Health care utilisation before and after retirement due to illness. A 13-year population-based follow-up study of prematurely retired men and referents from the general population.
Health care utilisation before and after retirement due to illness. A 13-year population-based follow-up study of prematurely retired men and referents from the general population.
复制标题
因病退休前后的医疗保健利用。
DOI：
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发表时间：
2004
影响因子：
2.1
通讯作者：
K. Svärdsudd
中科院分区：
文献类型：
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作者：
T. Wallman;Gunilla Burel;S. Kullman;K. Svärdsudd
客观化
为了检验这一假设，即过早退休的男性长期而不明确地增加了医疗保健利用率，这表明健康恶化的程度比退休诊断反映的更广泛。
设计
一项两个队列的研究。
设置
瑞典埃斯基尔斯图纳市。
科目
215名30-54岁因病提前退休的男性，以及从普通人群中随机抽取的620名相同年龄的参照者。
主要结果衡量标准
从退休前5年到退休后13年的医疗保健利用率。
结果
在13年的随访中，退休男性的初级卫生保健利用率是基准年的7.2倍，住院率是参照者的2-3倍。无论前者的退休诊断是什么，退休人员和参照者的主要出院诊断全景是相同的。随着时间的推移，退休男性的医疗保健利用率有所下降，但在被调查者中保持不变。13年后，退休男子的发病率仍然是参照者的两倍。
结论
提前退休的男性在退休后也有很高的医疗保健利用率。他们的健康恶化程度似乎比退休诊断所反映的更严重。
OBJECTIVE
To test the hypothesis that prematurely retired men have long-term unspecifically increased health care utilisation, indicating broader health deterioration than reflected by the retirement diagnosis.
DESIGN
A two-cohort study.
SETTING
The City of Eskilstuna, Sweden.
SUBJECTS
215 men aged 30-54 years who retired early due to illness and a random sample of 620 referents of the same age from the general population.
MAIN OUTCOME MEASURES
Health care utilisation from 5 years before retirement until 13 years after retirement.
RESULTS
The retired men had 7.2 times higher utilisation of primary health care during the baseline year and 2-3 times higher rates of hospital admissions than the referents during the 13-year follow-up. The panorama of main hospital discharge diagnoses was the same among retired men and referents irrespective of the retirement diagnoses of the former. Over time, health care utilisation among the retired men decreased, but was constant among the referents. After 13 years, the retired men still had twice the rate of the referents.
CONCLUSION
Prematurely retired men had high health care utilisation also after retirement. They appear to have broader health deterioration than reflected by the retirement diagnosis.