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

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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

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