2008, Number 3
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salud publica mex 2008; 50 (3)
Health care utilization and health-related quality of life perception in older adults: a study of the Mexican Social Security Institute
Gallegos-Carrillo K, García-Peña C, Durán-Muñoz C, Mudgal J, Durán-Arenas L, Salmerón-Castro J
Language: English
References: 43
Page: 207-217
PDF size: 197.74 Kb.
ABSTRACT
Objective. To establish how health care service utilization patterns are associated with health-related quality of life (HRQL) perception in older adults.
Material and Methods. A cross-sectional study in adults aged 60 years or more was conducted in a random sample of 1 150 beneficiaries of the Mexican Social Security Institute (IMSS) in Mexico City during 2003. Health care services utilization was categorized as preventive or curative, which generated six usage profiles. HRQL was measured by means of the SF-36 questionnaire. Analyses of variance and multiple linear regressions were conducted to evaluate the relationship between health care services utilization and HRQL.
Results. The use of preventive and curative services has a positive association with HRQL levels. Usage profiles with a prevalence of preventive services have a stronger positive association with HRQL scales.
Conclusions. This study suggests a positive association between use patterns for primarily preventive health care services and a better HRQL perception among older adults.
REFERENCES
Dominguez LJ, Galioto A, Ferlisi A, Pineo A, Putignano E, Belvedere M, et al. Ageing, lifestyle modifications, and cardiovascular disease in developing countries. J Nutr Health Aging 2006;10:143-149.
Consejo Nacional de Población. Estimaciones y proyecciones del Consejo Nacional de Población 2002. Mexico City: CONAPO, 2002.
World Health Organization. Innovative care for chronic conditions: building blocks for action. Geneva: WHO, 2002.
Partnerships for Health Reform Project. Cuentas Nacionales de Salud: México. Informe de Iniciativas Especiales 11. Bethesda, MD: Abt Associates, Inc., 1998.
Wong R, Díaz JJ. Health care utilization among older Mexicans: health and socioeconomic inequalities. Salud Publica Mex 2007;49(suppl 4): S505-S514.
Pagan JA, Puig A, Soldo BJ. Health insurance coverage and the use of preventive services by Mexican adults. Health Econ 2007;12:1359-1369.
Mejía-Rodríguez I, Cisneros-Salazar M, Rosales-Piñón A, Reyes-Niño S, Reyes-Morales H, Gutiérrez-Trujillo G. ENCOPREVENIMSS 2003, 2004 y 2005. 3. Avances en los Programas de Salud de la Mujer, del Hombre y del Adulto Mayor. Rev Med Inst Mex Seguro Soc 2006;44(suppl 1):S43-S54.
Reyes-Frausto S. Population ageing in the Mexican Institute of Social Security: Health policy and economic implications. Mexico City: IMSS FUNSALUD, 2001:143-155.
Testa MA, Simonson DC. Assessment of quality of life outcomes. N Eng J Med 1996;334:835-840.
Centers for Disease Control and Prevention. Quality of life as a new public health measure. Behavioral Risk Factor Surveillance System, 1993. Morb Mortal Wkly Rep 1994;43:375-380.
The WHOQOL Group. The World Health Organization Quality of Life Assessment (WHOQOL): Position paper from the World Health Organization. Soc Sci Med 1995;10:1403-1409.
Lam CL, Fong DY, Lauder IJ, Lam TP. The effect of health-related quality of life (HRQOL) on health service utilisation of a Chinese population. Soc Sci Med 2002;55:1635-1646.
Parkerson GR Jr, Hammond WE, Michener JL, Yarnall KS, Johnson JL. Risk classification of adult primary care patients by self-reported quality of life. Med Care 2005;43:189-193.
Miilunpalo S, Vuori I, Oja P, Pasanen M, Arponen H. Self-rated health status as a health measure. The predictive value of self-reported health status on the use of physician services and on mortality in the workingage population. J Clin Epidemiol 1997;50:517-528.
Matsumura S. Perceived health status as predictor of utilization of health-care resources and the number of sick-leave days in Japan [Abstract]. Qual Life Res 2000;9:1063.
Wang Q, Bourbeau J. Outcomes and health-related quality of life following hospitalization for an acute exacerbation of COPD. Respirology 2005;10:334-440.
Schoofs N, Bambini D, Ronning P, Bielak E, Woehl J. Death of a lifestyle: The effects of social support and health care support on the quality of life of persons with fibromyalgia and/or chronic fatigue syndrome. Orthop Nurs 2004;23:364-374.
Kahana E, Lawrence RH, Kahana B, Kercher K, Wisniewski A, Stoller E, et al. Long-term impact of preventive proactivity on quality of life of the old-old. Psychosom Med 2002;64:382-394.
