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Psychosocial perspectives on health care utilization among frail elderly people: An explorative study.

Jakobsson, Ulf LU ; Kristensson, Jimmie LU ; Rahm Hallberg, Ingalill LU and Midlöv, Patrik LU (2011) In Archives of Gerontology and Geriatrics 52. p.290-294
Abstract
The aim was to explore the relationship between health care utilization over 2 years and psychosocial variables measured at the end of this period in a sample of older people with high health care consumption. Sixty-three people aged 69-96 years were included in the study. Data were collected from two different registers covering health care utilization from 2004 to the end of 2008, and baseline data from an ongoing RCT. A cluster analysis (based on the health care utilization variables) was used to divide the sample into subgroups. The cluster analysis resulted in a two cluster and a three cluster solutions. The latter was found to be more appropriate because it more clearly discriminated between the groups regarding health care... (More)
The aim was to explore the relationship between health care utilization over 2 years and psychosocial variables measured at the end of this period in a sample of older people with high health care consumption. Sixty-three people aged 69-96 years were included in the study. Data were collected from two different registers covering health care utilization from 2004 to the end of 2008, and baseline data from an ongoing RCT. A cluster analysis (based on the health care utilization variables) was used to divide the sample into subgroups. The cluster analysis resulted in a two cluster and a three cluster solutions. The latter was found to be more appropriate because it more clearly discriminated between the groups regarding health care utilization and psychosocial variables. The three clusters were classified as "high consumers" (Cluster I), and "low consumers" (Clusters II and III). Cluster II seemed to be characterized by low outpatient but high inpatient care utilization, while the opposite utilization pattern can be seen in Cluster III, which also contained those with the largest social network, lowest risk of depression, highest life satisfaction and who felt least lonely. Cluster II contained those who felt the loneliest. Thus, older people whose health care consumption mainly comprises outpatient care appeared to have the least impact on the psychosocial variables (e.g., the highest life satisfaction, felt least lonely and were at the lowest risk of depression). Thus, measures taken to prevent health care utilization, especially among those with high utilization of inpatient care, will most likely have a positive effect on psychosocial variables and life satisfaction/quality of life (QoL). (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Archives of Gerontology and Geriatrics
volume
52
pages
290 - 294
publisher
Elsevier
external identifiers
  • wos:000288989400035
  • pmid:20494463
  • scopus:79953100115
ISSN
1872-6976
DOI
10.1016/j.archger.2010.04.016
language
English
LU publication?
yes
id
745ff721-92ca-426a-9749-e639c0247955 (old id 1610017)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20494463?dopt=Abstract
date added to LUP
2010-06-02 11:00:34
date last changed
2017-03-26 04:31:51
@article{745ff721-92ca-426a-9749-e639c0247955,
  abstract     = {The aim was to explore the relationship between health care utilization over 2 years and psychosocial variables measured at the end of this period in a sample of older people with high health care consumption. Sixty-three people aged 69-96 years were included in the study. Data were collected from two different registers covering health care utilization from 2004 to the end of 2008, and baseline data from an ongoing RCT. A cluster analysis (based on the health care utilization variables) was used to divide the sample into subgroups. The cluster analysis resulted in a two cluster and a three cluster solutions. The latter was found to be more appropriate because it more clearly discriminated between the groups regarding health care utilization and psychosocial variables. The three clusters were classified as "high consumers" (Cluster I), and "low consumers" (Clusters II and III). Cluster II seemed to be characterized by low outpatient but high inpatient care utilization, while the opposite utilization pattern can be seen in Cluster III, which also contained those with the largest social network, lowest risk of depression, highest life satisfaction and who felt least lonely. Cluster II contained those who felt the loneliest. Thus, older people whose health care consumption mainly comprises outpatient care appeared to have the least impact on the psychosocial variables (e.g., the highest life satisfaction, felt least lonely and were at the lowest risk of depression). Thus, measures taken to prevent health care utilization, especially among those with high utilization of inpatient care, will most likely have a positive effect on psychosocial variables and life satisfaction/quality of life (QoL).},
  author       = {Jakobsson, Ulf and Kristensson, Jimmie and Rahm Hallberg, Ingalill and Midlöv, Patrik},
  issn         = {1872-6976},
  language     = {eng},
  pages        = {290--294},
  publisher    = {Elsevier},
  series       = {Archives of Gerontology and Geriatrics},
  title        = {Psychosocial perspectives on health care utilization among frail elderly people: An explorative study.},
  url          = {http://dx.doi.org/10.1016/j.archger.2010.04.016},
  volume       = {52},
  year         = {2011},
}