Cargando…

Do Individuals Skimp on Health Care After Spouse’s Dementia Diagnosis?

Dementia is a costly disease that places great burden on individuals and families. The substantial time and financial resources taken away by living with persons with dementia (PWDs) may make their spouses forgo essential health care, thus deteriorating long-term health and increasing downstream hea...

Descripción completa

Detalles Bibliográficos
Autor principal: Chen, Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679437/
http://dx.doi.org/10.1093/geroni/igab046.061
_version_ 1784616521654337536
author Chen, Yi
author_facet Chen, Yi
author_sort Chen, Yi
collection PubMed
description Dementia is a costly disease that places great burden on individuals and families. The substantial time and financial resources taken away by living with persons with dementia (PWDs) may make their spouses forgo essential health care, thus deteriorating long-term health and increasing downstream healthcare costs. However, such negative externality is understudied. This paper studied the impacts of spouse's incident dementia diagnosis on an individual's use of needed care, defined as annual flu shot and regular doctor visits for those with preexisting conditions. Using HRS linked to Medicare claims, I employed a fixed effects approach to compare the use of flu shot and doctor visit during 1 year before and after the index, for individuals whose spouse had dementia (N=691) and otherwise similar controls (N=5,073). After adjusting for time-varying health, caregiving roles, and other socio-demographic factors, spouse’s dementia onset was associated with greater likelihood of getting flu shot and seeing doctors. Among those transitioning into caregiving, spouses of PWDs had a marginally higher risk of skimping on doctor visits, compared to controls (p=0.053). In this broadly representative sample, there lacks evidence for rationed health care ensuing spouse’s dementia incidence, at least within a 1-year time frame. However, for new spousal caregivers, the impact of dementia is more profound and complex than deprivation of time. This group may face a trade-off between caring for spouses with dementia and caring for themselves, for whom policy support merits further study and consideration.
format Online
Article
Text
id pubmed-8679437
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-86794372021-12-17 Do Individuals Skimp on Health Care After Spouse’s Dementia Diagnosis? Chen, Yi Innov Aging Abstracts Dementia is a costly disease that places great burden on individuals and families. The substantial time and financial resources taken away by living with persons with dementia (PWDs) may make their spouses forgo essential health care, thus deteriorating long-term health and increasing downstream healthcare costs. However, such negative externality is understudied. This paper studied the impacts of spouse's incident dementia diagnosis on an individual's use of needed care, defined as annual flu shot and regular doctor visits for those with preexisting conditions. Using HRS linked to Medicare claims, I employed a fixed effects approach to compare the use of flu shot and doctor visit during 1 year before and after the index, for individuals whose spouse had dementia (N=691) and otherwise similar controls (N=5,073). After adjusting for time-varying health, caregiving roles, and other socio-demographic factors, spouse’s dementia onset was associated with greater likelihood of getting flu shot and seeing doctors. Among those transitioning into caregiving, spouses of PWDs had a marginally higher risk of skimping on doctor visits, compared to controls (p=0.053). In this broadly representative sample, there lacks evidence for rationed health care ensuing spouse’s dementia incidence, at least within a 1-year time frame. However, for new spousal caregivers, the impact of dementia is more profound and complex than deprivation of time. This group may face a trade-off between caring for spouses with dementia and caring for themselves, for whom policy support merits further study and consideration. Oxford University Press 2021-12-17 /pmc/articles/PMC8679437/ http://dx.doi.org/10.1093/geroni/igab046.061 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Chen, Yi
Do Individuals Skimp on Health Care After Spouse’s Dementia Diagnosis?
title Do Individuals Skimp on Health Care After Spouse’s Dementia Diagnosis?
title_full Do Individuals Skimp on Health Care After Spouse’s Dementia Diagnosis?
title_fullStr Do Individuals Skimp on Health Care After Spouse’s Dementia Diagnosis?
title_full_unstemmed Do Individuals Skimp on Health Care After Spouse’s Dementia Diagnosis?
title_short Do Individuals Skimp on Health Care After Spouse’s Dementia Diagnosis?
title_sort do individuals skimp on health care after spouse’s dementia diagnosis?
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679437/
http://dx.doi.org/10.1093/geroni/igab046.061
work_keys_str_mv AT chenyi doindividualsskimponhealthcareafterspousesdementiadiagnosis