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Cognitive function and acute care utilization
Author(s)Edith G Walsh, Bei Wu, Janet B Mitchell
Journal titleJournals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 58B, no 1, January 2003
Pagespp S38-S49
KeywordsCognitive processes ; Medical care ; Usage [services] ; United States of America.
AnnotationHow does level of cognitive function vary in people aged 70+ living in the community? And how does acute care service usage differ according to level of cognitive function? The authors consider these question, by analysing the baseline year of the US Asset and Health Dynamics of the Oldest Old (AHEAD) survey, to create three levels of cognitive function, using direct measures for 6,651 self-respondents. 16%, 64% and 20% of the sample fell into low, moderate and high cognitive function groups, respectively, that differed significantly in almost all demographic and health status measures and some service use measures. Controlling for other health and functional status measures, lower cognitive function had a significant and negative effect on outpatient services, but did not affect hospital use directly. Lower cognitive function may be a barrier to outpatient care, but these analyses should be repeated using administrative use and cost data. (RH).
Accession NumberCPA-030212208 A
ClassmarkDA: LK: QLD: 7T

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