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Heterogeneity in Longitudinal Healthcare Utilisation by Older Adults: A Latent Transition Analysis of the Irish Longitudinal Study on Ageing.


ABSTRACT:

Background

Older adults likely exhibit considerable differences in healthcare need and usage. Identifying differences in healthcare utilisation both between and within individuals over time may support future service development.

Objectives

To characterise temporal changes in healthcare utilisation among a nationally representative sample of community-dwelling older adults.

Methods

A latent transition analysis of the first three waves of The Irish Longitudinal Study on Ageing (TILDA) (N = 6128) was conducted.

Results

Three latent classes of healthcare utilisation were identified, 'primary care only'; 'primary care and outpatient visits' and 'multiple utilisation'. The classes were invariant across all three waves. Transition probabilities indicated dynamic changes over time, particularly for the 'primary care and outpatient visits' and 'multiple utilisation' statuses.

Discussion

Older adults exhibit temporal changes in healthcare utilisation which may reflect changes in healthcare need and disease progression. Further research is required to identify the factors which influence movement between healthcare utilisation patterns.

SUBMITTER: Doherty AS 

PROVIDER: S-EPMC8961246 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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Publications

Heterogeneity in Longitudinal Healthcare Utilisation by Older Adults: A Latent Transition Analysis of the Irish Longitudinal Study on Ageing.

Doherty Ann S AS   Miller Ruth R   Mallett John J   Adamson Gary G  

Journal of aging and health 20210901 2


<h4>Background</h4>Older adults likely exhibit considerable differences in healthcare need and usage. Identifying differences in healthcare utilisation both between and within individuals over time may support future service development.<h4>Objectives</h4>To characterise temporal changes in healthcare utilisation among a nationally representative sample of community-dwelling older adults.<h4>Methods</h4>A latent transition analysis of the first three waves of The Irish Longitudinal Study on Agei  ...[more]

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