Adverse Consequences of Unmet Needs for Care in High-Need/High-Cost Older Adults

The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
Scott R BeachAlton Everette James

Abstract

We explore adverse consequences of unmet needs for care among high-need/high-cost (HNHC) older adults. Interviews with 4,024 community-dwelling older adults with ADL/IADL/mobility disabilities from the 2011 National Health and Aging Trends Study (NHATS). Reports of socio-demographics, disability compensatory strategies, and adverse consequences of unmet needs in the past month were obtained from older adults with multiple chronic conditions (MCC), probable dementia (DEM), and/or near end-of-life (EOL) and compared older adults not meeting these criteria. Older adults with MCC (31.6%), DEM (39.6%), and EOL (48.7%) reported significantly more adverse consequences than low-need older adults (21.4%). Persons with MCC & DEM (53.4%), MCC & EOL (53.2%), and all three (MCC, DEM, EOL, 65.6%) reported the highest levels of adverse consequences. HNHC participants reported more environmental modifications, assistive device, and larger helper networks. HNHC status independently predicted greater adverse consequences after controlling for disability compensatory strategies in multivariate models. Adverse consequences of unmet needs for care are prevalent among HNHC older adults, especially those with multiple indicators, despite more disabil...Continue Reading

References

Oct 1, 1990·The Gerontologist·L I PearlinM M Skaff
Jul 21, 2001·Health Affairs·C HoganJ Lynn
Aug 28, 2001·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·J C Lima, S M Allen
Jun 28, 2005·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Robert NewcomerStephen Kaye
Aug 24, 2005·Neurology·J E GalvinJ C Morris
Feb 8, 2006·Journal of the American Geriatrics Society·Laura P SandsKenneth E Covinsky
Dec 13, 2006·Neurology·James E GalvinJohn C Morris
Jul 21, 2009·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Vicki A Freedman
Feb 13, 2010·Health Services Research·Gerald F Riley, James D Lubitz
Apr 24, 2012·AIDS Care·Shema TariqUNKNOWN National Study of HIV in Pregnancy and Childhood
May 17, 2012·Journal of the American Geriatrics Society·Huiping XuLaura P Sands
Jul 26, 2013·Journal of Palliative Medicine·Richard Schulz
Aug 2, 2013·The New England Journal of Medicine·Michael D HurdKenneth M Langa
Aug 2, 2013·The New England Journal of Medicine·Zhou YangAllan Levey
Sep 10, 2014·The Milbank Quarterly·Vicki A Freedman, Brenda C Spillman
Apr 3, 2015·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Shuang HeLaura P Sands
Oct 27, 2015·Annals of Internal Medicine·Amy S KelleyJonathan S Skinner
Sep 8, 2016·The New England Journal of Medicine·David BlumenthalJeffrey Selberg
Oct 27, 2016·JAMA : the Journal of the American Medical Association·David Blumenthal, Melinda K Abrams
Dec 10, 2016·Journal of the American Geriatrics Society·Scott R Beach, Richard Schulz

❮ Previous
Next ❯

Citations

Nov 7, 2019·Journal of the American Geriatrics Society·Jennifer M ReckreyKatherine A Ornstein
Aug 28, 2020·Nursing Forum·Ani Bilazarian
Jan 8, 2020·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Jessa K Engelberg AndersonGregory J Norman
Oct 12, 2018·Journal of the American Geriatrics Society·Mary D NaylorGeorge Demiris
Aug 8, 2021·International Journal of Environmental Research and Public Health·Bich-Na JangEun-Cheol Park

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.