The health status of elderly veteran enrollees in the veterans health administration

被引:96
作者
Selim, AJ
Berlowitz, DR
Fincke, G
Cong, ZX
Rogers, W
Haffer, SC
Ren, XS
Lee, A
Qian, SX
Miller, DR
Spiro, A
Selim, BJ
Kazis, LE
机构
[1] Boston VA Hlth Care Syst, Womens Hlth Clin, Gen Internal Med Sect, Boston, MA 02130 USA
[2] Boston VA Hlth Care Syst, Normat Aging Study, Boston, MA 02130 USA
[3] Vet Affairs Med Ctr, Ctr Hlth Qual Outcomes & Econ Res, Bedford, MA USA
[4] Boston Univ, Sch Med, Boston, MA 02215 USA
[5] Boston Univ, Sch Publ Hlth, Boston, MA 02215 USA
[6] Boston Univ, Dept Math, Boston, MA 02215 USA
[7] Tufts Univ New England Med Ctr, Hlth Inst, Boston, MA 02111 USA
[8] Ctr Beneficiary Choices, Ctr Medicare Serv, Baltimore, MD USA
[9] Ctr Beneficiary Choices, Ctr Medicaid Serv, Baltimore, MD USA
[10] Univ Maryland Baltimore Cty, Policy Sci Grad Program, Baltimore, MD 21228 USA
关键词
elderly; health related quality of life; health status; functional status;
D O I
10.1111/j.1532-5415.2004.52355.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
OBJECTIVES: To examine the health status of elderly veteran enrollees, stratified by age group, and compare with nonveteran populations. DESIGN: Cross-sectional study. SETTING: Outpatient. PARTICIPANTS: A total of 1,406,049 veteran enrollees were surveyed, and 887,775 returned the questionnaire (63.1%). Of these, 663,729 (74%) were aged 65 and older. MEASUREMENTS: Patient demographics, comorbid conditions, and health status, which was assessed using the Veterans 36-item short form (SF-36), a reliable and valid measure of health-related quality of life (HRQoL). RESULTS: Elderly veteran enrollees are a group with poor health status across all scales of the Veterans SF-36. Significant decline in HRQoL was found in patients grouped by increasing age (65-74, 75-84, and greater than or equal to85). Of the Veterans SF-36 scales, the role physical and role emotional scales and physical functioning presented the largest decrements by age group. The elderly veteran enrollees had poorer health status than older people enrolled in Medicare managed care, ranging from 0.5 to 1 standard deviations worse. CONCLUSION: Elderly veteran enrollees have substantial disease burden, as reflected by major impairments across multiple dimensions of HRQoL. These findings bear important implications for use of services, suggesting that the Veterans Health Administration will require considerable resources to provide care for its aging population.
引用
收藏
页码:1271 / 1276
页数:6
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