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.