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Trends in the Utilization of Specific Health Care Services among Older Manitobans: 1985 to 2000

Published online by Cambridge University Press:  31 March 2010

Marcia Finlayson ,
Lisa Lix ,
Gregory S. Finlayson  and
Terry Fong
Marcia Finlayson*
Affiliation:
Department of Occupational Therapy, University of Illinois at Chicago Department of Community Health Sciences, University of Manitoba
Lisa Lix
Affiliation:
Department of Community Health Sciences, University of Manitoba
Gregory S. Finlayson
Affiliation:
Department of Community Health Sciences, University of Manitoba
Terry Fong
Affiliation:
Department of Occupational Therapy, University of Illinois at Chicago
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être addressées à : Marcia Finlayson, Ph.D., Department of Occupational Therapy, University of Illinois at Chicago,1919 West Taylor Street, Chicago, IL 60612-7250. (marciaf@uic.edu)
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Abstract

This paper examines 16-year trends in the utilization of hospital and physician services by Manitobans aged 75 and more, using data from the Manitoba Population Health Research Data Repository. Trends are examined across five measures of hospital services (separations, short-stay days, long-stay days, cataract surgeries, and hip/knee replacements) and two measures of physician care (overall visit rate, and proportion having seven or more visits). Results show changes in the utilization of these services among older adults living in Manitoba over time, with the extent of change varying with the service under consideration, age, and location of residence. Previously large utilization differentials are shown to be shrinking; for example, cataract surgery rates across regions and physician visit rates by age. For other services, such as the rates of hip or knee replacement surgery, the differences across regions are increasing. Findings indicate that global generalizations about the impact of older adults on the health care system are subject to question, as regional differences and differences between age groups (75–84, 85+) can be significant.

Résumé

Cet article porte sur les tendances 16 années en matière d'utilisation des hôpitaux et des services médicaux par des Manitobains âgés de 75 ans ou plus. Les données ont été tirées du Manitoba Population Health Research Data Repository. Les tendances sont étudiées en fonction de cinq mesures relatives aux services hospitaliers (les congés des hôpitaux, les séjours de courte durée, les séjours de longue durée, les opérations de la cataracte ainsi que les remplacements de la hanche ou du genou) de même que de deux mesures relatives aux soins prodigués par des médecins (le nombre global de consultations ainsi que la proportion de personnes qui ont sept consultations ou plus). Les résultats démontrent des changements, au cours du temps, dans l'utilisation de ces services par les personnes âgées vivant au Manitoba, l'étendue de ces changements variant selon le service étudié, l'âge et le lieu de résidence. Des différences autrefois considérables en matière d'utilisation sont en train de diminuer, notamment le taux d'opérations de la cataracte selon les régions ainsi que la fréquence des visites chez le médecin selon l'âge. Pour d'autres services, notamment le taux de remplacements de la hanche ou du genou, les différences entre les régions sont en train de s'accroître. Les résultats indiquent que les généralisations relatives à l'impact des personnes âgées sur le système de santé peuvent être remises en question, puisque les différences entre les régions et entre les groupes d'âge (75 à 84, 85 ou plus) peuvent être considérables.

Keywords

health services for the agedhospitalization, trends & utilizationphysician use, trends & utilizationcataract extraction, trends & utilizationorthopedic surgery, trends & utilizationagingsoins de santé pour les aînéshospitalisation : tendances et utilisationvisites chez le médecin : tendances et utilisationexcision de la cataracte : tendances et utilisationchirurgie orthopédique : tendances et utilisationvieillissement
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 24 , Issue S1: Health and Health Care Use Among Older Adults: Using Population-Based Information Systems to Inform Policy in Manitoba , Spring/Printemps 2005 , pp. 15 - 27
Copyright
Copyright © Canadian Association on Gerontology 2005

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