Pent-up demand for care among dual-eligible victims of elder financial exploitation in Maine
| Autor: | Yvonne Jonk, Kimberly I Snow, S Bratesman, C A Smith, Erika C. Ziller PhD, Catherine McGuire, Deborah Thayer |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Vulnerable adult Total cost Logistic regression Elder Abuse Medicare Odds 03 medical and health sciences 0302 clinical medicine 030502 gerontology Medicine Humans Maine Adult Protective Services health care economics and organizations Aged Finance Aged 80 and over Health Services Needs and Demand 030214 geriatrics business.industry Medicaid Elder abuse Difference in differences United States Female Geriatrics and Gerontology 0305 other medical science business Social Sciences (miscellaneous) |
| Zdroj: | Journal of elder abuseneglect. 32(4) |
| ISSN: | 1540-4129 |
| Popis: | Elder financial exploitation (EFE), the misuse of a vulnerable adult's property or resources for personal gain, is a form of elder abuse. This study addresses whether dual-eligible EFE victims were experiencing pent-up demand for health services alleviated through investigation by Adult Protective Services (APS). A quasi-experimental design addressed health service utilization and costs for 131 dual-eligible Maine APS clients over age 60 with substantiated allegations of EFE relative to comparable non-APS controls. APS case files spanning 2007-2012 were linked to 2006-2014 Medicare and Medicaid claims data. Service utilization and costs were analyzed 1 year prior, during, and 2 years after the initial APS investigation. Difference in differences logistic regression and generalized linear models addressed the likelihood of incurring costs and expenditure levels relative to matched controls, respectively. Victims of EFE had higher overall odds of using inpatient and long-term services and supports (LTSS) and higher odds of using LTSS post-investigation than controls. Higher overall levels of outpatient and prescriptions expenditures and higher inpatient expenditures during the APS event year contributed toward APS clients incurring $1,142 higher PMPM total costs than controls. Victims of EFE were experiencing significant pent-up demand for health services post-APS involvement. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|