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Trend study on the association between hospital admissions and the health of Dutch older adults (1995–2009)
OBJECTIVES: An increase in hospital admission rates in older people may reflect improved access to healthcare, but also declining health trends in the older population. Owing to a lack of individual-level data, the latter possibility has received little attention. The current study examines associat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013367/ https://www.ncbi.nlm.nih.gov/pubmed/27531734 http://dx.doi.org/10.1136/bmjopen-2016-011967 |
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author | Galenkamp, Henrike Deeg, Dorly J H de Jongh, Renate T Kardaun, Jan W P F Huisman, Martijn |
author_facet | Galenkamp, Henrike Deeg, Dorly J H de Jongh, Renate T Kardaun, Jan W P F Huisman, Martijn |
author_sort | Galenkamp, Henrike |
collection | PubMed |
description | OBJECTIVES: An increase in hospital admission rates in older people may reflect improved access to healthcare, but also declining health trends in the older population. Owing to a lack of individual-level data, the latter possibility has received little attention. The current study examines associations between health status and hospitalisation rates of older adults in the Netherlands. DESIGN: Observational individual-level data linked to hospital register data. SETTING: Data from 1995 to 2009 from the nationally representative Longitudinal Aging Study Amsterdam were linked to the Dutch Hospital Discharge Register. PARTICIPANTS: A total of 5681 observations of 2520 respondents across 4 measurement points (each with a follow-up of 36 months; ages 65–88 years). OUTCOME MEASURES: The contribution of health, demographic, psychosocial and lifestyle characteristics to time trends in hospitalisation was assessed in multivariate models. RESULTS: Between 1995 and 2009, the percentage with 1 or more overnight admissions (planned or acute) increased slightly from 38.1% to 39.7%. This was due to an increase in acute admission only (22.2–27.0%). Increased prevalences of chronic diseases, functional limitations and polypharmacy accounted for part of the observed increase in acute admissions. In addition, a more than doubled prevalence of day admissions over time was observed (12.3–28.3%), a trend that was unrelated to changes in individual characteristics. CONCLUSIONS: This trend study showed a contribution of declines in population health to increases in acute hospital admissions. Since these declines did not provide a full explanation, healthcare reforms and increases in treatment possibilities in this period are likely to have contributed as well. |
format | Online Article Text |
id | pubmed-5013367 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-50133672016-09-12 Trend study on the association between hospital admissions and the health of Dutch older adults (1995–2009) Galenkamp, Henrike Deeg, Dorly J H de Jongh, Renate T Kardaun, Jan W P F Huisman, Martijn BMJ Open Health Services Research OBJECTIVES: An increase in hospital admission rates in older people may reflect improved access to healthcare, but also declining health trends in the older population. Owing to a lack of individual-level data, the latter possibility has received little attention. The current study examines associations between health status and hospitalisation rates of older adults in the Netherlands. DESIGN: Observational individual-level data linked to hospital register data. SETTING: Data from 1995 to 2009 from the nationally representative Longitudinal Aging Study Amsterdam were linked to the Dutch Hospital Discharge Register. PARTICIPANTS: A total of 5681 observations of 2520 respondents across 4 measurement points (each with a follow-up of 36 months; ages 65–88 years). OUTCOME MEASURES: The contribution of health, demographic, psychosocial and lifestyle characteristics to time trends in hospitalisation was assessed in multivariate models. RESULTS: Between 1995 and 2009, the percentage with 1 or more overnight admissions (planned or acute) increased slightly from 38.1% to 39.7%. This was due to an increase in acute admission only (22.2–27.0%). Increased prevalences of chronic diseases, functional limitations and polypharmacy accounted for part of the observed increase in acute admissions. In addition, a more than doubled prevalence of day admissions over time was observed (12.3–28.3%), a trend that was unrelated to changes in individual characteristics. CONCLUSIONS: This trend study showed a contribution of declines in population health to increases in acute hospital admissions. Since these declines did not provide a full explanation, healthcare reforms and increases in treatment possibilities in this period are likely to have contributed as well. BMJ Publishing Group 2016-08-16 /pmc/articles/PMC5013367/ /pubmed/27531734 http://dx.doi.org/10.1136/bmjopen-2016-011967 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Health Services Research Galenkamp, Henrike Deeg, Dorly J H de Jongh, Renate T Kardaun, Jan W P F Huisman, Martijn Trend study on the association between hospital admissions and the health of Dutch older adults (1995–2009) |
title | Trend study on the association between hospital admissions and the health of Dutch older adults (1995–2009) |
title_full | Trend study on the association between hospital admissions and the health of Dutch older adults (1995–2009) |
title_fullStr | Trend study on the association between hospital admissions and the health of Dutch older adults (1995–2009) |
title_full_unstemmed | Trend study on the association between hospital admissions and the health of Dutch older adults (1995–2009) |
title_short | Trend study on the association between hospital admissions and the health of Dutch older adults (1995–2009) |
title_sort | trend study on the association between hospital admissions and the health of dutch older adults (1995–2009) |
topic | Health Services Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013367/ https://www.ncbi.nlm.nih.gov/pubmed/27531734 http://dx.doi.org/10.1136/bmjopen-2016-011967 |
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