Use of Physician Services among Family Caregivers of Elderly Persons with Dementia

Use of Physician Services among Family Caregivers of Elderly Persons with Dementia

Use of Physician Services among Family Caregivers of Elderly Persons with Dementia

Use of Physician Services among Family Caregivers of Elderly Persons with Dementias

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Référence bibliographique [7430]

Baumgarten, Mona, Battista, Renaldo N., Infante-Rivard, Claire, Hanley, James A., Becker, Rubin, Bilker, Warren B. et Gauthier, Serge. 1997. «Use of Physician Services among Family Caregivers of Elderly Persons with Dementia ». Journal of Clinical Epidemiology, vol. 50, no 11, p. 1265-1272.

Fiche synthèse

1. Objectifs


Intentions :
« The purpose of this study was to study physician utilization in a sample of caregivers in Montreal, Quebec, using objective data obtained from the Quebec Health Insurance Board. The specific objectives were to estimate the difference between caregivers and noncaregivers with respect to the mean annual number of physician visits and with respect to the cost of physician visits and to determine whether there are differences between the two groups in the pattern of physician utilization with respect to physician specialty and site of care. » (p. 1266)

2. Méthode


Échantillon/Matériau :
- « The data were obtain from the computerized records of the Quebec Health Insurance Board. » (p. 1266)
- « A total of 103 caregivers and 115 noncaregivers were assessed at the first interview. » (p. 1266)
- « The final sample for whom data were available was made up of 95 caregivers and 104 noncaregivers. » (p. 1268)

Instruments :
- Depression was measured using the Center for Epidemiologic Studies Depression (CES-D) scale;
- Canada Health Survey Questionnaire: the caregivers and subjects in the comparaison group were also asked to indicate whether they had any of the 21 chronic diseases;
- The first interview was carried out at the subject’s home shortly after recruitment into the study. A second interview was carried out 1 year later for all surviving caregivers and noncaregivers: information from the second interview was not used in the present analysis.

Type de traitement des données :
Analyse statistique

3. Résumé


« It is well know that there is an excess of physical and psychological health problems among family caregivers of elderly persons with Alzheimer’s disease and other dementias. The objective of this study was to determine whether the higher level of morbidity translate into a higher level of medical care utilization. Data from a previously completed longitudinal study of caregivers for elderly persons with dementia were merged with data on physician visits obtained from the computerized records of the Quebec Health Insurance Board. Utilization of physician care (adjusted for age, sex, number of chronic diseases, and depression) was no higher for family caregivers of elderly patients with Alzheimer’s disease and other dementias than for comparable family members of older persons without dementia. The annual cost of physician care was most identical among caregivers and noncaregivers. However, the pattern of utilization for the two groups was somewhat different: there was a significantly higher frequency of physician utilization among caregivers for services billed by psychiatrists and internal medicine specialists. In multivariate analysis, physician utilization was significantly associated with having more than one chronic condition and with increased age. Future studies should focus on determining whether caregivers neglect their own health care needs as a result of the exigences af the caregiving role. » (p. 1265)