Hospital Utilization Profiles among Older Adults Over Time

Consistency and Volume among Survivors and Decedents

Bibliographic Data

ID12443512
AuthorsFredric D Wolinsky (0000-0002-0916-4955, Indiana University School of Medicine, corresponding author), Timothy E Stump (0000-0001-9593-3011, Regenstrief Institute), Robert J Johnson (0000-0001-8262-1828, Kent State University)
Year1995
Volume50B
Issue2
PagesS88-S100
Publication date1995-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Journals of Gerontology Series B (JOURNAL)
Journal identifiersISSN: 1079-5014 • E-ISSN: 1758-5368
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/geronb/50b.2.s88
PMID7757844
OpenAlexW2039227006
LanguageEN
Citations received10

Medicare claims data are used to model hospital utilization patterns for the 4,660 survivors and 2,867 decedents of the Longitudinal Study on Aging (LSOA). When the volume of hospital utilization was collapsed into four categories based on the mean annual number of hospital episodes and consistency was defined as a maximum absolute deviation from that mean of 1.5 or less, 42.6 percent of the LSOA respondents were found not to have any hospital admissions, and another 24.7 percent were found to be consistently low users. Only 4.8 percent were consistently high users, with an additional 6.8 percent being inconsistently high users. Multiple regression identified prior physician and hospital utilization, as well as poor perceived health, as the most important predictors of the volume and consistency of hospital utilization among survivors, as well as of the volume of hospital utilization among decedents. Among decedents, consistency was primarily related to geographic region and prior physician utilization

Consistency (knowledge bases · Volume (thermodynamics · Global Health Care Issues · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Demography · Emergency Medicine · Gerontology