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Health care utilization in the years prior to death.

https://arctichealth.org/en/permalink/ahliterature235831
Source
Milbank Q. 1987;65(2):231-54
Publication Type
Article
Date
1987
Author
N P Roos
P. Montgomery
L L Roos
Source
Milbank Q. 1987;65(2):231-54
Date
1987
Language
English
Publication Type
Article
Keywords
Aged
Female
Health Services for the Aged - utilization
Homes for the Aged - utilization
Hospitals - utilization
Humans
Male
Manitoba
Middle Aged
Mortality
Nursing Homes - utilization
Physicians - utilization
Abstract
The impact of an aging population on the health care system is a primary speculative concern for health policy. Unique data from a large sample of 4,263 decedents aged 45 years and over in Manitoba, Canada, describe actual utilization in the four years prior to death: all hospitalizations, nursing home stays, and ambulatory physician contacts. Total expenditures associated with dying do increase with age, but even among the very elderly many deaths have few expenditure consequences. Apocalyptic scenarios for the health care system may be premature.
PubMed ID
3614142 View in PubMed
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Hospital care for elderly patients with diseases of the circulatory system. A comparison of hospital use in the United States and Canada.

https://arctichealth.org/en/permalink/ahliterature229783
Source
N Engl J Med. 1989 Nov 23;321(21):1443-8
Publication Type
Article
Date
Nov-23-1989
Author
G M Anderson
J P Newhouse
L L Roos
Author Affiliation
Health Policy Research Unit, University of British Columbia, Vancouver, Canada.
Source
N Engl J Med. 1989 Nov 23;321(21):1443-8
Date
Nov-23-1989
Language
English
Publication Type
Article
Keywords
Aged
Cardiovascular Diseases - therapy
Coronary Artery Bypass - utilization
Coronary Disease - therapy
Diagnosis-Related Groups - statistics & numerical data
Health Services Accessibility
Hospitals - utilization
Humans
Length of Stay - statistics & numerical data
Manitoba
Medicare
Ontario
Patient Discharge - statistics & numerical data
Prospective Payment System
United States
Abstract
In an effort to determine how lower health care expenditures in Canada as compared with the United States translate into actual hospital services received, we examined discharge rates, lengths of stay, and the case-mix index (calculated from diagnosis-related group weights) for those 65 years of age and older hospitalized with cardiovascular disease in the United States and two Canadian provinces, Manitoba and Ontario, in 1981 and 1985. We expected that the effect of the prospective payment system might be reflected in changes between 1981 and 1985. Discharge rates for medical treatment of cardiovascular diseases were 2.9 percent higher in the United States than in Canada in 1981, but 1.8 percent lower in 1985; however, the case-mix index was 3.0 percent lower in 1981 and 4.8 percent higher in 1985. The case-mix index for combined medical and surgical discharges was 5.0 percent lower in the United States in 1981, but 10.7 percent higher in 1985. U.S. surgical discharge rates were 20 percent lower in 1981, but 20 percent higher in 1985. Rates of coronary bypass surgery were much higher in the United States in both years, but increased rapidly in both countries, particularly among those 75 and older. Elderly Canadians appeared to have access to cardiovascular surgery, with the exception of coronary bypass surgery, and to other hospital care for cardiovascular disease similar to that of elderly people in the United States.
PubMed ID
2509912 View in PubMed
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