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KMID : 0379220180380040837
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Journal of Korea Gerontological Society
2018 Volume.38 No. 4 p.837 ~ p.851
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Frailty and Health Care Utilization among Community-dwelling Older Adults
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Jung Youn
Bae Jung-Eun
Song Eun-Sol
Kim Nam-Soon
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Abstract
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This study aimed to investigate the relationship between frailty and health care utilization in a cross-sectional design of a population-based sample of community-dwelling older adults. We used the data of 516 participants who dwell in Daejon, aged between 65 and 84 years old. Using K-frailty index, frailty status were measured and categorized as three groups: robust, prefrail, and frail. Logistic regression analysis was used to examine if frailty affects emergency department(ED) visit or hospitalization. In addition, negative binomial regression was used to examine the association between outpatient visits and frailty. Our results showed that the frail elderly increased the ED visit and the number of outpatient visit significantly after controlling for demographic characteristics, socioeconomic status, the number of chronic diseases, and self-rated health status. Considering that frailty is an important independent factor affecting health care utilization, more attention is required to prevent the frailty in our health care system.
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KEYWORD
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frailty, health care utilization, community-dwelling, elderly
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