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Physician use by the elderly over an eight-year period
American Journal of Public Health
|November 1, 1985
Summary
Older adults exhibit consistent physician visit patterns over time, with most maintaining similar frequency for years. Cohort effects, not age, significantly influence these long-term healthcare utilization trends.
Area of Science:
- Gerontology
- Health Services Research
- Epidemiology
Background:
- Understanding healthcare utilization patterns in older populations is crucial for resource allocation and public health planning.
- Longitudinal data is essential to differentiate age-related changes from generational influences on health behaviors.
Purpose of the Study:
- To investigate the long-term ambulatory physician use patterns among older adults over an eight-year period.
- To identify the primary factors (age vs. cohort effects) influencing consistent physician visit frequency in this demographic.
Main Methods:
- Longitudinal analysis of ambulatory physician visit data for an older population over eight years.
- Statistical examination to differentiate between age effects and cohort effects on physician utilization.
Main Results:
- 60% of older persons maintained a similar physician visit frequency for six or more years.
- 22% consistently made two or fewer visits annually, while 14% made seven or more visits each year.
- Cohort effects were found to be more significant than age effects in determining regular physician use patterns.
Conclusions:
- Physician utilization patterns among older adults are notably stable over extended periods.
- Generational (cohort) factors play a more critical role than chronological age in shaping long-term healthcare seeking behaviors in the elderly.