Quantifying the Cost of Disability Transitions in Medicare

Dai, Mingliang; Roberto, Pamela; Tom, Sarah E.; Gentry, Emma G.; Stuart, Bruce

doi:10.1177/0898264316645547

Cited by 5 publications

(2 citation statements)

References 25 publications

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“…Previous studies have shown that, for example, the proportion of individuals with multimorbidity increases with age, and multimorbidity is therefore highly prevalent in very old adults . Moreover, several other studies have specifically reported the association between multimorbidity, higher functional impairment, cognitive decline, and increased health care use or costs in older people as well, which is in accordance with our findings. Previous research suggests that anxiety and depression have a comparatively earlier onset and that anxiety and depression levels are not necessarily stable over time.…”

Section: Discussionsupporting

confidence: 92%

Association of anxiety symptoms with health care use and costs in people aged 85 and over

Hohls

König

Bussche

et al. 2019

Int J Geriat Psychiatry

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Objective To analyze the association of anxiety symptoms with health care use and costs in people aged 85 and older. Methods Baseline data from AgeQualiDe (N = 856), a multicenter prospective cohort study of primary care patients aged 85 and older, were analyzed. Anxiety symptoms (Geriatric Anxiety Inventory—Short Form) and health care use were assessed via questionnaires. Health care use was monetarily valued using German unit costs to obtain sectoral (inpatient, outpatient, nursing care, medical supplies, and medication) and total costs. Health care use and costs were analyzed in regression models as a function of anxiety symptoms, as well as relevant covariates (predisposing, enabling, and other need characteristics based on the Behavioral Model of Health Care Use). Results On a descriptive level, people with increased anxiety symptoms (12% of the sample) incurred on average € 10 909 (SD: 16 023) in the last 6 months, 31% more than those without increased anxiety (€ 8303, SD: 11 175; P = 0.12). Adjusting for predisposing, enabling, and other need characteristics, anxiety symptoms were not significantly associated with health care use or costs. Specifically, need characteristics (morbidity, cognitive decline, and functional impairment) were associated with total or sectoral costs, depending on the cost category analyzed. Conclusion In a sample of people of the oldest‐old age group, the severity of anxiety symptoms was not associated with health care use or costs, when adjusting for relevant covariates. A longitudinal analysis could assess whether a change in anxiety symptom severity is associated with health care use or costs in old age.

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Section: Discussionsupporting

confidence: 92%

Association of anxiety symptoms with health care use and costs in people aged 85 and over

Hohls

König

Bussche

et al. 2019

Int J Geriat Psychiatry

View full text Add to dashboard Cite

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“…The average earnings of people who have been disabled for 10 years dropped by 77% ( 10 ). Dai et al further suggested that the health expenditures of older adults with functional limitations are higher compared with those with chronic diseases alone ( 12 ). Some studies found that older adults with disabilities are the most vulnerable to poverty and ill health.…”

Section: Introductionmentioning

confidence: 99%

Association Between Dynamic Trends of Functional Disability and Poverty Among People Aged 45 and Over

Liao

Yan

et al. 2022

Front. Public Health

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BackgroundThe disability problem has become prominent with the acceleration of the global aging process. Individual disability is associated with economic conditions and contributes to family poverty. As disability will change over a long period of time and may even show distinct dynamic trends, we aimed to focus on activities of daily living (ADL) and classify functional disability trends. Moreover, we aimed to highlight and analyze the association between functional disability trends and economic conditions and explore the influencing factors.Materials and MethodsA total of 11,222 individuals who were 45 years old or older were included in four surveys conducted by the China Health and Retirement Longitudinal Study in 2011, 2013, 2015, and 2018. Samples were analyzed after excluding those with missing key variables. The latent class growth model was used to classify the ADL trends. Two binary logistic regressions were established to observe the association between the ADL trends and follow-up economic conditions or catastrophic health expenditure trends.ResultsADL trends of older adults were classified into improving (25.4%), stabilizing (57.0%), and weakening ADL (17.6%). ADL trend was associated with follow-up poverty (p = 0.002) and catastrophic health expenditure trends (p < 0.001). Compared with the improving ADL trend, the stabilizing ADL may have a negative influence on individuals' economic conditions (OR = 1.175, 95%CI = 1.060–1.303). However, a stabilizing ADL trend was less likely to bring about catastrophic health expenditures (OR = 0.746, 95%CI = 0.678–0.820) compared with an improving ADL trend.ConclusionThe improvement of functional disability would make the medical expense burden heavier but would still be beneficial for the prevention of poverty. A significant association was found between socioeconomic factors and poverty. Preventing the older adults from developing disability and illness, improving the compensation level of medical insurance, and optimizing the long-term care insurance and the primary healthcare system can potentially contribute to the prevention of poverty. Meanwhile, focusing on people who are poor at early stages, women, middle-aged, low-educated, and in rural areas is important.

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Exploratory and spatial analysis of disability among older Asian Indians

Sharma

2019

Applied Geography

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Quantifying the Cost of Disability Transitions in Medicare

Cited by 5 publications

References 25 publications

Association of anxiety symptoms with health care use and costs in people aged 85 and over

Association of anxiety symptoms with health care use and costs in people aged 85 and over

Association Between Dynamic Trends of Functional Disability and Poverty Among People Aged 45 and Over

Exploratory and spatial analysis of disability among older Asian Indians

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