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.
| Item Type: | Journal article |
|---|---|
| Keywords: | 80 and over; Aged; Ambulatory Care; Ambulatory Care: utilization; Case-Control Studies; Cohort Studies; Dementia; Dementia: diagnosis; Dementia: economics; Dementia: epidemiology; Female; Germany; Health Planning; Health Services |
| Faculties: | Medicine > Institute for Medical Information Processing, Biometry and Epidemiology Medicine > Institute for Medical Information Processing, Biometry and Epidemiology > Epidemiology of Vertigo and Dizziness |
| Subjects: | 600 Technology > 610 Medicine and health |
| ISSN: | 1421-9824 |
| Language: | English |
| Item ID: | 39135 |
| Date Deposited: | 20. Jun 2017, 07:24 |
| Last Modified: | 04. Nov 2020, 13:16 |
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