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Significance and costs of complex biopsychosocial health care needs in elderly people: results of a population-based study

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Significance and costs of complex biopsychosocial health care needs in elderly people: results of a population-based study. / Wild, Beate; Heider, Dirk; Maatouk, Imad; Slaets, Joris; König, Hans-Helmut; Niehoff, Dorothea; Saum, Kai-Uwe; Brenner, Hermann; Söllner, Wolfgang; Herzog, Wolfgang.

in: PSYCHOSOM MED, Jahrgang 76, Nr. 7, 01.09.2014, S. 497-502.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Wild, B, Heider, D, Maatouk, I, Slaets, J, König, H-H, Niehoff, D, Saum, K-U, Brenner, H, Söllner, W & Herzog, W 2014, 'Significance and costs of complex biopsychosocial health care needs in elderly people: results of a population-based study', PSYCHOSOM MED, Jg. 76, Nr. 7, S. 497-502. https://doi.org/10.1097/PSY.0000000000000080

APA

Wild, B., Heider, D., Maatouk, I., Slaets, J., König, H-H., Niehoff, D., Saum, K-U., Brenner, H., Söllner, W., & Herzog, W. (2014). Significance and costs of complex biopsychosocial health care needs in elderly people: results of a population-based study. PSYCHOSOM MED, 76(7), 497-502. https://doi.org/10.1097/PSY.0000000000000080

Vancouver

Wild B, Heider D, Maatouk I, Slaets J, König H-H, Niehoff D et al. Significance and costs of complex biopsychosocial health care needs in elderly people: results of a population-based study. PSYCHOSOM MED. 2014 Sep 1;76(7):497-502. https://doi.org/10.1097/PSY.0000000000000080

Bibtex

@article{ae009235c8b044fc92752d8682d640c9,
title = "Significance and costs of complex biopsychosocial health care needs in elderly people: results of a population-based study",
abstract = "OBJECTIVE: To improve health care for the elderly, a consideration of biopsychosocial health care needs may be of particular importance-especially because of the prevalence of multiple conditions, mental disorders, and social challenges facing elderly people. The aim of the study was to investigate significance and costs of biopsychosocial health care needs in elderly people.METHODS: Data were derived from the 8-year follow-up of the ESTHER study-a German epidemiological study in the elderly population. A total of 3124 participants aged 57 to 84 years were visited at home by trained medical doctors. Biopsychosocial health care needs were assessed using the INTERMED for the Elderly (IM-E) interview. Health-related quality of life (HRQOL) was measured by the 12-Item Short-Form Health Survey, and psychosomatic burden was measured by the Patient Health Questionnaire.RESULTS: The IM-E correlated with decreased mental (mental component score: r = -0.38, p < .0001) and physical HRQOL (physical component score: r = -0.45, p < .0001), increased depression severity (r = 0.53, p < .0001), and costs (R = 0.41, p < .0001). The proportion of the participants who had an IM-E score of at least 21 was 8.2%; according to previous studies, they were classified as complex patients (having complex biopsychosocial health care needs). Complex patients showed a highly reduced HRQOL compared with participants without complex health care needs (mental component score: 37.0 [10.8] versus 48.7 [8.8]; physical component score: 33.0 [9.1] versus 41.6 [9.5]). Mean health care costs per 3 months of complex patients were strongly increased (1651.1 &OV0556; [3192.2] versus 764.5 &OV0556; [1868.4]).CONCLUSIONS: Complex biopsychosocial health care needs are strongly associated with adverse health outcomes in elderly people. It should be evaluated if interdisciplinary treatment plans would improve the health outcomes for complex patients.",
author = "Beate Wild and Dirk Heider and Imad Maatouk and Joris Slaets and Hans-Helmut K{\"o}nig and Dorothea Niehoff and Kai-Uwe Saum and Hermann Brenner and Wolfgang S{\"o}llner and Wolfgang Herzog",
year = "2014",
month = sep,
day = "1",
doi = "10.1097/PSY.0000000000000080",
language = "English",
volume = "76",
pages = "497--502",
journal = "PSYCHOSOM MED",
issn = "0033-3174",
publisher = "Lippincott Williams and Wilkins",
number = "7",

}

RIS

TY - JOUR

T1 - Significance and costs of complex biopsychosocial health care needs in elderly people: results of a population-based study

