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Patterns of older Americans' health care utilization over time

Author

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  • Manski, R.J.
  • Moeller, J.F.
  • Chen, H.
  • Schimmel, J.
  • St. Clair, P.A.
  • Pepper, J.V.

Abstract

Objectives. We analyzed correlates of older Americans' continuous and transitional health care utilization over 4 years. Methods. We analyzed data for civilian, noninstitutionalized US individuals older than 50 years from the 2006 and 2008 waves of the Health and Retirement Study. We estimated multinomial logistic models of persistent and intermittent use of physician, inpatient hospital, home health, and outpatient surgery over the 2004-2008 survey periods. Results. Individuals with worse or worsening health were more likely to persistently use medical care and transition into care and not transition out of care over time. Financial variables were less often significant and, when significant, were often in an unexpected direction. Conclusions. Older individuals' health and changes in health are more strongly correlated with persistence of and changes in care-seeking behavior over time than are financial status and changes in financial status. The more pronounced sensitivity to health status and changes in health are important considerations in insurance and retirement policy reforms. Copyright © 2012 by the American Public Health Association®.

Suggested Citation

  • Manski, R.J. & Moeller, J.F. & Chen, H. & Schimmel, J. & St. Clair, P.A. & Pepper, J.V., 2013. "Patterns of older Americans' health care utilization over time," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 1314-1324.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301124_1
    DOI: 10.2105/AJPH.2012.301124
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    Cited by:

    1. Ross Hilton & Yuchen Zheng & Anne Fitzpatrick & Nicoleta Serban, 2018. "Uncovering Longitudinal Health Care Behaviors for Millions of Medicaid Enrollees: A Multistate Comparison of Pediatric Asthma Utilization," Medical Decision Making, , vol. 38(1), pages 107-119, January.
    2. Kantha Dayaram & Alistair McGuire, 2019. "Retirement Reforms: Occupational Strain and Health," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 58(3), pages 522-542, July.

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