Hospital and outpatient clinic utilization among older people in the 3-5 years following the initiation of continuing care: a longitudinal cohort study
2011

Hospital and outpatient clinic use among older people after starting continuing care

Sample size: 1079 publication 10 minutes Evidence: moderate

Author Information

Author(s): Anna Condelius, Ingalill R Hallberg, Ulf Jakobsson

Primary Institution: Lund University

Hypothesis

What is the rate of hospital and outpatient clinic utilization among older people with varying numbers of hospital stays in the first year after initiating continuing care?

Conclusion

Older people with three or more hospital stays in the first year after starting continuing care continue to have the highest rates of hospital and outpatient clinic utilization in subsequent years.

Supporting Evidence

  • 57% of participants had no hospital stays in the first year.
  • Those with three or more hospital stays accounted for 57% of hospital stays in the first year.
  • 27% of those with three or more hospital stays in the first year had the same in the second year.

Takeaway

This study looked at older people who started continuing care and found that those who went to the hospital a lot in the first year kept going back more than others.

Methodology

The study followed 1079 older adults over 3-5 years, categorizing them based on their hospital stays in the first year after starting continuing care.

Potential Biases

There is a risk of underestimation of health complaints due to reliance on staff assessments rather than self-reports from participants.

Limitations

The study had a high mortality rate among participants, which may affect the results, and there were issues with data quality and missing values.

Participant Demographics

Participants were aged 65 and older, with a mean age of 80.4 years; 64.5% were women.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-11-136

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