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The relationship of impending death and age category to treatment intensity in the elderly

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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 Marshall, Brenda Stevenson en_US
dc.date.accessioned 2012-03-07T17:40:30Z
dc.date.available 2012-03-07T17:40:30Z
dc.date.issued 2000-02 en_US
dc.identifier 10807025 en_US
dc.identifier 9609066 en_US
dc.identifier.citation Journal of evaluation in clinical practice. 2000 Feb; 6(1): 63-70. en_US
dc.identifier.issn 1356-1294 en_US
dc.identifier.uri http://dx.doi.org/10.1046/j.1365-2753.2000.00219.x en_US
dc.identifier.uri http://hdl.handle.net/10057/4774
dc.description Click on the DOI link below to access the article (may not be free). en_US
dc.description.abstract The purpose of this study was to isolate and quantify the age-related treatment intensity differential in elderly clients (n = 278) with functional disability in one managed care setting. For those who died during the study, treatment intensity changes for the last year and month of life were examined. The subjects were categorized into four age groups: 75-79 years; 80-84 years; 85-89 years and 90 + years, and a treatment intensity index was calculated for each group using a ratio of actual to expected costs. Indices of overall costs and cost per day for all clients, and also indices for the year and month prior to death for the deceased clients were calculated. The results clearly show that for all clients, the oldest age group was treated less intensively than the youngest age group. For the deceased clients, the older age group was treated less intensively than the youngest age group in the last year and month of life but, for all age groups, the intensity of treatment increased during the last month of life. en_US
dc.format.extent 63-70 en_US
dc.language.iso eng en_US
dc.publisher Wiley-Blackwell Publishing en_US
dc.relation.ispartofseries Journal of Evaluation In Clinical Practice en_US
dc.relation.ispartofseries J Eval Clin Pract en_US
dc.source NLM en_US
dc.subject Clinical Trial en_US
dc.subject Comparative Study en_US
dc.subject Randomized Controlled Trial en_US
dc.subject.mesh Age Distribution en_US
dc.subject.mesh Aged en_US
dc.subject.mesh Aged, 80 and over en_US
dc.subject.mesh Female en_US
dc.subject.mesh Health Care Costs en_US
dc.subject.mesh Health Services for the Aged/economics en_US
dc.subject.mesh Humans en_US
dc.subject.mesh Male en_US
dc.subject.mesh Managed Care Programs/economics en_US
dc.subject.mesh Health Services for the Aged/organization & administration en_US
dc.subject.mesh Health Services for the Aged/statistics & numerical data en_US
dc.subject.mesh Managed Care Programs/organization & administration en_US
dc.title The relationship of impending death and age category to treatment intensity in the elderly en_US
dc.type Article en_US
dc.coverage.spacial England en_US
dc.description.version peer reviewed en_US
dc.rights.holder Copyright © 2000 Blackwell Science en_US

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