The impact of frailty on healthcare utilisation in Ireland: evidence from the Irish longitudinal study on ageing
dc.contributor.author | Roe, Lorna | |
dc.contributor.author | Normand, Charles | |
dc.contributor.author | Wren, Maev-Ann | |
dc.contributor.author | Browne, John P. | |
dc.contributor.author | O'Halloran, Aisling M. | |
dc.contributor.funder | Centre for Ageing Research and Development in Ireland | |
dc.contributor.funder | Health Research Board | |
dc.contributor.funder | Irish Life plc | |
dc.contributor.funder | Atlantic Philanthropies | |
dc.contributor.funder | Irish Government | |
dc.date.accessioned | 2017-09-26T11:39:23Z | |
dc.date.available | 2017-09-26T11:39:23Z | |
dc.date.issued | 2017 | |
dc.description.abstract | Introduction: 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.sponsorship | Health Research Board (PHD/2007/16); Centre for Ageing Research and Development in Ireland (LP3) | en |
dc.description.sponsorship | European Commission / Irish Government (EU Structural Funds Programme 2007 - 2013) | |
dc.description.status | Peer reviewed | en |
dc.description.version | Published Version | en |
dc.format.mimetype | application/pdf | en |
dc.identifier.articleid | 203 | |
dc.identifier.citation | Roe, 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/s12877-017-0579-0 | en |
dc.identifier.doi | 10.1186/s12877-017-0579-0 | |
dc.identifier.issn | 1471-2318 | |
dc.identifier.journaltitle | BMC Geriatrics | en |
dc.identifier.uri | https://hdl.handle.net/10468/4811 | |
dc.identifier.volume | 17 | |
dc.language.iso | en | en |
dc.publisher | Biomed Central Ltd | en |
dc.relation.uri | https://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.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Frailty | en |
dc.subject | Healthcare utilisation | en |
dc.subject | Complex needs | en |
dc.subject | Ageing | en |
dc.subject | Health and social care planning | en |
dc.title | The impact of frailty on healthcare utilisation in Ireland: evidence from the Irish longitudinal study on ageing | en |
dc.type | Article (peer-reviewed) | en |
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