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Research Briefs

The Patterns of Health Care Utilization by Elderly Europeans: Frailty and Its Implications for Health Systems

Stefania Ilinca Ph.D.

European Centre for Social Welfare Policy and Research, Vienna, Austria

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Stefano Calciolari Ph.D.

Corresponding Author

Università della Svizzera Italiana, Faculty of Economics, Via G. Buffi 13, CH‐6904, Lugano, Switzerland

Address correspondence to: Stefano Calciolari, Ph.D., Assistant Professor, Università della Svizzera Italiana, Faculty of Economics, Via G. Buffi 13, CH‐6904 Lugano, Switzerland; e‐mail:

calciolari.stefano@gmail.com

.
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First published: 19 August 2014
Cited by: 22

Abstract

Objective

To examine the patterns of health care utilization by the elderly and test the influence of functional decline.

Data Source and Study Design

We used the three regular waves of the SHARE survey to estimate the influence of frailty on health care utilization in 10 European countries. We controlled for the main correlates of frailty and unobserved individual effects.

Results

The frail elderly increase their primary and hospital care utilization before the onset of disability. Multimorbidity moderates the effect of frailty on care utilization.

Conclusions

The prevalence of frailty is high in most countries and is expected to increase. This renders frailty prevention and remediation efforts imperative for two complementary reasons: to promote healthier aging and to reduce the burden on health systems.

Number of times cited according to CrossRef: 22

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