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dc.contributorWichita State University. Department of Public Health Sciencesen_US
dc.contributor.authorLong, Michael J.en_US
dc.contributor.authorLescoe-Long, Mary A.en_US
dc.identifier.citationThe health care manager. 2005 Apr-Jun; 24(2): 119-23.en_US
dc.descriptionThe full text of this article is not available in SOAR. WSU users can access the article via commercial databases licensed by University Libraries: The URL of this article is:
dc.description.abstractThe 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.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofseriesThe Health Care Manageren_US
dc.relation.ispartofseriesHealth Care Manag (Frederick)en_US
dc.subject.meshActivities of Daily Living/classificationen_US
dc.subject.meshAdvance Care Planningen_US
dc.subject.meshAge Factorsen_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshDisabled Persons/statistics & numerical dataen_US
dc.subject.meshEmergency Service, Hospital/utilizationen_US
dc.subject.meshFrail Elderly/statistics & numerical dataen_US
dc.subject.meshHealth Services for the Aged/classificationen_US
dc.subject.meshIntensive Care/classificationen_US
dc.subject.meshManaged Care Programs/organization & administrationen_US
dc.subject.meshPalliative Care/utilizationen_US
dc.subject.meshPatient Admission/statistics & numerical dataen_US
dc.subject.meshSeverity of Illness Indexen_US
dc.subject.meshSurvivors/statistics & numerical dataen_US
dc.subject.meshUnited Statesen_US
dc.subject.meshUtilization Reviewen_US
dc.subject.meshHealth Services for the Aged/utilizationen_US
dc.subject.meshIntensive Care/utilizationen_US
dc.subject.meshManaged Care Programs/utilizationen_US
dc.titleDoes age influence the intensity of care in a managed care organization?en_US
dc.coverage.spacialUnited Statesen_US
dc.description.versionpeer revieweden_US
dc.rights.holderCopyright © 2005 Lippincott Williams & Wilkinsen_US

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