Profiles of healthcare use of persons living with dementia: A population-based cohort study.
Geriatr Gerontol Int
; 24(8): 789-796, 2024 Aug.
Article
in En
| MEDLINE
| ID: mdl-38967091
ABSTRACT
AIM:
Persons living with dementia are a heterogeneous population with complex needs whose healthcare use varies widely. This study aimed to identify the healthcare use profiles in a cohort of persons with incident dementia, and to describe their characteristics.METHODS:
This is a retrospective cohort study of health administrative data in Quebec (Canada). The study population included persons who (i) had an incident dementia diagnosis between 1 April 2015 and 31 March 2016; (ii) were aged ≥65 years and living in the community at the time of diagnosis. We carried out a latent class analysis to identify subgroups of healthcare users. The final number of groups was chosen based on clinical interpretation and statistical indicators.RESULTS:
The study cohort consisted of 15 584 individuals with incident dementia. Four profiles of healthcare users were identified (i) Low Users (36.4%), composed of individuals with minimal healthcare use and fewer comorbidities; (ii) Ambulatory Care-Centric Users (27.5%), mainly composed of men with the highest probability of visiting cognition specialists; (iii) High Acute Hospital Users (23.6%), comprised of individuals mainly diagnosed during hospitalization, with higher comorbidities and mortality rate; and (iv) Long-Term Care Destined Users (12.5%), who showed the highest proportion of antipsychotics prescriptions and delayed hospitalization discharge.CONCLUSIONS:
We identified four distinct subgroups of healthcare users within a population of persons living with dementia, providing a valuable context for the development of interventions tailored to specific needs within this diverse population. Geriatr Gerontol Int 2024; 24 789-796.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Dementia
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
Geriatr Gerontol Int
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: