The impact of frailty on healthcare utilisation in Ireland: evidence from the Irish longitudinal study on ageing
Item Type:Journal Article
Citation:Roe, L., Normand, C., Wren, M.-A., Browne, J., & O'Halloran, A. M. (2017). The impact of frailty on healthcare utilisation in Ireland: evidence from the Irish longitudinal study on ageing. BMC Geriatrics, 17(1), 203. doi: 10.1186/s12877-017-0579-0
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Introduction To examine the impact of frailty on medical and social care utilisation among the Irish community-dwelling older population to inform strategies of integrated care for older people with complex needs. Methods Participants aged ≥65 years from the Irish Longitudinal Study on Ageing (TILDA) representative of the Irish community-dwelling older population were analysed (n = 3507). The frailty index was used to examine patterns of utilisation across medical and social care services. Multivariate logistic and negative binomial regression models were employed to examine the impact of frailty on service utilisation outcomes after controlling for other factors. Results The prevalence of frailty and pre-frailty was 24% (95% CI: 23, 26%) and 45% (95% CI: 43, 47%) respectively. Frailty was a significant predictor of utilisation of most social care and medical care services after controlling for the main correlates of frailty and observed individual effects. Conclusions Frailty predicts utilisation of many different types of healthcare services rendering it a useful risk stratification tool for targeting strategies of integrated care. The pattern of care is predominantly medical as few of the frail older population use social care prompting questions about sub-groups of the frail older population with unmet care needs.
TILDA is funded by the Irish Government, The Atlantic Philanthropies and Irish Life PLC. This study was funded by the Health Research Board of Ireland under Grant No. PHD/2007/16, and the Irish Institute of Public Health, Division of Ageing Research and Development (formerly, Centre for Ageing Research and Development in Ireland- CARDI) under Grant No. LP3.
Type of material:Journal Article
Series/Report no:Journal Article
Availability:Full text available