasons: to promote healthier aging and to reduce the burden on health systems.

引用

页码：305 / 320

页数：16

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