Unmet Needs and Healthcare Service Utilization Among Older Adults: A Systematic Review
2024

Unmet Needs and Healthcare Service Utilization Among Older Adults

Sample size: 8 publication Evidence: moderate

Author Information

Author(s): Khan Maham, Sands Laura, Comer Cozette, Hoch Jackson

Primary Institution: Virginia Tech

Hypothesis

Unmet needs among older adults lead to increased healthcare utilization.

Conclusion

Older adults with unmet needs experience significantly higher rates of hospitalization and emergency room visits.

Supporting Evidence

  • Individuals with unmet needs experience double the hospitalization rates compared to those with met needs.
  • Emergency room visits are 31% higher among those with unmet self-care needs.
  • 74% of hospital deaths report having experienced unmet needs at end-of-life.
  • Sociodemographic factors like older age and living alone increase risks of healthcare utilization.

Takeaway

When older people don't get the help they need, they end up going to the hospital more often. It's important to help them so they can stay healthy.

Methodology

A systematic review of 6,475 studies was conducted, and eight studies were included for analysis.

Limitations

The review only included studies focusing on non-institutionalized older adults in the U.S.

Participant Demographics

Non-institutionalized older adults in the U.S. with at least one ADL difficulty.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.3919

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