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Trajectories of disability and long-term care utilization after acute health events
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Orientador(es)
Resumo(s)
Hip fractures, strokes, and heart attacks are common acute health events that can lead to long-term disability, care utilization, and unmet needs. However, such impacts, especially in the long term, are not fully understood. Using data from the Health and Retirement Study, 1992–2018, this study examines the long-term trajectories of individuals suffering such health shocks, comparing with individuals not experiencing health shocks. Hip fracture, stroke, and heart attack are confirmed to have severe implications for disability. In most cases of stroke and heart attack, informal caregivers provide the daily support needed by survivors, whereas following hip fracture, nursing home care is more relevant. These health shocks put individuals on worse trajectories of disability, care utilization, and unmet needs. There is no long-term recovery or convergence with individuals who do not suffer shocks. Unmet need is prevalent, even pre-shock and among individuals who do not experience health shocks, emphasizing the importance of preventative care measures. These findings support policy action to ensure hospitalized individuals, especially those aged 50 and above, receive rehabilitative services and other post-acute care. Furthermore, hospitalization is an event that requires the detection and addressing of unmet care needs beyond the short run.
Descrição
Funding Information: Judite Gonçalves acknowledges funding from the Portuguese National Funding Agency for Science, Research, and Technology (FCT, grant number CEECIND/03117/2018) and Luís Filipe from the National Institute for Health Research Applied Research Collaboration North West Coast (NIHR ARC NWC). The views expressed are those of the authors and not necessarily those of their institutions. We appreciate comments from two anonymous reviewers, Joana Pestana, France Weaver, Joan Costa-Font, Helena Telles, Álvaro Almeida, Pedro Pita Barros, and participants at the Conference of the Portuguese Health Economics Association, a Lisbon Microgroup meeting, the European Health Economics Association Conference, the Workshop of the Portuguese Health Economics Association, and the Public Sector Economics Conference on Ageing and Long-Term Care. Publisher Copyright: © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.
Palavras-chave
Event study formal home care health shock informal care limitations in activities of daily living nursing home care unmet need Demography Gerontology Life-span and Life-course Studies