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328
Addressing transition to adult health care for adolescents with special health care needs. Pediatrics
"... ABSTRACT. Objective. To determine the factors asso-ciated with addressing the transition from pediatric to adult-oriented health care among US adolescents with special health care needs. Methods. Data for 4332 adolescents, 14 to 17 years of ..."
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Cited by 21 (0 self)
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ABSTRACT. Objective. To determine the factors asso-ciated with addressing the transition from pediatric to adult-oriented health care among US adolescents with special health care needs. Methods. Data for 4332 adolescents, 14 to 17 years of
The moderating influence of service use on negative caregiving consequences
- Journal of Gerontology: Social Sciences
, 1996
"... This investigation adapts the social support conceptual framework to examine the moderating influence of community service use by impaired older persons on the negative consequences of caregiving for informal helpers. The model is modified by defining services as a type of social support that can co ..."
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Cited by 15 (3 self)
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This investigation adapts the social support conceptual framework to examine the moderating influence of community service use by impaired older persons on the negative consequences of caregiving for informal helpers. The model is modified by defining services as a type of social support that can counteract the stress associated with various care recipient impairments. Results from multivariate analyses of data from 401 caregivers suggest that certain services for care recipients can reduce the adverse effects of certain impairments on informal caregivers. The use of health care service by care recipients who are more disabled is related to lower levels of caregiver depression, health deterioration, and social isolation. Personal care service use consistently offsets the negative effects of care recipients ' behavioral problems. Additionally, the use of household service when care recipients exhibit behavioral problems is associated with lower levels of caregiver depression. THIS research adapts the social support conceptual frame-work to examine the moderating effect of community services for elderly care recipients on negative caregiving consequences for informal helpers. Community services refer to in- and out-of-home assistance to care recipients from formal providers such as registered nurses, social workers, therapists in adult day care centers, home health
Review: Health care utilization and costs of elderly persons with multiple chronic conditions
- Medical Care Research and Review
, 2011
"... This systematic literature review identified and summarized 35 studies that inves tigated the relationship between multiple chronic conditions (MCCs) and health care utilization outcomes (i.e. physician use, hospital use, medication use) and health care cost outcomes (medication costs, outofpocket c ..."
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Cited by 13 (0 self)
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This systematic literature review identified and summarized 35 studies that inves tigated the relationship between multiple chronic conditions (MCCs) and health care utilization outcomes (i.e. physician use, hospital use, medication use) and health care cost outcomes (medication costs, outofpocket costs, total health care costs) for elderly general populations. Although synthesis of studies was complicated because of ambiguous definitions and measurements of MCCs, and because of the multitude of outcomes investigated, almost all studies observed a positive association of MCCs and use/costs, many of which found that use/costs significantly increased with each additional condition. Several studies indicate a curvilinear, near exponential relationship between MCCs and costs. The rising prevalence, substantial costs, and the fear that current care arrangements may be inappropriate for many patients with MCCs, bring about a multitude of implications for research and policy, of which the most important are presented and discussed. Keywords multiple chronic conditions, multimorbidity, health care utilization, health care costs, aged This article, submitted to Medical Care Research and Review on March 26, 2010, was revised and accepted for publication on January 13, 2011.
Expectations of nursing home use in the Health and Retirement Study: The role of gender, health, and family characteristics
- Journal of Gerontology: Social Sciences
, 1997
"... Economic models of life cycle behavior suggest that expectations about future events may affect savings, insurance, and retirement planning. This article uses data from the first wave of the Health and Retirement Survey (HRS) to examine how personal characteristics and health conditions influence ex ..."
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Cited by 10 (0 self)
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Economic models of life cycle behavior suggest that expectations about future events may affect savings, insurance, and retirement planning. This article uses data from the first wave of the Health and Retirement Survey (HRS) to examine how personal characteristics and health conditions influence expectations of nursing home use. Subjective expectations of nursing home use are quite close to known probabilities of lifetime use. There are marked differ-ences in the determinants of expectations for women and men that also conform to actual behavior. There is strong evidence that women and men incorporate what is known about nursing home risk into their own expectations, even many years prior to the time when they are most likely to need long-term care. THERE is a growing body of literature on the incidenceof nursing home use and on the health and economic determinants of nursing home entry. Persistent changes in living arrangement patterns of elderly persons (Holden, 1988) and predicted changes in longevity and health (Crim-mins, Hayward, and Saito, 1994; Crimmins and Ingegneri, 1992), suggest that the lifetime probabilities of nursing home use will continue to rise for future cohorts of elderly persons. Although it is important to understand the deter-
Risk of nursing home admission among older Americans : does states’ spending on home- and community-based services matter
- Journal of Gerontology : Social Sciences
, 2007
"... Objectives. States vary greatly in their support for home- and community-based services (HCBS) that are intended to help disabled seniors live in the community. This article examines how states ’ generosity in providing HCBS affects the risk of nursing home admission among older Americans and how fa ..."