AU - Wild, Beate

AU - Heider, Dirk

AU - Maatouk, Imad

AU - Slaets, Joris

AU - König, Hans-Helmut

AU - Niehoff, Dorothea

AU - Saum, Kai-Uwe

AU - Brenner, Hermann

AU - Söllner, Wolfgang

AU - Herzog, Wolfgang

PY - 2014/9/1

Y1 - 2014/9/1

N2 - OBJECTIVE: To improve health care for the elderly, a consideration of biopsychosocial health care needs may be of particular importance-especially because of the prevalence of multiple conditions, mental disorders, and social challenges facing elderly people. The aim of the study was to investigate significance and costs of biopsychosocial health care needs in elderly people.METHODS: Data were derived from the 8-year follow-up of the ESTHER study-a German epidemiological study in the elderly population. A total of 3124 participants aged 57 to 84 years were visited at home by trained medical doctors. Biopsychosocial health care needs were assessed using the INTERMED for the Elderly (IM-E) interview. Health-related quality of life (HRQOL) was measured by the 12-Item Short-Form Health Survey, and psychosomatic burden was measured by the Patient Health Questionnaire.RESULTS: The IM-E correlated with decreased mental (mental component score: r = -0.38, p < .0001) and physical HRQOL (physical component score: r = -0.45, p < .0001), increased depression severity (r = 0.53, p < .0001), and costs (R = 0.41, p < .0001). The proportion of the participants who had an IM-E score of at least 21 was 8.2%; according to previous studies, they were classified as complex patients (having complex biopsychosocial health care needs). Complex patients showed a highly reduced HRQOL compared with participants without complex health care needs (mental component score: 37.0 [10.8] versus 48.7 [8.8]; physical component score: 33.0 [9.1] versus 41.6 [9.5]). Mean health care costs per 3 months of complex patients were strongly increased (1651.1 &OV0556; [3192.2] versus 764.5 &OV0556; [1868.4]).CONCLUSIONS: Complex biopsychosocial health care needs are strongly associated with adverse health outcomes in elderly people. It should be evaluated if interdisciplinary treatment plans would improve the health outcomes for complex patients.

AB - OBJECTIVE: To improve health care for the elderly, a consideration of biopsychosocial health care needs may be of particular importance-especially because of the prevalence of multiple conditions, mental disorders, and social challenges facing elderly people. The aim of the study was to investigate significance and costs of biopsychosocial health care needs in elderly people.METHODS: Data were derived from the 8-year follow-up of the ESTHER study-a German epidemiological study in the elderly population. A total of 3124 participants aged 57 to 84 years were visited at home by trained medical doctors. Biopsychosocial health care needs were assessed using the INTERMED for the Elderly (IM-E) interview. Health-related quality of life (HRQOL) was measured by the 12-Item Short-Form Health Survey, and psychosomatic burden was measured by the Patient Health Questionnaire.RESULTS: The IM-E correlated with decreased mental (mental component score: r = -0.38, p < .0001) and physical HRQOL (physical component score: r = -0.45, p < .0001), increased depression severity (r = 0.53, p < .0001), and costs (R = 0.41, p < .0001). The proportion of the participants who had an IM-E score of at least 21 was 8.2%; according to previous studies, they were classified as complex patients (having complex biopsychosocial health care needs). Complex patients showed a highly reduced HRQOL compared with participants without complex health care needs (mental component score: 37.0 [10.8] versus 48.7 [8.8]; physical component score: 33.0 [9.1] versus 41.6 [9.5]). Mean health care costs per 3 months of complex patients were strongly increased (1651.1 &OV0556; [3192.2] versus 764.5 &OV0556; [1868.4]).CONCLUSIONS: Complex biopsychosocial health care needs are strongly associated with adverse health outcomes in elderly people. It should be evaluated if interdisciplinary treatment plans would improve the health outcomes for complex patients.

U2 - 10.1097/PSY.0000000000000080

DO - 10.1097/PSY.0000000000000080

M3 - SCORING: Journal article

C2 - 25121639

VL - 76

SP - 497

EP - 502

JO - PSYCHOSOM MED

JF - PSYCHOSOM MED

SN - 0033-3174

IS - 7

ER -