Aging (Milan, Italy)最新文献_第4页

Age differences in ratings of medical care among older adults living in the community. 居住在社区的老年人对医疗保健评分的年龄差异。

Aging (Milan, Italy) Pub Date : 1999-02-01

Y Lee, J D Kasper

{"title":"Age differences in ratings of medical care among older adults living in the community.","authors":"Y Lee, J D Kasper","doi":"","DOIUrl":"","url":null,"abstract":"Patients ratings of care serve as an indicator of quality of care, as well as a predictor of patient behavior. In spite of the heterogeneity of the older population and their disproportionate consumption of health care resources, relatively little attention has been paid to assessing the elderly's satisfaction with medical care. Using data from the 1991 Medicare Current Beneficiary Survey, we compare ratings of medical care and quality of physician care between the young-old (65-79 years) and old-old (80+ years) living in the community. Multivariate logistic regression analyses are performed to assess the independent effect of age on patients' ratings of care. Results show a significant negative association between age and highly positive ratings of care in the elderly; the old-old are less likely than the young-old to give very favorable opinions (e.g., very satisfied vs other) of the care they received. The relationship remains even after controlling for measures of health status and experience and use of health care. However, variations were observed when more negative ratings (e.g., satisfied/very satisfied vs dissatisfied/very dissatisfied) were considered. Although elderly people as a group usually are found to rate their care more positively than younger adults, this study indicates there is heterogeneity in the older population regarding views of medical care.","PeriodicalId":76984,"journal":{"name":"Aging (Milan, Italy)","volume":"11 1","pages":"12-20"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21206595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A survey of hypnotic use in geriatric institutions in Sogn og Fjordane, Norway. 挪威索恩奥格峡湾老年机构催眠使用调查。

Aging (Milan, Italy) Pub Date : 1999-02-01

J Schjøtt, K Opedal, J E Rutledal

引用次数: 0

Cancer mortality trends in two cohorts of elderly people having different life-styles. 两组不同生活方式老年人的癌症死亡率趋势

Aging (Milan, Italy) Pub Date : 1999-02-01

A Mazza, E Casiglia, R Scarpa, E Sica, R Biasin, G Privato, A Pizziol, A C Pessina

引用次数: 0

Are osteoporotic fractures due to osteoporosis? Impacts of a frailty pandemic in an aging world. 骨质疏松性骨折是由骨质疏松引起的吗?脆弱流行病对老龄化世界的影响。

Aging (Milan, Italy) Pub Date : 1998-06-01

L Elffors

{"title":"Are osteoporotic fractures due to osteoporosis? Impacts of a frailty pandemic in an aging world.","authors":"L Elffors","doi":"","DOIUrl":"","url":null,"abstract":"Osteoporosis is a major risk factor for fractures in the elderly. Osteoporotic (hip, forearm, and vertebral) fractures today strike hard on Western populations, with a lifetime risk in women similar to the risk for cardiovascular disease. The risk of dying from hip fracture equals breast cancer mortality. Osteoporotic fractures are associated with pain, crippling and social dependency; annual costs in the United States are between $7 to $20 billion, and the contribution from hip fractures is above 60%. Of all hospital beds in Europe, 1 to 1.5% are occupied by osteoporotic patients, a figure expected to more than double during the next fifty years. Whereas vertebral fractures mainly seem to be caused by osteoporosis alone, hip fractures are heavily affected by an age-dependent contributory risk factor, frailty. Frailty might act as an involutionary phenomenon or as comorbidity, particularly neurological; it affects fracture risk along several causal paths, but the increasing frequency and severity of falls are essential. Results of attempts to prevent falls are discouragingly poor. Nevertheless, identification of risk possessors, particularly demented elderly living in institutions, is substantial for directing preventive and treatment programs, mainly acting on general health and on osteoporosis. Frailty of populations increases with longevity. Consequently, projections of fracture occurrence are too conservative. The annual hip fracture incidence in Asia in 2050 might pass 10 million, rather than the hitherto forecasted 3.2 million, thus shifting tomorrow's burden of age-related fractures from the wealthier to the poorer countries. There is an immediate call for vigorous global actions to reallocate resources, to reorganize health care, and to institute high-risk prevention programs.","PeriodicalId":76984,"journal":{"name":"Aging (Milan, Italy)","volume":"10 3","pages":"191-204"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20713436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology of aging. 老龄化流行病学。

Aging (Milan, Italy) Pub Date : 1998-04-01

E Heikkinen

引用次数: 0

The genetics of successful aging. 成功衰老的基因。

Aging (Milan, Italy) Pub Date : 1998-04-01

G De Benedictis, C Franceschi

引用次数: 0

Oxidative stress and aging. 氧化应激和衰老。

Aging (Milan, Italy) Pub Date : 1998-04-01

R L Levine