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Healthcare Quality and Dementia Risk

Author

Listed:
  • Aravena, José M.
  • Chen, Xi
  • Levy, Becca R.

Abstract

Low healthcare quality has been found to predict the development of several illnesses in older adults, while the evidence on dementia is still lacking. This study assesses whether and to what extent experiencing low healthcare quality can be associated with developing dementia in people 60-years-old and greater. Participants in the Health and Retirement Study (HRS), without dementia and 60-years-old and greater at baseline, were followed 2006 through 2019. Experiencing low healthcare quality was assessed at baseline through healthcare discrimination and dissatisfaction with healthcare services. The outcome, development of new cases of dementia, was determined through physician diagnosis or a cognition score compatible with dementia (assessed by the Telephone Interview for Cognitive Status). Cox regression is used to estimate the hazard ratio (HR) of dementia, adjusting for participants' demographic, health, and socioeconomic factors. Experiencing low healthcare quality is associated with increased dementia risk over 12 years (unadjusted HR: 1.68, 95%CI: 1.27 - 2.21, p-value

Suggested Citation

  • Aravena, José M. & Chen, Xi & Levy, Becca R., 2024. "Healthcare Quality and Dementia Risk," GLO Discussion Paper Series 1402, Global Labor Organization (GLO).
    • Handle: RePEc:zbw:glodps:1402
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    More about this item

    Keywords

    Dementia; Patient Satisfaction; Perceived Discrimination; Social Determinants of Health; Healthcare Quality; Alzheimer's Disease;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy

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