Association of Anxiety Symptoms with Health Care Use and Costs in People Aged 85 and Over
Standard
Association of Anxiety Symptoms with Health Care Use and Costs in People Aged 85 and Over. / Hohls, Johanna Katharina; König, Hans-Helmut; van den Bussche, Hendrik; Eisele, Marion; Wiese, Birgitt; Oey, Anke; Weyerer, Siegfried; Werle, Jochen; Fuchs, Angela; Pentzek, Michael; Stein, Janine; Röhr, Susanne; Mösch, Edelgard; Bickel, Horst; Heser, Kathrin; Miebach, Lisa; Scherer, Martin; Maier, Wolfgang; Riedel-Heller, Steffi G; Hajek, André.
In: INT J GERIATR PSYCH, Vol. 34, No. 5, 05.2019, p. 765-776.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Association of Anxiety Symptoms with Health Care Use and Costs in People Aged 85 and Over
AU - Hohls, Johanna Katharina
AU - König, Hans-Helmut
AU - van den Bussche, Hendrik
AU - Eisele, Marion
AU - Wiese, Birgitt
AU - Oey, Anke
AU - Weyerer, Siegfried
AU - Werle, Jochen
AU - Fuchs, Angela
AU - Pentzek, Michael
AU - Stein, Janine
AU - Röhr, Susanne
AU - Mösch, Edelgard
AU - Bickel, Horst
AU - Heser, Kathrin
AU - Miebach, Lisa
AU - Scherer, Martin
AU - Maier, Wolfgang
AU - Riedel-Heller, Steffi G
AU - Hajek, André
N1 - This article is protected by copyright. All rights reserved.
PY - 2019/5
Y1 - 2019/5
N2 - OBJECTIVE: To analyze the association of anxiety symptoms with health care use and costs in people aged 85 and older.METHODS: Baseline data from AgeQualiDe (N = 856), a multicenter prospective cohort study of primary care patients aged 85 and older, were analyzed. Anxiety symptoms (Geriatric Anxiety Inventory-Short Form) and health care use were assessed via questionnaires. Health care use was monetarily valued using German unit costs to obtain sectoral (inpatient, outpatient, nursing care, medical supplies, and medication) and total costs. Health care use and costs were analyzed in regression models as a function of anxiety symptoms, as well as relevant covariates (predisposing, enabling, and other need characteristics based on the Behavioral Model of Health Care Use).RESULTS: On a descriptive level, people with increased anxiety symptoms (12% of the sample) incurred on average € 10 909 (SD: 16 023) in the last 6 months, 31% more than those without increased anxiety (€ 8303, SD: 11 175; P = 0.12). Adjusting for predisposing, enabling, and other need characteristics, anxiety symptoms were not significantly associated with health care use or costs. Specifically, need characteristics (morbidity, cognitive decline, and functional impairment) were associated with total or sectoral costs, depending on the cost category analyzed.CONCLUSION: In a sample of people of the oldest-old age group, the severity of anxiety symptoms was not associated with health care use or costs, when adjusting for relevant covariates. A longitudinal analysis could assess whether a change in anxiety symptom severity is associated with health care use or costs in old age.
AB - OBJECTIVE: To analyze the association of anxiety symptoms with health care use and costs in people aged 85 and older.METHODS: Baseline data from AgeQualiDe (N = 856), a multicenter prospective cohort study of primary care patients aged 85 and older, were analyzed. Anxiety symptoms (Geriatric Anxiety Inventory-Short Form) and health care use were assessed via questionnaires. Health care use was monetarily valued using German unit costs to obtain sectoral (inpatient, outpatient, nursing care, medical supplies, and medication) and total costs. Health care use and costs were analyzed in regression models as a function of anxiety symptoms, as well as relevant covariates (predisposing, enabling, and other need characteristics based on the Behavioral Model of Health Care Use).RESULTS: On a descriptive level, people with increased anxiety symptoms (12% of the sample) incurred on average € 10 909 (SD: 16 023) in the last 6 months, 31% more than those without increased anxiety (€ 8303, SD: 11 175; P = 0.12). Adjusting for predisposing, enabling, and other need characteristics, anxiety symptoms were not significantly associated with health care use or costs. Specifically, need characteristics (morbidity, cognitive decline, and functional impairment) were associated with total or sectoral costs, depending on the cost category analyzed.CONCLUSION: In a sample of people of the oldest-old age group, the severity of anxiety symptoms was not associated with health care use or costs, when adjusting for relevant covariates. A longitudinal analysis could assess whether a change in anxiety symptom severity is associated with health care use or costs in old age.
KW - Journal Article
U2 - 10.1002/gps.5089
DO - 10.1002/gps.5089
M3 - SCORING: Journal article
C2 - 30821399
VL - 34
SP - 765
EP - 776
JO - INT J GERIATR PSYCH
JF - INT J GERIATR PSYCH
SN - 0885-6230
IS - 5
ER -