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Cited by 7 (0 self)
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Objectives. States vary greatly in their support for home- and community-based services (HCBS) that are intended to help disabled seniors live in the community. This article examines how states ’ generosity in providing HCBS affects the risk of nursing home admission among older Americans and how family availability moderates such effects. Methods. We conducted discrete time survival analysis of first long-term (90 or more days) nursing home admissions that occurred between 1995 and 2002, using Health and Retirement Study panel data from respondents born in 1923 or earlier. Results. State HCBS effects were conditional on child availability among older Americans. Living in a state with higher HCBS expenditures was associated with lower risk of nursing home admission among childless seniors (p <.001). However, the association was not statistically significant among seniors with living children. Doubling state HCBS expenditures per person aged 65 or older would reduce the risk of nursing home admission among childless seniors by 35%. Discussion. Results provided modest but important evidence supportive of increasing state investment in HCBS. Within-state allocation of HCBS resources, however, requires further research and careful consideration about fairness for individual seniors and their families as well as cost effectiveness. P REVIOUS research has shown that families play criticalroles in the care of frail elderly members as direct care
Immigrants and health care access, quality, and cost
- Medical Care Research and Review
, 2009
"... accepted for publication on November 19, 2008. ..."
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Chauvie S. Insurance continuity and receipt of diabetes preventive care in a network of federally qualified health centers. Med Care
"... Background and Objectives—Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in a ..."
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Cited by 6 (1 self)
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Background and Objectives—Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in affecting receipt of services is less well understood. Research Design—We used practice management data from a coalition of FQHCs in Oregon, and linked to Oregon’s electronic insurance data, to examine whether receipt of diabetes preventive care services was associated with continuity of insurance coverage among adult FQHC patients receiving diabetes care in 2005. Results—About one-third (32%) of patients with diabetes received a flu vaccination in 2005, 36% an LDL screening, 54 % at least one HbA1c screening, and 21 % a nephropathy screening. Compared to the continuously insured, the continuously uninsured were less likely to receive an LDL screening, a flu vaccination, and/or a nephropathy screening; those with partial coverage were less likely than the continuously insured to receive a flu shot, at least one HbA1c screening, or an LDL screening. Conclusions—Our results suggest that FQHCs do an excellent job in delivering most services to
Utilization across the continuum of long-term care services
- Gerontologist
, 2002
"... This study presents an analysis of the influence of consumers ’ predisposing, enabling, and need charac-teristics on the utilization of long-term care (LTC) services in nursing facilities (NFs), assisted living facilities, or home- and community-based services (HCBS). ..."
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This study presents an analysis of the influence of consumers ’ predisposing, enabling, and need charac-teristics on the utilization of long-term care (LTC) services in nursing facilities (NFs), assisted living facilities, or home- and community-based services (HCBS).
Wheelchair use among community-dwelling older adults: prevalence and risk factor in a national sample
- Can J Aging
"... Les aı̂nés constituent le groupe le plus important d’utilisateurs de fauteuils roulants. Cependant, il n’existe a ̀ ce jour aucune étude révisée par des pairs qui dresse un profil national des aı̂nés qui se servent de fauteuils roulants au Canada. Nous avons étudie ́ les caractéristiques d’ut ..."
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Les aı̂nés constituent le groupe le plus important d’utilisateurs de fauteuils roulants. Cependant, il n’existe a ̀ ce jour aucune étude révisée par des pairs qui dresse un profil national des aı̂nés qui se servent de fauteuils roulants au Canada. Nous avons étudie ́ les caractéristiques d’utilisateurs de fauteuils roulants provenant d’un échantillon national d’aı̂nés vivant dans la collectivite ́ tire ́ de l’Étude sur la sante ́ et le vieillissement au Canada (ESVC-2). Des questions sur l’utilisation des aides fonctionnelles ont éte ́ posées a ̀ 5 395 Canadiens (âgés de 65 ans et plus) et 4,6 p. 100 d’entre eux ont déclare ́ utiliser un fauteuil roulant. Un modèle de régression logistique a éte ́ utilise ́ pour représenter les facteurs liés a ̀ l’utilisation d’un fauteuil roulant. Si l’on tient compte de l’âge, du sexe et des troubles cognitifs, on constate que les aı̂nés qui ont déclare ́ dépendre davantage des soins personnels de base et des activités instrumentales de la vie quotidienne ont davantage de chances d’utiliser un fauteuil roulant. Cependant, l’incidence de la dépendance aux soins personnels sur l’utilisation d’un fauteuil roulant varie selon le sexe, les hommes ayant davantage tendance que les femmes a ̀ utiliser un fauteuil roulant lorsque leur dépendance aux soins personnels augmente. La quantite ́ de problèmes de sante ́ chroniques ainsi que le célibat ont également tendance a ̀ accroı̂tre la probabilite ́ d’utiliser un fauteuil roulant. Cet article quantifie les chances d’utiliser un fauteuil roulant en fonction de facteurs critiques dont on peut se servir pour prévoir et pour planifier les services nécessaires.
Immigration and health
, 2001
"... Our mission is to help the people of Canada maintain and improve their health. Health Canada This publication can be made available in/on computer diskette/large print/audio cassette/braille, upon request. For additional copies or for an address change, please contact: ..."
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Cited by 5 (0 self)
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Our mission is to help the people of Canada maintain and improve their health. Health Canada This publication can be made available in/on computer diskette/large print/audio cassette/braille, upon request. For additional copies or for an address change, please contact:
