The impact of frailty on healthcare utilisation in Ireland: evidence from the Irish longitudinal study on ageing

dc.contributor.authorRoe, Lorna
dc.contributor.authorNormand, Charles
dc.contributor.authorWren, Maev-Ann
dc.contributor.authorBrowne, John P.
dc.contributor.authorO'Halloran, Aisling M.
dc.contributor.funderCentre for Ageing Research and Development in Ireland
dc.contributor.funderHealth Research Board
dc.contributor.funderIrish Life plc
dc.contributor.funderAtlantic Philanthropies
dc.contributor.funderIrish Government
dc.date.accessioned2017-09-26T11:39:23Z
dc.date.available2017-09-26T11:39:23Z
dc.date.issued2017
dc.description.abstractIntroduction: To examine the impact of frailty on medical and social care utilisation among the Irish community-dwelling older population to inform strategies of integrated care for older people with complex needs. Methods: Participants aged >= 65 years from the Irish Longitudinal Study on Ageing (TILDA) representative of the Irish community-dwelling older population were analysed (n = 3507). The frailty index was used to examine patterns of utilisation across medical and social care services. Multivariate logistic and negative binomial regression models were employed to examine the impact of frailty on service utilisation outcomes after controlling for other factors. Results: The prevalence of frailty and pre-frailty was 24% (95% CI: 23, 26%) and 45% (95% CI: 43, 47%) respectively. Frailty was a significant predictor of utilisation of most social care and medical care services after controlling for the main correlates of frailty and observed individual effects. Conclusions: Frailty predicts utilisation of many different types of healthcare services rendering it a useful risk stratification tool for targeting strategies of integrated care. The pattern of care is predominantly medical as few of the frail older population use social care prompting questions about sub-groups of the frail older population with unmet care needs.en
dc.description.sponsorshipHealth Research Board (PHD/2007/16); Centre for Ageing Research and Development in Ireland (LP3)en
dc.description.sponsorshipEuropean Commission / Irish Government (EU Structural Funds Programme 2007 - 2013)
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid203
dc.identifier.citationRoe, L., Normand, C., Wren, M.-A., Browne, J. and O’Halloran, A. M. (2017) 'The impact of frailty on healthcare utilisation in Ireland: evidence from the Irish longitudinal study on ageing', BMC Geriatrics, 17(1), 203 (12pp). doi: 10.1186/s12877-017-0579-0en
dc.identifier.doi10.1186/s12877-017-0579-0
dc.identifier.issn1471-2318
dc.identifier.journaltitleBMC Geriatricsen
dc.identifier.urihttps://hdl.handle.net/10468/4811
dc.identifier.volume17
dc.language.isoenen
dc.publisherBiomed Central Ltden
dc.relation.urihttps://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-017-0579-0
dc.rights© 2017, the Authors. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectFrailtyen
dc.subjectHealthcare utilisationen
dc.subjectComplex needsen
dc.subjectAgeingen
dc.subjectHealth and social care planningen
dc.titleThe impact of frailty on healthcare utilisation in Ireland: evidence from the Irish longitudinal study on ageingen
dc.typeArticle (peer-reviewed)en
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