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Service use by elders with heart disease

D C Wallace¹, J G Lockhart, D K Boyle

¹School of Nursing, Medical College of Georgia, USA.

Research in Nursing & Health

|August 1, 1995

Summary

Demographic, social, environmental, and health factors significantly influence health service use in elders with heart disease. Key predictors include race, income, and functional status, highlighting needs for targeted interventions.

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Area of Science:

Gerontology
Public Health
Health Services Research

Background:

Elderly populations with heart disease often face complex health and social needs.
Access to and utilization of health services are critical for managing chronic conditions in older adults.
Vulnerable subgroups within the elderly population may experience unique barriers to care.

Purpose of the Study:

To investigate the influence of demographic, social, environmental, and health indicators on health service utilization among elders with heart disease.
To identify key predictors of service use in a diverse sample of older adults.

Main Methods:

Utilized existing data from a regional Area Agency on Aging.
Included a sample of 1,167 elders, encompassing vulnerable groups, men, Black individuals, low-income, and rural residents.
Employed multiple linear and logistic regression analyses to identify predictors of service use.

Main Results:

Case management, congregate meals, home-delivered meals, outreach, and recreation were the most frequently utilized services.
Significant predictors of service utilization included race, marital status, living arrangements, payment source, residence, transportation capability, health conditions, sensory impairment, and functional status.

Conclusions:

Health service utilization among elders with heart disease is multifactorial, influenced by a wide range of individual and environmental characteristics.
Understanding these predictors is essential for developing targeted strategies to improve healthcare access and outcomes for this population.

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