[Health-care utilization in elderly (Spain 2006-2012): Influence of health status and social class]. / Utilización de servicios sanitarios en ancianos (España 2006-2012): influencia del nivel de salud y de la clase social.
Aten Primaria
; 48(4): 235-43, 2016 Apr.
Article
em Es
| MEDLINE
| ID: mdl-26388467
ABSTRACT
OBJECTIVE:
to explore health-care utilization (primary and specialized health-care, hospitalizations, day hospital and emergency services) and overuse in elderly in Spain, considering the influence of health status, sex, social class and its temporal trend.DESIGN:
cross sectional study in two phases.SETTING:
Spain.PARTICIPANTS:
people surveyed in the National Health Surveys 2006 and 2011-12. MAIN MEASUREMENTS Health status was measured using self-rated and diagnosed health (number and diagnoses). Social class was obtained from the last occupation of the main supporter (manual and non-manual workers). Logistic regression analyses were conducted adjusting by sex, age, health status, social class and year, obtaining its predictive capacity.RESULTS:
the percentage of elderly population with health-care utilization decreased during the period analyzed. Women who belonged to the manual workers category presented the highest prevalence of low health (low self-rated health in 2006 70.6%). Low health status was associated with a higher utilization of health-care services. Self-rated health was a better predictor of health-care utilization and overuse than diagnosed health, getting the highest predictive capacity for specialized health-care (C = 0.676). Old people from low social class used with higher frequency primary health-care and emergency services. On the other hand, specialized health-care and day hospital were more used by high social classes.CONCLUSIONS:
inequalities in health and health-care utilization have been observed in elderly according social class. It is necessary to consider self-rated health as a health-care utilization predictor and to review our health-care services accessibility and equity.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Classe Social
/
Nível de Saúde
/
Atenção à Saúde
Tipo de estudo:
Guideline
/
Observational_studies
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Prevalence_studies
/
Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
País como assunto:
Europa
Idioma:
Es
Ano de publicação:
2016
Tipo de documento:
Article