Does age influence the intensity of care in a managed care organization?

dc.contributor	Wichita State University. Department of Public Health Sciences	en_US
dc.contributor.author	Long, Michael J.	en_US
dc.contributor.author	Lescoe-Long, Mary A.	en_US
dc.date.accessioned	2012-03-07T17:40:05Z
dc.date.available	2012-03-07T17:40:05Z
dc.date.issued	2005-04	en_US
dc.identifier	15923922	en_US
dc.identifier	100896672	en_US
dc.identifier	00126450-200504000-00003	en_US
dc.identifier.citation	The health care manager. 2005 Apr-Jun; 24(2): 119-23.	en_US
dc.identifier.issn	1525-5794	en_US
dc.identifier.uri	www.cinahl.com/cgi-bin/refsvc?jid=1894&accno=2005121273	en_US
dc.identifier.uri	http://hdl.handle.net/10057/4750
dc.description	The full text of this article is not available in SOAR. WSU users can access the article via commercial databases licensed by University Libraries: http://libcat.wichita.edu/vwebv/holdingsInfo?bibId=1326577. The URL of this article is: www.cinahl.com/cgi-bin/refsvc?jid=1894&accno=2005121273.	en_US
dc.description.abstract	The primary objective of this study was to determine whether an inverse relationship between age and the intensity of care prevailed in an elderly, functionally impaired population enrolled in a managed care organization. The secondary objective was to determine whether those who died during the study were treated more intensively than the survivors. A total of 278 enrollees in a managed care organization who were 75 years and over, had a severe functional disability, excessive hospital or Emergency Department use, volunteered to take part in a 2-year study. Seventy-seven clients died during the study. We calculated indices of outpatient care intensity and hospital care intensity for the study period. With minor exceptions, the results clearly show that, for this group of clients, the intensity of outpatient care was clearly, inversely related to age. The intensity of hospital care was also inversely related to age, thereby ruling out the hypothesis that it was being substituted for outpatient care. The results also clearly show that, for this population, those who died during the study period were treated more intensively than the survivors. We found strong support for our hypotheses. An investigation of the reasons for these findings was beyond the scope of our data.	en_US
dc.format.extent	119-23	en_US
dc.language.iso	eng	en_US
dc.publisher	Lippincott Williams & Wilkins	en_US
dc.relation.ispartofseries	The Health Care Manager	en_US
dc.relation.ispartofseries	Health Care Manag (Frederick)	en_US
dc.source	NLM	en_US
dc.subject.mesh	Activities of Daily Living/classification	en_US
dc.subject.mesh	Advance Care Planning	en_US
dc.subject.mesh	Age Factors	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Disabled Persons/statistics & numerical data	en_US
dc.subject.mesh	Emergency Service, Hospital/utilization	en_US
dc.subject.mesh	Frail Elderly/statistics & numerical data	en_US
dc.subject.mesh	Health Services for the Aged/classification	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Intensive Care/classification	en_US
dc.subject.mesh	Managed Care Programs/organization & administration	en_US
dc.subject.mesh	Mortality	en_US
dc.subject.mesh	Palliative Care/utilization	en_US
dc.subject.mesh	Patient Admission/statistics & numerical data	en_US
dc.subject.mesh	Severity of Illness Index	en_US
dc.subject.mesh	Survivors/statistics & numerical data	en_US
dc.subject.mesh	United States	en_US
dc.subject.mesh	Utilization Review	en_US
dc.subject.mesh	Health Services for the Aged/utilization	en_US
dc.subject.mesh	Intensive Care/utilization	en_US
dc.subject.mesh	Managed Care Programs/utilization	en_US
dc.title	Does age influence the intensity of care in a managed care organization?	en_US
dc.type	Article	en_US
dc.coverage.spacial	United States	en_US
dc.description.version	peer reviewed	en_US
dc.rights.holder	Copyright © 2005 Lippincott Williams & Wilkins	en_US