Relationship of frailty status with health resource use and healthcare costs in the population aged 65 and over in Catalonia.

IF 3.7 2区社会学 Q1 GERONTOLOGY

European Journal of Ageing Pub Date : 2023-06-07 DOI:10.1007/s10433-023-00769-8

Àngel Lavado, Júlia Serra-Colomer, Mateu Serra-Prat, Emili Burdoy, Mateu Cabré

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引用次数: 1

Abstract

Background: Frailty is a geriatric syndrome with repercussions on health, disability, and dependency.

Objectives: To assess health resource use and costs attributable to frailty in the aged population.

Methods: A population-based observational longitudinal study was performed, with follow-up from January 2018 to December 2019. Data were obtained retrospectively from computerized primary care and hospital medical records. The study population included all inhabitants aged ≥ 65 years ascribed to 3 primary care centres in Barcelona (Spain). Frailty status was established according to the Electronic Screening Index of Frailty. Health costs considered were hospitalizations, emergency visits, outpatient visits, day hospital sessions, and primary care visits. Cost analysis was performed from a public health financing perspective.

Results: For 9315 included subjects (age 75.4 years, 56% women), frailty prevalence was 12.3%. Mean (SD) healthcare cost in the study period was €1420.19 for robust subjects, €2845.51 for pre-frail subjects, €4200.05 for frail subjects, and €5610.73 for very frail subjects. Independently of age and sex, frailty implies an additional healthcare cost of €1171 per person and year, i.e., 2.25-fold greater for frail compared to non-frail.

Conclusions: Our findings underline the economic relevance of frailty in the aged population, with healthcare spending increasing as frailty increases.

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加泰罗尼亚65岁及以上人口的虚弱状况与卫生资源使用和卫生保健费用的关系

背景:虚弱是一种影响健康、残疾和依赖的老年综合征。目的:评估老年人口中因虚弱而导致的卫生资源使用和成本。方法:2018年1月至2019年12月进行了一项基于人群的观察性纵向研究。资料回顾性地从计算机初级保健和医院病历中获得。研究人群包括巴塞罗那(西班牙)3个初级保健中心年龄≥65岁的所有居民。根据衰弱电子筛查指数建立衰弱状态。考虑的医疗费用包括住院、急诊、门诊、日间住院和初级保健就诊。从公共卫生筹资的角度进行了成本分析。结果:9315例纳入研究对象(年龄75.4岁，女性56%)，虚弱患病率为12.3%。研究期间健康受试者的平均(SD)医疗费用为1420.19欧元，体弱前期受试者为2845.51欧元，体弱受试者为4200.05欧元，体弱非常受试者为5610.73欧元。无论年龄和性别如何，身体虚弱意味着每人每年额外支付1171欧元的医疗费用，即身体虚弱的人比身体不虚弱的人多2.25倍。结论:我们的研究结果强调了老年人口中虚弱的经济相关性，随着虚弱程度的增加，医疗保健支出也在增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Ageing GERONTOLOGY-

CiteScore

6.50

自引率

7.90%

发文量

期刊介绍： The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.