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Trajectories of disability and long-term care utilization after acute health events

2025-01-01Artigo científico Acesso aberto
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dc.contributor.authorGonçalves, Judite
dc.contributor.authorFilipe, Luís
dc.contributor.authorVan Houtven, Courtney H.
dc.contributor.institutionNOVA School of Business and Economics (NOVA SBE)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblRoutledge
dc.date.accessioned2023-10-23T22:20:27Z
dc.date.available2023-10-23T22:20:27Z
dc.date.issued2025-01-01
dc.descriptionFunding 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.
dc.description.abstractHip 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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1825279
dc.identifier.doi10.1080/08959420.2023.2267399
dc.identifier.issn0895-9420
dc.identifier.otherPURE: 74539884
dc.identifier.otherPURE UUID: f8ec9529-8597-40a2-a1fc-9434dbede734
dc.identifier.otherScopus: 85173778827
dc.identifier.urihttp://hdl.handle.net/10362/159221
dc.identifier.urlhttps://www.scopus.com/pages/publications/85173778827
dc.language.isoeng
dc.peerreviewedyes
dc.subjectEvent study
dc.subjectformal home care
dc.subjecthealth shock
dc.subjectinformal care
dc.subjectlimitations in activities of daily living
dc.subjectnursing home care
dc.subjectunmet need
dc.subjectDemography
dc.subjectGerontology
dc.subjectLife-span and Life-course Studies
dc.titleTrajectories of disability and long-term care utilization after acute health eventsen
dc.typejournal article
degois.publication.firstPage47
degois.publication.issue1
degois.publication.lastPage70
degois.publication.titleJournal of Aging and Social Policy
degois.publication.volume37
dspace.entity.typePublication
rcaap.rightsopenAccess

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