欧洲老年人的医疗保健利用模式：衰弱及其对卫生系统的影响。
The patterns of health care utilization by elderly Europeans: frailty and its implications for health systems.
机构信息
European Centre for Social Welfare Policy and Research, Vienna, Austria.
出版信息
Health Serv Res. 2015 Feb;50(1):305-20. doi: 10.1111/1475-6773.12211. Epub 2014 Aug 19.
Abstract
OBJECTIVE
To examine the patterns of health care utilization by the elderly and test the influence of functional decline.
DATA SOURCE AND STUDY DESIGN
We 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.
RESULTS
The frail elderly increase their primary and hospital care utilization before the onset of disability. Multimorbidity moderates the effect of frailty on care utilization.
CONCLUSIONS
The 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.
摘要
目的
研究老年人的医疗保健利用模式，并检验功能下降的影响。
数据来源和研究设计
我们使用 SHARE 调查的三个常规波次来估计衰弱对 10 个欧洲国家医疗保健利用的影响。我们控制了衰弱的主要相关因素和未观察到的个体效应。
结果
虚弱的老年人在残疾发生之前增加了他们对初级和医院护理的利用。共病使衰弱对护理利用的影响发生变化。
结论
在大多数国家，衰弱的患病率很高，预计还会增加。这使得衰弱的预防和修复工作势在必行，原因有二：促进更健康的老龄化和减轻卫生系统的负担。
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本文引用的文献
1
A multifactorial interdisciplinary intervention reduces frailty in older people: randomized trial.
BMC Med. 2013 Mar 11;11:65. doi: 10.1186/1741-7015-11-65.
2
Lower nutritional status and higher food insufficiency in frail older US adults.
Br J Nutr. 2013 Jul 14;110(1):172-8. doi: 10.1017/S000711451200459X. Epub 2012 Nov 1.
3
Frailty is associated with longer hospital stay and increased mortality in hospitalized older patients.
J Nutr Health Aging. 2012 Aug;16(8):732-5. doi: 10.1007/s12603-012-0369-5.
4
Socio-demographic determinants of worsening in frailty among community-dwelling older people in 11 European countries.
J Epidemiol Community Health. 2012 Dec;66(12):1116-21. doi: 10.1136/jech-2011-200027. Epub 2012 Apr 27.
5
The frailty syndrome: a comprehensive review.
J Nutr Gerontol Geriatr. 2011;30(4):315-68. doi: 10.1080/21551197.2011.623931.
6
Health-care and home-care utilization among frail elderly persons in Belgium.
Eur J Public Health. 2012 Oct;22(5):671-7. doi: 10.1093/eurpub/ckr133. Epub 2011 Sep 10.
7
Frailty predicts increased hospital and six-month healthcare cost following colorectal surgery in older adults.
Am J Surg. 2011 Nov;202(5):511-4. doi: 10.1016/j.amjsurg.2011.06.017. Epub 2011 Sep 3.
8
Treating frailty--a practical guide.
BMC Med. 2011 Jul 6;9:83. doi: 10.1186/1741-7015-9-83.
9
Transitions in frailty status in older adults in relation to mobility: a multistate modeling approach employing a deficit count.
J Am Geriatr Soc. 2011 Mar;59(3):524-9. doi: 10.1111/j.1532-5415.2011.03300.x.
10
The frailty syndrome: definition and natural history.
Clin Geriatr Med. 2011 Feb;27(1):1-15. doi: 10.1016/j.cger.2010.08.009.
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