ANALYSIS OF HEALTH SERVICES UTILIZATION AMONG ELDERLY IN SLOVENIA
Author(s)
Hren R1, Prevolnik Rupel V2, Srakar A2
1University of Ljubljana, Ljubljana, Slovenia, 2Institute for Economic Research, Ljubljana, Slovenia
Presentation Documents
OBJECTIVES: To analyze health services utilization among elderly in Slovenia. METHODS: Health services utilization among elderly depends on many factors. However, it is important to realize that older people in their consumption of health care services are not a homogeneous group as they may be particularly exposed to personal income and social inequalities. To better understand the factors that influence the use of health care resources among the elderly in Slovenia, we used a database of Wave 4 of the Survey of Health, Ageing and Retirement in Europe (SHARE). The SHARE data were self-reported and included indicators of health services utilization, such as the number of contacts with general practitioners and specialists, hospital admissions within the last 12 months, and number of medications taken at least once a week. The results were presented according to age (in 5-year intervals), gender, education and subjective perception of income. Analyses of bivariate relationship dependency were performed by Pearson’s chi-square test and Cramer’s contingency coefficient, wherein the value of p < 0.05 marked the significance level. RESULTS: The analysis showed as intuitively expected that older individuals in Slovenia more often seek ambulatory medical care, take multiple medications and are hospitalized at a higher rate. The only exception was the oldest seniors (85+) group, in which we observed that the utilization of health services was lower than in the age group from 70 to 79 years. Besides age, education was an important factor that influenced the use of health care services, while income significantly affected only the number of contacts with general practitioners. CONCLUSIONS: Our findings are important as the basis for the planning and implementation of health care system in Slovenia, particularly in the current conditions of austerity measures, changing demographic structure and rapid technological progress of medicine.
Conference/Value in Health Info
2015-11, ISPOR Europe 2015, Milan, Italy
Value in Health, Vol. 18, No. 7 (November 2015)
Code
PHP4
Topic
Economic Evaluation, Health Policy & Regulatory, Health Service Delivery & Process of Care, Patient-Centered Research
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies, Health Disparities & Equity, Patient Behavior and Incentives, Prescribing Behavior
Disease
Multiple Diseases
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