Health-care and home-care utilization among frail elderly persons in Belgium
Open Access
- 10 September 2011
- journal article
- research article
- Published by Oxford University Press (OUP) in European Journal of Public Health
- Vol. 22 (5), 671-677
- https://doi.org/10.1093/eurpub/ckr133
Abstract
Background: The patterns of health- and home-care utilization among Belgian frail elderly persons living at home with varying socio-economic status are currently unknown. Methods: In this cross-sectional study based on a representative sample of 4777 elderly participants (≥65 years) in the Belgian Health Interview Survey the prevalence of frailty, as determined by items referring to the Fried phenotype, was estimated according to age, gender, comorbidity, place of residence, survey year, living situation and socio-economic status. Differing health-care utilization [contacts with a general practitioner (GP), specialist and emergency department; and hospital admission) and home-care utilization (home nursing, home help and meals-on-wheels] patterns among the frail, prefrail and robust subpopulations were examined. Results: Overall, 9.3% respondents (426) were classified as frail, 30.7% (1636) as prefrail and 60.0% (2715) as robust. Frailty was associated with age, gender, comorbidity, region, survey year and socio-economic status. The frail and prefrail groups were more likely than the robust to contact a GP, a specialist or an emergency department and were more likely to be admitted to hospital, independent of age, gender, comorbidity, survey year, living situation, region and socio-economic status. They were also more likely to appeal to home nursing, home help and meals-on-wheels than the robust participants. Conclusion: Even after adjustment for potential confounders, including age, gender and comorbidity, frailty among Belgian elderly persons is associated with their socio-economic status and is strongly associated with their health- and home-care utilization.This publication has 28 references indexed in Scilit:
- The prevalence of subjective frailty and factors associated with frailty in TaiwanArchives of Gerontology and Geriatrics, 2010
- Frailty and its association with disability and comorbidity in a community-dwelling sample of seniors in Montreal: a cross-sectional studyAging Clinical and Experimental Research, 2010
- Development of an easy prognostic score for frailty outcomes in the agedAge and Ageing, 2008
- A Comparison of Two Approaches to Measuring Frailty in Elderly PeopleThe Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 2007
- Factors contributing to frailty: literature reviewJournal of Advanced Nursing, 2006
- Frailty, hospitalization, and progression of disability in a cohort of disabled older womenThe American Journal of Medicine, 2005
- What would make a definition of frailty successful?Age and Ageing, 2005
- Designing Randomized, Controlled Trials Aimed at Preventing or Delaying Functional Decline and Disability in Frail, Older Persons: A Consensus ReportJournal of the American Geriatrics Society, 2004
- A Conceptual Framework of Frailty: A ReviewThe Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 2002
- Frailty in Older Adults: Evidence for a PhenotypeThe Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 2001