Programme no. 106-SY
Health Economics
Assessing the link between health care utilisation in general practice and morbidity patterns in the elderly in the Nordic countries
Anders Halling*1, Karin Ranstad*2, Troels Kristensen*3, Unto Hâkkinen*4, Ismo Linnosman*5, Heidi Østergaard*6, Peder Ahnfeldt Mollerup*7
1Research Unit of General Practice,University of Southern Denmark,Odense,Denmark, 2Lund University,Family Medicine,Lund,Sweden, 3Research Unit of General Practice & COHERE,University of Southern Denmark,Odense,Denmark, 4CHESS(Centre for Health and Social Economics),Istitute for Health and Welfare (THL),Helsinki,Finland, 5CHESS(Centre for Health and Social Economics) National Institute for Health and Welfare(THL),Helsinki,Finland, 6Statens Serum Institut,Copenhagen,Denmark, 7Research Unit of General Practice,University of Southern Denmark,Odense,Denmark
* = Presenting author
Symposium
Objectives:

The objective is to describe and analyze the prevalence of comorbidity and multimorbidity among older people with extensive and complex care needs. Next, the main objective is to present and discuss papers on the association between healthcare utilisation in general practice and individual level patient morbidity and socioeconomic characteristics among older people with extensive and complex care needs.

Background:

In the Nordic countries municipalities and regions are using a significant amount of resources on care for the elderly. Elderly care is one of the largest and most important areas of healthcare utilisation in general practice in the Nordic countries. In the future, this demand for healthcare services among the elderly is expected to increase.

Developments in the functional level of the elderly mean that we have a growing group of well-functioning elderly. This group can do without or with little care, but at the same time there is a growing group of older people with extensive and complex care needs (e.g., dementia, COPD and diabetes). Today we have limited information on the need for social services and health care services for the elderly in the Nordic countries. There is a need for improved understanding of variation in healthcare utilization and methods to measure the actual need for healthcare services among older patients.

Content:

The idea and content of the symposium are:

a) To describe and examine the prevalence of comorbidity and multimorbidity among older people with extensive and complex care needs and related healthcare utilisation within Nordic countries.

b) To address whether healthcare utilisation (e.g. GP visits and home care needs) for elderly with extensive and complex care needs can be explained by patient level morbidity burden measures, socioeconomic measures (e.g. from casemix systems or care indices) and other health measures (e.g. functional level) and background variables.

Method:

This symposium will include presentation of papers based on survey and routinely collected register data from quality databases and national administrative databases. The presented papers will be based on relevant descriptive statistical methods, casemix adjustment approaches, multilevel-modelling, quantile regression methods and other relevant methods. The intention is to present methods and results with a view to making recommendations concerning research, potential interventions and health policy.

Other considerations: Related themes: Public Health, Quality Improvement, Health Economics.