Effect of the economic crisis on the use of health and home care services among elderly Spanish diabetes patients
| Autor: | Ana López-de-Andrés, Maria-Angeles Martinez-Huedo, Rodrigo Jiménez-García, José Luis del Barrio, Javier de Miguel-Díez, Isabel Jiménez-Trujillo, Valentín Hernández-Barrera |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Endocrinology Diabetes and Metabolism Physical activity 030209 endocrinology & metabolism Population based Small magnitude 03 medical and health sciences Health services 0302 clinical medicine Endocrinology Diabetes mellitus Surveys and Questionnaires Health care Internal Medicine medicine Diabetes Mellitus Humans 030212 general & internal medicine Aged business.industry Time trends General Medicine Health Services medicine.disease Home Care Services Hospitalization Economic Recession Spain Female Self Report business Older people Demography |
| Zdroj: | Diabetes research and clinical practice. 140 |
| ISSN: | 1872-8227 |
| Popis: | Aims To describe the utilization of health and home care services among older people (≥65 years) with diabetes during the economic crisis; to identify the factors associated with changes in the utilization of these services; and to study the time trends (2009–2014). Methods We used the European Health Interview Surveys for Spain (EEHSS) for 2009/10 and 2014. The dependent variables included self-reported hospitalizations; general practitioner (GP) visits; ‘other healthcare services’ (OHS) used; and home care services (HCS) used. Results We identified 6026 and 6020 diabetic patients (EEHSS2009 and EEHSS2014, respectively). A significant decrease in the number of GP visits (OR 0.94; 95% CI 0.91–0.98) and the use of HCS (OR 0.95; 95% CI 0.91–0.99) was found; however, we found an increase in the use of OHS (OR 1.06; 95% CI 1.02–1.10). Multivariate models showed that factors associated with an increased use included chronic conditions, worse self-rated health, pain and mental disorders. Physical activity was a strong predictor of lower hospitalizations and HCS use. Female gender was associated with significantly lower hospitalizations and a higher use of OHC and HCS. Conclusion We found a decrease in the number of GP visits and the use of HCS among elderly diabetic adults; however, we also observed an increase in the use of OHS, which may partly explain this decrease in the figures. Significant differences in the use of health services were found according to gender. The effect of the economic crisis, if any, seems to have had a small magnitude. |
| Databáze: | OpenAIRE |
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