缅因州老年人经济剥削的双重资格受害者对护理的压抑需求。

IF 1.6 2区 心理学 Q3 GERONTOLOGY
Journal of Elder Abuse & Neglect Pub Date : 2020-08-01 Epub Date: 2020-09-04 DOI:10.1080/08946566.2020.1806980
Yvonne Jonk, Kimberly I Snow, D Thayer, C McGuire, S Bratesman, C A Smith, E Ziller
{"title":"缅因州老年人经济剥削的双重资格受害者对护理的压抑需求。","authors":"Yvonne Jonk,&nbsp;Kimberly I Snow,&nbsp;D Thayer,&nbsp;C McGuire,&nbsp;S Bratesman,&nbsp;C A Smith,&nbsp;E Ziller","doi":"10.1080/08946566.2020.1806980","DOIUrl":null,"url":null,"abstract":"<p><p>Elder financial exploitation (EFE), the misuse of a vulnerable adult's property or resources for personal gain, is a form of elder abuse. This study addresses whether dual-eligible EFE victims were experiencing pent-up demand for health services alleviated through investigation by Adult Protective Services (APS). A quasi-experimental design addressed health service utilization and costs for 131 dual-eligible Maine APS clients over age 60 with substantiated allegations of EFE relative to comparable non-APS controls. APS case files spanning 2007-2012 were linked to 2006-2014 Medicare and Medicaid claims data. Service utilization and costs were analyzed 1 year prior, during, and 2 years after the initial APS investigation. Difference in differences logistic regression and generalized linear models addressed the likelihood of incurring costs and expenditure levels relative to matched controls, respectively. Victims of EFE had higher overall odds of using inpatient and long-term services and supports (LTSS) and higher odds of using LTSS post-investigation than controls. Higher overall levels of outpatient and prescriptions expenditures and higher inpatient expenditures during the APS event year contributed toward APS clients incurring $1,142 higher PMPM total costs than controls. Victims of EFE were experiencing significant pent-up demand for health services post-APS involvement.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 4","pages":"334-356"},"PeriodicalIF":1.6000,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1806980","citationCount":"1","resultStr":"{\"title\":\"Pent-up demand for care among dual-eligible victims of elder financial exploitation in Maine.\",\"authors\":\"Yvonne Jonk,&nbsp;Kimberly I Snow,&nbsp;D Thayer,&nbsp;C McGuire,&nbsp;S Bratesman,&nbsp;C A Smith,&nbsp;E Ziller\",\"doi\":\"10.1080/08946566.2020.1806980\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Elder financial exploitation (EFE), the misuse of a vulnerable adult's property or resources for personal gain, is a form of elder abuse. This study addresses whether dual-eligible EFE victims were experiencing pent-up demand for health services alleviated through investigation by Adult Protective Services (APS). A quasi-experimental design addressed health service utilization and costs for 131 dual-eligible Maine APS clients over age 60 with substantiated allegations of EFE relative to comparable non-APS controls. APS case files spanning 2007-2012 were linked to 2006-2014 Medicare and Medicaid claims data. Service utilization and costs were analyzed 1 year prior, during, and 2 years after the initial APS investigation. Difference in differences logistic regression and generalized linear models addressed the likelihood of incurring costs and expenditure levels relative to matched controls, respectively. Victims of EFE had higher overall odds of using inpatient and long-term services and supports (LTSS) and higher odds of using LTSS post-investigation than controls. Higher overall levels of outpatient and prescriptions expenditures and higher inpatient expenditures during the APS event year contributed toward APS clients incurring $1,142 higher PMPM total costs than controls. Victims of EFE were experiencing significant pent-up demand for health services post-APS involvement.</p>\",\"PeriodicalId\":46983,\"journal\":{\"name\":\"Journal of Elder Abuse & Neglect\",\"volume\":\"32 4\",\"pages\":\"334-356\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2020-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1080/08946566.2020.1806980\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Elder Abuse & Neglect\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/08946566.2020.1806980\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2020/9/4 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Elder Abuse & Neglect","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/08946566.2020.1806980","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/9/4 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 1

摘要

老年人经济剥削(EFE)是一种虐待老年人的形式,即为了个人利益滥用弱势成年人的财产或资源。本研究探讨了双重资格的EFE受害者是否正在经历被压抑的健康服务需求,通过成人保护服务(APS)的调查来缓解。一项准实验设计解决了131名60岁以上双重资格的缅因州APS客户的医疗服务利用和成本问题,这些客户的EFE指控与可比的非APS对照相比得到了证实。APS 2007-2012年的病例档案与2006-2014年的医疗保险和医疗补助索赔数据有关。服务利用率和成本分别在初始APS调查前1年、调查期间和调查后2年进行分析。逻辑回归和广义线性模型的差异分别处理了相对于匹配控制的发生成本和支出水平的可能性。与对照组相比,EFE的受害者使用住院和长期服务和支持(LTSS)的总体几率更高,调查后使用LTSS的几率也更高。在APS活动年度,较高的门诊和处方支出总体水平以及较高的住院支出导致APS客户的PMPM总成本比对照组高1,142美元。在紧急援助方案参与后,紧急援助方案的受害者对保健服务有大量被压抑的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pent-up demand for care among dual-eligible victims of elder financial exploitation in Maine.

Elder financial exploitation (EFE), the misuse of a vulnerable adult's property or resources for personal gain, is a form of elder abuse. This study addresses whether dual-eligible EFE victims were experiencing pent-up demand for health services alleviated through investigation by Adult Protective Services (APS). A quasi-experimental design addressed health service utilization and costs for 131 dual-eligible Maine APS clients over age 60 with substantiated allegations of EFE relative to comparable non-APS controls. APS case files spanning 2007-2012 were linked to 2006-2014 Medicare and Medicaid claims data. Service utilization and costs were analyzed 1 year prior, during, and 2 years after the initial APS investigation. Difference in differences logistic regression and generalized linear models addressed the likelihood of incurring costs and expenditure levels relative to matched controls, respectively. Victims of EFE had higher overall odds of using inpatient and long-term services and supports (LTSS) and higher odds of using LTSS post-investigation than controls. Higher overall levels of outpatient and prescriptions expenditures and higher inpatient expenditures during the APS event year contributed toward APS clients incurring $1,142 higher PMPM total costs than controls. Victims of EFE were experiencing significant pent-up demand for health services post-APS involvement.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.30
自引率
15.80%
发文量
17
期刊介绍: The Journal of Elder Abuse & Neglect is the peer-reviewed quarterly journal that explores the advances in research, policy and practice, and clinical and ethical issues surrounding the abuse and neglect of older people. This unique forum provides state-of-the-art research and practice that is both international and multidisciplinary in scope. The journal"s broad, comprehensive approach is only one of its strengths—it presents training issues, research findings, case studies, practice and policy issues, book and media reviews, commentary, and historical background on a wide range of topics. Readers get tools and techniques needed for better detecting and responding to actual or potential elder abuse and neglect.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信