IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0249207.html
   My bibliography  Save this article

Estimating the effect of health assessments on mortality, physical functioning and health care utilisation for women aged 75 years and older

Author

Listed:
  • Xenia Dolja-Gore
  • Julie E Byles
  • Meredith A Tavener
  • Catherine L Chojenta
  • Tazeen Majeed
  • Balakrishnan R Nair
  • Gita D Mishra

Abstract

Health assessments have potential to improve health of older people. This study compares long-term health care utilisation, physical functioning, and mortality for women aged 75 years or over who have had a health assessment and those who have not. Prospective data on health service use, physical functioning, and deaths among a large cohort of women born 1921–26 were analysed. Propensity score matching was used to produce comparable groups of women according to whether they had a health assessment or not. The study population included 6128 (67.3%) women who had an assessment, and 2971 (32.7%) women who had no assessment. Propensity matching produced 2101 pairs. Women who had an assessment had more use of other health services, longer survival, and were more likely to survive with high physical functioning compared to women with no assessment. Among women who had good baseline physcial functioning scores, women who had an assessment had significantly lower odds of poor outcomes at 1000 days follow-up compared to women who had no assessment (OR: 0.67, 95%CI: 0.52, 0.85). This large observational study shows the real-world potential for assessments to improve health outcomes for older women. However, they also increased health service use. This increased healthcare is likely to be an important mechanism in improving the women’s health outcomes.

Suggested Citation

  • Xenia Dolja-Gore & Julie E Byles & Meredith A Tavener & Catherine L Chojenta & Tazeen Majeed & Balakrishnan R Nair & Gita D Mishra, 2021. "Estimating the effect of health assessments on mortality, physical functioning and health care utilisation for women aged 75 years and older," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-16, April.
  • Handle: RePEc:plo:pone00:0249207
    DOI: 10.1371/journal.pone.0249207
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0249207
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0249207&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0249207?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0249207. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.