Effect of the economic crisis on the use of health and home care services among elderly Spanish diabetes patients

被引:4
作者
Lopez-de-Andres, Ana [1 ]
de Miguel-Diez, Javier [2 ]
Hernandez-Barrera, Valentin [1 ]
Jimenez-Trujillo, Isabel [1 ]
Martinez-Huedo, Maria-Angeles [3 ]
Luis del Barrio, Jose [1 ]
Jimenez-Garcia, Rodrigo [1 ]
机构
[1] Rey Juan Carlos Univ, Hlth Sci Fac, Prevent Med & Publ Hlth Teaching & Res Unit, Avda Atenas S-N, Alcorcon 28922, Comunidad De Ma, Spain
[2] Univ Complutense Madrid, Hosp Gen Univ Gregorio Maranon, Pneumol Dept, Comunidad De Madrid, Spain
[3] Hosp Univ La Paz, Unidad Docencia, Prevent Med & Publ Hlth, Madrid, Comunidad De Ma, Spain
关键词
Diabetes; Older people; Healthcare services; Population-based; Time trends; Economic crisis; SELF-RATED HEALTH; OLDER-ADULTS; SPAIN; POPULATION; RISK; QUALITY; IMPACT; COSTS; HOSPITALIZATION; COMPLICATIONS;
D O I
10.1016/j.diabres.2018.03.033
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims: To describe the utilization of health and home care services among older people (>= 65 years) with diabetes during the economic crisis, to identify the factors associated with changes in the utilization of these services, and to study the time trends (2009-2014). Methods: We used the European Health Interview Surveys for Spain (EEHSS) for 2009/10 and 2014. The dependent variables included self-reported hospitalizations, general practitioner (GP) visits, 'other healthcare services' (OHS) used, and home care services (HCS) used. Results: We identified 6026 and 6020 diabetic patients (EEHSS2009 and EEHSS2014, respectively). A significant decrease in the number of GP visits (OR 0.94, 95% CI 0.91-0.98) and the use of HCS (OR 0.95, 95% CI 0.91-0.99) was found, however, we found an increase in the use of OHS (OR 1.06, 95% CI 1.02-1.10). Multivariate models showed that factors associated with an increased use included chronic conditions, worse self-rated health, pain and mental disorders Physical activity was a strong predictor of lower hospitalizations and HCS use Female gender was associated with significantly lower hospitalizations and a higher use of OHC and HCS. Conclusion: We found a decrease in the number of GP visits and the use of HCS among elderly diabetic adults; however, we also observed an increase in the use of OHS, which may partly explain this decrease in the figures Significant differences in the use of health services were found according to gender. The effect of the economic crisis, if any, seems to have had a small magnitude. (C) 2018 Elsevier B.V All rights reserved.
引用
收藏
页码:27 / 35
页数:9
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