The association between living alone and health care utilisation in older adults: a retrospective cohort study of electronic health records from a London general practice.
The association between living alone and health care utilisation in older adults: a retrospective cohort study of electronic health records from a London general practice.
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DOI：
10.1186/s12877-018-0939-4
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发表时间：
2018-12-05
期刊：
影响因子：
4.1
通讯作者：
Deeny SR
中科院分区：
文献类型：
--
作者：
Dreyer K;Steventon A;Fisher R;Deeny SR
2016年，英国三分之一的老年人独居。这些患者通常有复杂的健康需求，需要额外的临床和非临床支持。本研究旨在分析老年患者独居与医疗保健利用之间的关系。我们对1447名64岁以上的患者进行了回顾性队列研究，这些患者居住在南东伦敦一家大型全科诊所的1275个家庭。四种不同类型的医疗保健提供的利用率进行了检查，以探讨独居老年患者对医疗保健利用率的影响。在调整患者人口统计学和临床特征后，独居与使用急诊科和全科医生服务的概率较高显著相关，比值比分别为1.50（95%置信区间[CI] 1.16至1.93）和1.40（95% CI 1.04至1.88）。独居对老年患者的医疗保健服务利用率有影响。我们表明，全科医生的数据可用于识别独居的老年患者，全科医生处于独特的地位，可以识别那些可以从额外的临床和非临床支持中受益的患者。需要进一步的研究来了解驱动独居患者更高利用率的机制。本文的在线版本（10.1186/s12877-018-0939-4）包含补充材料，可供授权用户使用。
In 2016, one in three older people in the UK were living alone. These patients often have complex health needs and require additional clinical and non-clinical support. This study aimed to analyse the association between living alone and health care utilisation in older patients. We conducted a retrospective cohort study of 1447 patients over the age of 64, living in 1275 households who were registered at a large general practice in South East London. The utilisation of four different types of health care provision were examined in order to explore the impact of older patients living alone on health care utilisation. After adjusting for patient demographics and clinical characteristics, living alone was significantly associated with a higher probability of utilising emergency department and general practitioner services, with odds ratios of 1.50 (95% confidence interval [CI] 1.16 to 1.93) and 1.40 (95% CI 1.04 to 1.88) respectively. Living alone has an impact on health care service utilisation for older patients. We show that general practice data can be used to identify older patients who are living alone, and general practitioners are in a unique position to identify those who could benefit from additional clinical and non-clinical support. Further research is needed to understand the mechanism driving higher utilisation for those patients who live alone. The online version of this article (10.1186/s12877-018-0939-4) contains supplementary material, which is available to authorized users.
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影响因子：
12.7
作者：
Gerst-Emerson, Kerstin;Jayawardhana, Jayani
通讯作者：
Jayawardhana, Jayani
DOI：
10.1016/s0140-6736(14)61461-6
发表时间：
2015-02-14
期刊：
Lancet (London, England)
影响因子：
--
作者：
Beard JR;Bloom DE
通讯作者：
Bloom DE
影响因子：
2.4
作者：
Drennan, V;Iliffe, S;Deave, T
通讯作者：
Deave, T
影响因子：
4.5
作者：
Gonzalez-Gonzalez, Cesar;Sanchez-Garcia, Sergio;Garcia-Pena, Carmen
通讯作者：
Garcia-Pena, Carmen
DOI：
10.1097/jom.0b013e3181a86671
发表时间：
2009-07
影响因子：
3.2
作者：
Short ME;Goetzel RZ;Pei X;Tabrizi MJ;Ozminkowski RJ;Gibson TB;Dejoy DM;Wilson MG
通讯作者：
Wilson MG