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Rising use of physician services by the elderly: the contribution of morbidity

Canadian Journal on Aging/La Revue Canadienne du Vieillissement

Author: Black, Charlyn, Roos, Noralou P., Havens, Betty, MacWilliam, Leonard
Type: Journal Article
Year: 1995

Abstract:

A secondary analysis of linked survey & physician claims data from Manitoba (a longitudinal study on aging), designed to assess & compare the impact of a decline in elderly persons' health status on utilization of doctor services in 1971 & 1983. Information came from stratified random samples of noninstitutionalized individuals at the 2 points in time (N = 3,562 & 3,617, respectively). Addressed are: differing patterns in ambulatory-services consumption among those of poor & good health; whether those in poor health represent higher utilization; & how large a role morbidity plays in increased care. It is revealed that per capita use of consult & nonconsult visits rises across age & health categories, with the older & sicker experiencing greater increases. Taken as a group, growth in size of the elderly population is found related to higher usage. However, changes in need due to aging & morbidity have only minor effects. The majority of increased services are directed to those in good health. Policy implications are discussed.

Further Details

Full Title: Canadian Journal on Aging/La Revue canadienne du vieillissement
Pages: 225-244
Volume: 14
Issue: 2
Accession Number: 18.3.03
Electronic Resource Number: 10.1017/S071498080001182X
Keywords: North America, older, health improvement
Reads: 193
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