ArticlePloS one2014
Self-report of healthcare utilization among community-dwelling older persons: a prospective cohort study.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 34 citations in OpenAlex.
- Comparison of self-report and administrative data sources to capture health care resource use in people with chronic obstructive pulmonary disease following pulmonary rehabilitation.BMC health services research · 2020Trial
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- Learning to PERSEVERE: A pilot study of peer mentor support and caregiver education in Lewy body dementia.Parkinsonism & related disorders · 2023Article
- Is There Evidence of an Association Between Acute Health Care Utilization and Function in Older Adults Over Time? A Population-Based Cohort Study.Innovation in aging · 2023Article
- Medical and nursing home costs: From cognitively unimpaired through dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022Article
- Impact of organizational context on patient outcomes in a proactive primary care program:a longitudinal observational study.BMC geriatrics · 2021Observational
- From the Roman Empire to the New Millennium. Data access and sharing from healthy ageing cohorts.Preventive medicine reports · 2020Article
- Identifying Patient Readmissions: Are Our Data Sources Misleading?Journal of the American Medical Directors Association · 2019Article
- EXamining the knowledge, Attitudes and experiences of Canadian seniors Towards influenza (the EXACT survey).BMC geriatrics · 2019Article
- The Disease Burden Morbidity Assessment in older adults and its association with mortality and other health outcomes.European journal of ageing · 2019Article
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- Nursing Home Use Across The Spectrum of Cognitive Decline: Merging Mayo Clinic Study of Aging With CMS MDS Assessments.Journal of the American Geriatrics Society · 2017Article
- Assessment of the quality of fall detection and management in primary care in the Netherlands based on the ACOVE quality indicators.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016Article
- Dutch family physicians' awareness of cognitive impairment among the elderly.BMC geriatrics · 2015Article
- Making sense of the shadows: priorities for creating a learning healthcare system based on routinely collected data.BMJ quality & safety · 2015Article
- Fried phenotype of frailty: cross-sectional comparison of three frailty stages on various health domains.BMC geriatrics · 2015Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-reported data are often used for estimates on healthcare utilization in cost-effectiveness studies.
objectiveTo analyze older adults' self-report of healthcare utilization compared to data obtained from the general practitioners' (GP) electronic medical record (EMR) and to study the differences in healthcare utilization between those who completed the study, those who did not respond, and those lost to follow-up.
methodsA prospective cohort study was conducted among community-dwelling persons aged 70 years and above, without dementia and not living in a nursing home. Self-reporting questionnaires were compared to healthcare utilization data extracted from the EMR at the GP-office.
resultsOverall, 790 persons completed questionnaires at baseline, median age 75 years (IQR 72-80), 55.8% had no disabilities in (instrumental) activities of daily living. Correlations between self-report data and EMR data on healthcare utilization were substantial for 'hospitalizations' and 'GP home visits' at 12 months intraclass correlation coefficient 0.63 (95% CI; 0.58-0.68). Compared to the EMR, self-reported healthcare utilization was generally slightly over-reported. Non-respondents received more GP home visits (p<0.05). Of the participants who died or were institutionalized 62.2% received 2 or more home visits (p<0.001) and 18.9% had 2 or more hospital admissions (p<0.001) versus respectively 18.6% and 3.9% of the participants who completed the study. Of the participants lost to follow-up for other reasons 33.0% received 2 or more home visits (p<0.01) versus 18.6 of the participants who completed the study.
conclusionsSelf-report of hospitalizations and GP home visits in a broadly 'healthy' community-dwelling older population seems adequate and efficient. However, as people become older and more functionally impaired, collecting healthcare utilization data from the EMR should be considered to avoid measurement bias, particularly if the data will be used to support economic evaluation.
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