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Are cognitive impairment and depressive mood associated with increased service utilisation in community-dwelling elderly people?
Author(s)Marc Roelands, Herman Van Oyen, AnneMarie Depoorter
Journal titleHealth & Social Care in the Community, vol 11, no 1, January 2003
Pagespp 1-9
KeywordsMental disorder ; Depression ; Economic status [elderly] ; Living in the community ; Health services ; Services ; Usage [services] ; Belgium.
AnnotationThe relationship between cognitive or affective impairment and home service use is not clear. In this study, data on a sample of 1,134 community dwelling people aged 65+ from a local health survey in Belgium are analysed to investigate that relationship. Cognitive impairment was measured by the Mini Mental State Examination (MMSE) and depressive mood by the Center for Epidemiological Studies - Depression Scale (CES-D). Cognitive impairment and depressive mood were related to the number of home care services used, and to the use of every specific healthcare and social service. After controlling for confounding variables (i.e. sex, age, education, co-residence and disabilities), service use was still predicted by depressive mood, but not by cognitive impairment. Interventions to prevent and cure depressive mood should be considered to decrease the service needs of older people living in the community. Unmet service needs are suggested, since cognitive impairment does not result in increased service use. (RH).
Accession NumberCPA-030616507 A
ClassmarkE: ENR: F:W: K4: L: I: QLD: 76E

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