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- Title
Increased Health Service Utilization Costs in the Year Prior to Institutionalization: Findings from the Canadian Study of Health and Aging.
- Authors
Naslund, John A.; Sauter, Agnes H.; Gutman, Gloria; Lynn Beattie, B.
- Abstract
Objectives The objective of this study was to characterize patterns of formal health service utilization costs during older adults' transition from community to institutional care. Methods Participants were 127 adults (age ⩾ 65) from the British Columbia sample (N = 2 ,057) o f t he C anadian S tudy o f Health and Aging who transitioned from community to institutional care between 1991 and 2001. Health service utilization costs were measured using Cost-Per-Day-At- Risk at five time points: > 12 months, 6-12 months, and ⩽ 6 months preinstitutionalization, and ⩽ 6 months and 6-12 months postinstitutionalization. Cost-Per-Day-At-Risk was measured for Continuing Care, Medical Services Plan, and PharmaCare costs by calculating total health service use over time, divided by the number of days the participant was alive. Results Significant differences in Cost-Per-Day-At-Risk were observed for Continuing Care, Medical Services Plan, and PharmaCare costs over time. All health service utilization costs increased significantly during the 6-12 months and ⩽ 6 months prior to institutionalization. Postinstitutionalization Continuing Care costs continued to increase at ⩽ 6 months before decreasing at 6-12 months, while decreases occurred for Medical Services Plan and PharmaCare costs relative to preinstitutionalization costs. Conclusions The increases in costs observed during the year prior to institutionalization, characterized by a flurry of health service utilization, provide evidence of distinct cost patterns over the transition period.
- Subjects
BRITISH Columbia; DRUGS &; economics; MEDICAL economics; LONG-term health care; HOSPITAL care of older people; ANALYSIS of variance; LIFE change events; LONGITUDINAL method; MEDICAL care use; MEDICAL care costs; MEDICAL record linkage; MULTIVARIATE analysis; REGRESSION analysis; RESEARCH funding; STATISTICS; TIME; COST analysis; DATA analysis; SECONDARY analysis; PREDICTIVE validity; PRE-tests &; post-tests; RETROSPECTIVE studies; STATISTICAL models; DESCRIPTIVE statistics; ECONOMICS
- Publication
Canadian Geriatrics Journal, 2014, Vol 17, Issue 2, p45
- ISSN
1925-8348
- Publication type
Article
- DOI
10.5770/cgj.17.82