OBJECTIVES: We analyzed correlates of older Americans' continuous and transitional health care utilization over 4 years. METHODS: We analyzed data for civilian, noninstitutionalized US individuals older than 50 years from the 2006 and 2008 waves of the Health and Retirement Study. We estimated multinomial logistic models of persistent and intermittent use of physician, inpatient hospital, home health, and outpatient surgery over the 2004-2008 survey periods. RESULTS: Individuals with worse or worsening health were more likely to persistently use medical care and transition into care and not transition out of care over time. Financial variables were less often significant and, when significant, were often in an unexpected direction. CONCLUSIONS: Older individuals' health and changes in health are more strongly correlated with persistence of and changes in care-seeking behavior over time than are financial status and changes in financial status. The more pronounced sensitivity to health status and changes in health are important considerations in insurance and retirement policy reforms.
OBJECTIVES: We analyzed correlates of older Americans' continuous and transitional health care utilization over 4 years. METHODS: We analyzed data for civilian, noninstitutionalized US individuals older than 50 years from the 2006 and 2008 waves of the Health and Retirement Study. We estimated multinomial logistic models of persistent and intermittent use of physician, inpatient hospital, home health, and outpatient surgery over the 2004-2008 survey periods. RESULTS: Individuals with worse or worsening health were more likely to persistently use medical care and transition into care and not transition out of care over time. Financial variables were less often significant and, when significant, were often in an unexpected direction. CONCLUSIONS: Older individuals' health and changes in health are more strongly correlated with persistence of and changes in care-seeking behavior over time than are financial status and changes in financial status. The more pronounced sensitivity to health status and changes in health are important considerations in insurance and retirement policy reforms.
Authors: Richard J Manski; John F Moeller; Haiyan Chen; Jody Schimmel; Patricia A St Clair; John V Pepper Journal: J Public Health Dent Date: 2012-09-21 Impact factor: 1.821
Authors: A Hajek; C Brettschneider; H van den Bussche; H Kaduszkiewicz; A Oey; B Wiese; S Weyerer; J Werle; A Fuchs; M Pentzek; J Stein; T Luck; H Bickel; E Mösch; K Heser; M Bleckwenn; M Scherer; S G Riedel-Heller; W Maier; H-H König Journal: J Nutr Health Aging Date: 2018 Impact factor: 4.075
Authors: Jonathan G Shaw; Monica Farid; Claire Noel-Miller; Neesha Joseph; Ari Houser; Steven M Asch; Jay Bhattacharya; Lynda Flowers Journal: J Aging Health Date: 2017-09-17
Authors: Matthew E Dupre; Danan Gu; Hanzhang Xu; Janese Willis; Lesley H Curtis; Eric D Peterson Journal: J Am Heart Assoc Date: 2017-11-16 Impact factor: 5.501
Authors: Mayilee Canizares; Monique Gignac; Sheilah Hogg-Johnson; Richard H Glazier; Elizabeth M Badley Journal: BMJ Open Date: 2016-09-29 Impact factor: 2.692