Die Epidemiologie von chronischen Krankheiten und Pflegebedürftigkeit: Eine Untersuchung auf der Basis von Abrechnungsdaten der gesetzlichen Krankenversicherung
Related Research units
Abstract
BACKGROUND: It is generally assumed that chronic diseases and multimorbidity increase the risk of long-term care. Nevertheless, a systematic study on the nature and the prevalence of those diseases associated with long-term care has not been yet undertaken in Germany.
MATERIALS AND METHODS: The study was perfomed using claims data of one nationwide operating statutory health insurance company in 2006. Inclusion criteria were age ≥ 65 years, minimum of 1 out of 46 diagnoses in a minimum of three quarters of the year (n = 8,678). A comparison group was formed with n = 114,962. We calculated prevalences and relative risks -using nominal regression- to determine influential factors on long-term care.
RESULTS: A small number of diseases (e.g. dementia, urinary incontinence, chronic stroke and cardiac insufficiency) show high prevalences (> 20 %) among long-term care users and at the same time great prevalence differences between users and non-users CONCLUSION: These data are important for improving medical and nursing care of long-term care users. Further research is needed with regard to the question by which mechanisms those diseases produce disability and frailty, thus leading to long-term care requirements.
Bibliographical data
Translated title of the contribution | The epidemiology of chronic diseases and long-term care: Results of a claims data-based study. |
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Original language | German |
ISSN | 0948-6704 |
DOIs | |
Publication status | Published - 2013 |
PubMed | 23912127 |
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