Gallegos-Carrillo K, Durán-Arenas L, López-Carrillo L, López- Cervantes M. Factores asociados con las dimensiones de calidad de vida del adulto mayor en Morelos. Rev Invest Clin 2003;55:260-269.
Gleich GS. Health maintenance and prevention in the elderly. Prim Care 1995;22:697-711.
Stuck AE, Egger M, Hammer A, Minder CE, Beck JC. Home visits to prevent nursing home admission and functional decline in elderly people: Systematic review and Meta regression analysis. JAMA 2002;287:1022-1028.
van Haastregt JC, Diederiks JP, van Rossum E, de Witte LP, Crebolder HF. Effects of preventive home visits to elderly people living in the community: systematic review. BMJ 2000;320:754-758.
Elkan R, Kendrick D, Dewey M, Hewitt M, Robinson J, Blair M, et al. Effectiveness of home based support for older people: a systematic review and meta-analysis. BMJ 2001;323:719-725.
Reyes-Beaman S, Beaman PE, Garcia-Peña C, Villa MA, Heres J, et al. Validation of a modified version of the Mini-Mental State Examination (MMSE) in Spanish. Aging Neuropsychol Cognition 2004:11:1-11.
Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 1992;30:473-483.
Zúñiga MA, Carrillo-Jiménez GT, Fox PJ, Gandek B, Medina-Moreno MR. Evaluación del estado de salud con la Encuesta SF-36: resultados preliminares. Salud Publica Mex 1999;41:110-118.
Duran-Arenas L, Gallegos-Carrillo K, Salinas-Escudero G, Martínez-Salgado H. Towards a Mexican normative standard for measurement of the Short Format 36 health-related quality of life instrument. Salud Publica Mex 2004;46:306-315.
Ware JE, Snow K, Kosinki M, Gandek B. The SF-36 Health Survey: Manual and Interpretation Guide. Boston, MA, USA: New England Medical Center Health Institute, 1993.
World Health Organization. Declaration of Alma Ata. International Conference on Primary Health Care. Alma Ata USSR: WHO, 1978.
Wong R, Figueroa ME. Morbilidad y utilización de servicios de salud entre población de edad avanzada: Un análisis comparativo. (ENSA-2000). Papeles de Población 1999;5:103-124.
Wong R, Espinoza M, Palloni A. Adultos mayores en un contexto socioeconómico amplio: salud y envejecimiento. Salud Publica Mex 2007;49(suppl 4):S436-S447.
Instituto Nacional de Salud Pública-Secretaría de Salud. Encuesta Nacional de Salud (ENSA 2000), México, DF: INSP-SSA, 2000.
Borges-Yañez SA, Gomez-Dantes H. Use of health services by a population of 60-year olds and older in Mexico. Salud Publica Mex 1998;40:12-23.
Gómez-Dantés H, Vázquez JL, Fernández-Cantón S. La salud de los adultos en el Instituto Mexicano del Seguro Social. In: Muñoz O, García- Peña C, Durán-Arenas L. La salud del adulto mayor: temas y debates. México, DF: Instituto Mexicano del Seguro Social, 2004:45-61.
Theander E, Edberg AK. Preventive home visits to older people in Southern Sweden. Scand J Public Health 2005;33:392-400.
Damian J, Ruigomez A, Pastor V, Martin-Moreno JM. Determinants of self assessed health among Spanish older people living at home. J Epidemiol Community Health 1999;53:412-416.
Mutchler JE, Burr JA. Racial differences in health and health care service utilization in later life: the effect of socioeconomic status. J Health Soc Behav 1991;32:342-356.
Blaum CS, Liang J, Liu X. The relationship of chronic disease and health status to the health services utilization of older Americans. J Am Geriatr Soc 1994;42:1087-1093.
Kahana E, Kahana B. Contextualizing successful aging: new directions in an age-old search. In: Settersen RA Jr, ed. Invitation to the life course: toward a new understanding of late life. New York: Baywood Publishing, 2003:225-255.
Regidor E, Barrio G, de la Fuente L, Domingo A, Rodríguez C, Alonso J. Association between schooling and health-related quality of life in Spanish adults. J Epidemiol Community Health 1999;53:75-82.
Alonso J, Ferrer M, Gandek B, Ware JE Jr, Aaronson NK, Mosconi P, et al. Health-related quality of life associated with chronic conditions in eight countries: results from the International Quality of Life Assessment (IQOLA) Project. Qual Life Res 2004;13:283-298.
Michelson H, Bolund, C, Brandberg Y. Multiple chronic health problems are negatively associated with health-related quality of life (HRQL) irrespective of age. Qual Life Res 2000; 9:1093-1104.
Aydemir O, Ozdemir C, Koroglu E. The impact of co-morbid conditions on the SF-36: a primary-care-based study among hypertensives. Arch Med Res 2005;36:136-141.