Effects of self-care behaviors on medical utilization of the elderly with chronic diseases - A representative sample study

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2 Citations (Scopus)

Abstract

Background: Research indicates that self-care affects lifestyle and health behaviors; however, little is known about whether or not self-care affects medical utilization. Objectives: Exploring the effects on self-care behaviors to medical utilizations by elderly with chronic conditions. Method: Data from the Taiwanese National Survey of Health and Living Status of Older Adults and the National Health Insurance claim databases in 2007 were used. Indicators of self-care were disease management behavior and self-care confidence of the elderly. We considered hospital admissions, emergency room services, and avoidable hospitalizations as representing utilization of medical services. Results: In total, 2531 cases were recruited. After controlling for demographic factors and health status, a logistic regression showed that higher self-care confidence and beginning an exercise program decreased avoidable hospitalizations. Furthermore, beginning an exercise program decreased hospital admissions and also decreased utilization of emergency services. Discussion: Self-care behavior and confidence decreased avoidable hospitalization, hospital admission and emergency services. More research is needed to identify the interaction between self-care literacy, self-care behavior and health services that may clarify the effective means and provide appropriate intervention programs.

Original languageEnglish
Pages (from-to)478-485
Number of pages8
JournalArchives of Gerontology and Geriatrics
Volume60
Issue number3
DOIs
Publication statusPublished - May 1 2015

Fingerprint

Self Care
Chronic Disease
utilization
Disease
hospitalization
Hospitalization
confidence
Health Status
Hospital Emergency Service
Exercise
insurance claim
medical services
Health Behavior
National Health Programs
demographic factors
Disease Management
health behavior
Research
health insurance
health status

Keywords

  • Disease management
  • Medical utilization
  • Self-care behaviors
  • Self-care confidence
  • Taiwan

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology
  • Health(social science)
  • Gerontology

Cite this

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title = "Effects of self-care behaviors on medical utilization of the elderly with chronic diseases - A representative sample study",
abstract = "Background: Research indicates that self-care affects lifestyle and health behaviors; however, little is known about whether or not self-care affects medical utilization. Objectives: Exploring the effects on self-care behaviors to medical utilizations by elderly with chronic conditions. Method: Data from the Taiwanese National Survey of Health and Living Status of Older Adults and the National Health Insurance claim databases in 2007 were used. Indicators of self-care were disease management behavior and self-care confidence of the elderly. We considered hospital admissions, emergency room services, and avoidable hospitalizations as representing utilization of medical services. Results: In total, 2531 cases were recruited. After controlling for demographic factors and health status, a logistic regression showed that higher self-care confidence and beginning an exercise program decreased avoidable hospitalizations. Furthermore, beginning an exercise program decreased hospital admissions and also decreased utilization of emergency services. Discussion: Self-care behavior and confidence decreased avoidable hospitalization, hospital admission and emergency services. More research is needed to identify the interaction between self-care literacy, self-care behavior and health services that may clarify the effective means and provide appropriate intervention programs.",
keywords = "Disease management, Medical utilization, Self-care behaviors, Self-care confidence, Taiwan",
author = "Chen, {I. Hui} and Chi, {Mei ju}",
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AU - Chen, I. Hui

AU - Chi, Mei ju

PY - 2015/5/1

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N2 - Background: Research indicates that self-care affects lifestyle and health behaviors; however, little is known about whether or not self-care affects medical utilization. Objectives: Exploring the effects on self-care behaviors to medical utilizations by elderly with chronic conditions. Method: Data from the Taiwanese National Survey of Health and Living Status of Older Adults and the National Health Insurance claim databases in 2007 were used. Indicators of self-care were disease management behavior and self-care confidence of the elderly. We considered hospital admissions, emergency room services, and avoidable hospitalizations as representing utilization of medical services. Results: In total, 2531 cases were recruited. After controlling for demographic factors and health status, a logistic regression showed that higher self-care confidence and beginning an exercise program decreased avoidable hospitalizations. Furthermore, beginning an exercise program decreased hospital admissions and also decreased utilization of emergency services. Discussion: Self-care behavior and confidence decreased avoidable hospitalization, hospital admission and emergency services. More research is needed to identify the interaction between self-care literacy, self-care behavior and health services that may clarify the effective means and provide appropriate intervention programs.

AB - Background: Research indicates that self-care affects lifestyle and health behaviors; however, little is known about whether or not self-care affects medical utilization. Objectives: Exploring the effects on self-care behaviors to medical utilizations by elderly with chronic conditions. Method: Data from the Taiwanese National Survey of Health and Living Status of Older Adults and the National Health Insurance claim databases in 2007 were used. Indicators of self-care were disease management behavior and self-care confidence of the elderly. We considered hospital admissions, emergency room services, and avoidable hospitalizations as representing utilization of medical services. Results: In total, 2531 cases were recruited. After controlling for demographic factors and health status, a logistic regression showed that higher self-care confidence and beginning an exercise program decreased avoidable hospitalizations. Furthermore, beginning an exercise program decreased hospital admissions and also decreased utilization of emergency services. Discussion: Self-care behavior and confidence decreased avoidable hospitalization, hospital admission and emergency services. More research is needed to identify the interaction between self-care literacy, self-care behavior and health services that may clarify the effective means and provide appropriate intervention programs.

KW - Disease management

KW - Medical utilization

KW - Self-care behaviors

KW - Self-care confidence

KW - Taiwan

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