Unmet health care needs and mortality among Spanish elderly
Dados Bibliográficos
| ID | 11030798 |
|---|---|
| Autores | Jordi Alonso (0000-0001-8627-9636, Municipal Institute for Medical Research), Francesc Orfila (0000-0002-2409-1731, Instituto de Salud Carlos III), Ana Ruigómez (0000-0002-9717-6306, Instituto de Salud Carlos III), Mariona Ferrer (0000-0001-9867-7391, Instituto de Salud Carlos III), Josep M Antó (0000-0002-4736-8529) |
| Ano | 1997 |
| Volume | 87 |
| Fascículo | 3 |
| Páginas | 365-370 |
| Data de publicação | 1997-03-01 |
| Peer Reviewed | Sim |
| Open Access | Não |
| Tipo | ARTICLE |
| Periódico | American Journal of Public Health (JOURNAL) |
| Identificadores do periódico | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Editora | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.87.3.365 |
| PMID | 9096535 |
| OpenAlex | W1977644563 |
| Idioma | EN |
| Citações recebidas | 21 |
| Referências citadas | 24 |
OBJECTIVES: This study estimates the prevalence of unmet health care needs among the elderly of Barcelona, Spain, and analyzes the association between unmet needs and mortality. METHODS: Home interviews were conducted with 1315 elderly in Barcelona. Individuals were classified as having a "health services need" if they reported being in fair, poor, or very poor health; suffering from two or more chronic conditions; or being dependent in at least one basic activity of daily living. Need was considered unmet if no visits to or from a physician in the previous 12 months were reported. Mortality was assessed from census data in August 1991. RESULTS: Between 10% and 25% of the elderly in need reported no use of health services. After a median of 60.3 months, those with unmet health care needs presented a higher risk of mortality, adjusted for several confounding factors: relative risk [RR] = 2.55 (95% confidence interval [CI] = 1.22, 5.32) for unmet activity of daily living dependency; RR = 1.80 (95% CI = 1.20, 2.70) for unmet comorbidity; and odds ratio = 1.10 (95% CI = 0.59, 2.05) for unmet poor self-rated health. CONCLUSION: Noninstitutionalized elderly individuals with unmet health care needs are at increased risk of dying
Activities of daily living · Comorbidity · Confidence interval · Confounding · Environmental health · Health care · Odds ratio · Psychiatry · Relative risk · Aging, Health, and Disability · Chronic Disease Management Strategies · Demography · Healthcare Systems and Reforms · Internal Medicine · Medicine · Gerontology
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| Obras citantes distintas | 21 |
|---|---|
| Citações por ano | 0,81 |
| Intervalo de citações | 2000 - 2026 (27) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 19 |