Evidence map›Paper›PMID 26388467›Full record

ArticleAtencion primaria2016

[Health-care utilization in elderly (Spain 2006-2012): Influence of health status and social class].

Isabel Aguilar-Palacio, Patricia Carrera-Lasfuentes, Sofía Solsona, M Teresa Sartolo, M José Rabanaque

Abstract read
In one paragraph

Article in Atencion primaria, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Isabel Aguilar-PalacioDepartamento de Microbiología, Medicina Preventiva y Salud Pública, Universidad de Zaragoza, Zaragoza, España; Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA), Santa Eulalia del Campo, Teruel, España. Electronic address: iaguilar@unizar.es.
Patricia Carrera-LasfuentesDepartamento de Microbiología, Medicina Preventiva y Salud Pública, Universidad de Zaragoza, Zaragoza, España.
Sofía SolsonaServicio de Geriatría, Hospital San José, Teruel, España.
M Teresa SartoloCentro de Salud de Santa Eulalia del Campo, Teruel, España.
M José RabanaqueDepartamento de Microbiología, Medicina Preventiva y Salud Pública, Universidad de Zaragoza, Zaragoza, España; Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA), Santa Eulalia del Campo, Teruel, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveto explore health-care utilization (primary and specialized health-care, hospitalizations, day hospital and emergency services) and overuse in elderly in Spain, considering the influence of health status, sex, social class and its temporal trend.

designcross sectional study in two phases.

settingSpain.

participantspeople surveyed in the National Health Surveys 2006 and 2011-12. MAIN MEASUREMENTS: Health status was measured using self-rated and diagnosed health (number and diagnoses). Social class was obtained from the last occupation of the main supporter (manual and non-manual workers). Logistic regression analyses were conducted adjusting by sex, age, health status, social class and year, obtaining its predictive capacity.

resultsthe percentage of elderly population with health-care utilization decreased during the period analyzed. Women who belonged to the manual workers category presented the highest prevalence of low health (low self-rated health in 2006: 70.6%). Low health status was associated with a higher utilization of health-care services. Self-rated health was a better predictor of health-care utilization and overuse than diagnosed health, getting the highest predictive capacity for specialized health-care (C = 0.676). Old people from low social class used with higher frequency primary health-care and emergency services. On the other hand, specialized health-care and day hospital were more used by high social classes.

conclusionsinequalities in health and health-care utilization have been observed in elderly according social class. It is necessary to consider self-rated health as a health-care utilization predictor and to review our health-care services accessibility and equity.

Indexed as

Health StatusSocial ClassAgedAged, 80 and overCross-Sectional StudiesDelivery of Health CareFemaleHealth ServicesHealth Status DisparitiesHumansMaleSocioeconomic FactorsSpainAgedAncianoClase socialEncuestas epidemiológicasHealth servicesHealth surveysSalud percibidaSelf-rated healthServicios de saludSocial class

Identifiers

PMID26388467
PMCPMC6877833

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.