Predicting health care use among older osteoarthritis patients in an HMO.
Arthritis Care Res
; 8(2): 66-72, 1995 Jun.
Article
em En
| MEDLINE
| ID: mdl-7794988
ABSTRACT
OBJECTIVE:
To determine factors that predict health care use among members of Health Maintenance Organizations (HMOs). Demographic, health, and psychological factors were examined simultaneously.METHODS:
Participants were HMO members 60 years of age or older who had osteoarthritis (OA). All participants reported symptoms of OA, with 90% of the diagnoses confirmed by evaluation of physician records.RESULTS:
Age, the presence of other medical conditions, quality of well-being, and the Health Worries subscale from the Arthritis Impact Measurement Scales accounted for 11.2% of the total variance in health care contacts. A model including prior health care use, age, quality of well-being, physical impairment, and pain accounted for 29.5% of the variance in utilization rates.CONCLUSION:
The best single predictor of health care utilization was prior use of the system. Being older, more impaired, and having lower well-being scores were also predictors of health care use.
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Base de dados:
MEDLINE
Assunto principal:
Osteoartrite
/
Sistemas Pré-Pagos de Saúde
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
1995
Tipo de documento:
Article