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Cited by 15Dementia and Cognitive Impairment ResearchGeriatric Care and Nursing HomesHealthcare Policy and Management

Health Care Service Utilization of Dementia Patients before and after Institutionalization: A Claims Data Analysis

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Schwarzkopf, Larissa, Hao, Yi, Holle, Rolf, Graessel, Elmar·2014·Dementia and Geriatric Cognitive Disorders Extra
DOI 10.1159/000362806PMC PMC4187252
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Abstract

Background: Community-based and institutional dementia care has been compared in cross-sectional studies, but longitudinal information on the effect of institutionalization on health care service utilization is sparse. Methods: We analyzed claims data from 651 dementia patients via Generalized Estimation Equations to assess health care service utilization profiles and corresponding expenditures from four quarters before to four quarters after institutionalization. Results: In all domains, utilization increased in the quarter of institutionalization. Afterwards, the use of drugs, medical aids, and non-physician services (e.g., occupational therapy and physiotherapy) remained elevated, but use of in- and outpatient treatment decreased. Cost of care showed corresponding profiles. Conclusion: Institutional dementia care seems to be associated with an increased demand for supportive services but not necessarily for specialized medical care.

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  • Previous studies examining health service utilisation among persons with dementia have been inconsistent regarding the timing of healthcare utilisation increases, with some finding increases with time following diagnosis and others observing increases near the time of death.

    “Previous studies examining health service utilisation among persons with dementia have been inconsistent regarding the timing of healthcare utilisation increases—with some finding that utilisation increases with time following diagnosis2 and others observing increases near the time of death.2 12 13 33”

    From Trajectories of health system use and survival for community-dwelling persons with dementia: a cohort study (2020) · cites this paper as [12]

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Authors
Schwarzkopf, L., Hao, Y., Holle, R., & Graessel, E.
Affiliations
  • Helmholtz Munich (DE)
  • Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
Corresponding author
Schwarzkopf, Larissa
ORCID
Venue
Dementia and Geriatric Cognitive Disorders Extra
Publisher
S. Karger AG
Published
2014-06-28
Volume
4
Issue
2
Pages
195-208
ISSN
1664-5464 (ISSN-L)
DOI
10.1159/000362806
PMC
PMC4187252
OpenAlex
W2027014063
Cited by
15
References
1
Citations by year
2024: 3 · 2023: 2 · 2020: 2 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 2
FWCI
1.27
Type
journal article
Language
en
Open access
Licence
Locations
  • Dementia and Geriatric Cognitive Disorders Extra (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Site cant be reached (submittedVersion, cc-by)
  • OPUS FAU (Kooperativer Bibliotheksverbund Berlin-Brandenburg (KOBV), on behalf of the Universitätsbibliothek Erlangen-Nürnberg) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords
dementia, institutionalization, health care utilization, community-based care, health care expenditure, support services, long-term care

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