An econometric analysis of cognitive impairment and healthcare utilization in the ageing population
An econometric analysis of cognitive impairment and healthcare utilization in the ageing population
复制标题
老龄化人口认知障碍和医疗保健利用率的计量分析
DOI：
10.1080/00036846.2018.1486996
复制
发表时间：
2018
影响因子：
2.2
通讯作者：
Gannon B
中科院分区：
文献类型：
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作者：
Gannon B
人口老龄化是决策者关注的一个主要问题，卫生预算承受的压力越来越大。一个被忽视的研究领域是认知障碍（潜在痴呆发病的早期标志）对老龄化人口医疗保健利用的影响。基于医疗保健需求的微观经济学理论基础，研究了欧洲9个国家50岁以上老年人的认知功能、词汇回忆及其变化与医疗保健利用之间的关系。本文的贡献是产生认知功能和损害的估计，而不是完全痴呆，在医疗保健利用的背景下。我们将回归模型应用于欧洲健康、老龄化和退休调查第1、2和4波的医疗保健利用数据，发现回忆一个额外的单词与每年就医次数减少0.32次相关（p<0.01）。即使在控制了自我评估的健康状况之后，这种联系在超过0.1次的访问中也是很强的——这是额外的影响，超过了没有认知障碍的类似个体的平均访问次数。
The ageing population is a major concern for policy makers, with the ever-increasing strains placed on health budgets. One overlooked area of research is the impact that cognitive impairment (an early marker of potential dementia onset) has on the healthcare utilization of an ageing population. Based on the theoretical micro-economic foundations of healthcare demand, we study the relationship between cognitive functioning and impairment, measured by word recall and changes thereof, and healthcare utilization among over 50s in nine European countries. The contribution of this article is to produce estimates for cognitive functioning and impairment, as opposed to full dementia, in the context of healthcare utilization.We apply regression models to healthcare utilization data from Waves 1, 2 and 4 of the Survey of Health, Ageing and Retirement in Europe and find that recalling one additional word is associated with a reduction in visits to a medical doctor of 0.32, per year (p<0.01). Even after controlling for self-assessed health, this association is strong at just over 0.1 visits – this is the additional impact, over and above the average number of visits for similar individuals without cognitive impairment.
影响因子：
5.6
作者：
Denis A. Evans;Laurel A. Beckett;M. Albert;L. Hebert;P. Scherr;P. Scherr;H. Funkenstein;James O. Taylo
通讯作者：
Denis A. Evans;Laurel A. Beckett;M. Albert;L. Hebert;P. Scherr;P. Scherr;H. Funkenstein;James O. Taylo
促进社区健康：从 Pholela 到耶路撒冷
影响因子：
--
作者：
J. Horder
通讯作者：
J. Horder