We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Utilization Patterns of Ambulatory Medical Care before and after the Diagnosis of Dementia in Germany – Results of a Case-Control Study.
- Authors
Eisele M; van den Bussche H; Koller D; Wiese B; Kaduszkiewicz H; Maier W; Glaeske G; Steinmann S; Wegscheider K; Schön G
- Abstract
Aims: To analyze how the diagnosis of dementia changes the utilization of the ambulatory medical care services in the German statutory health insurance. Methods: In this case-control study, claims data of 1,848 insurants aged ≥65 years with incident dementia and 7,392 matched controls were compared regarding their utilization of ambulatory medical care services. Results: We found an increase in the utilization of ambulatory medical care services by demented patients of 50% in the year before and of 40% in the year after the incidence, predominantly in primary care and neurology/psychiatry settings. A negative interaction effect of age and gender (p ≤ 0.000) was found regarding the number of visited physicians. Conclusion: Service utilization by demented patients increases already within the year before the first diagnosis and stays on a relatively high level within the year after. Especially (female) patients aged 80 years and older at dementia onset ought to be observed to prevent a possible undersupply. Copyright © 2010 S. Karger AG, Basel
- Publication
Dementia & Geriatric Cognitive Disorders, 2010, Vol 29, Issue 6, p475
- ISSN
1420-8008
- Publication type
Journal Article
- DOI
10.1159/000310350