Factors Contributing to Persistent Frequent Attendance in Primary Care Among the Oldest Old: Longitudinal Evidence From the AgeCoDe-AgeQualiDe Study

ObjectiveSince there is a lack of longitudinal studies in this area, our aim was to identify the determinants of persistent frequent attendance in primary care among the oldest old in Germany.MethodsLongitudinal data (follow-up wave 7–9) were taken from the multicenter prospective cohort “Study on n...

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Main Authors: Elżbieta W. Buczak-Stec, André Hajek, Hendrik van den Bussche, Marion Eisele, Anke Oey, Birgitt Wiese, Siegfried Weyerer, Jochen Werle, Angela Fuchs, Michael Pentzek, Melanie Luppa, Margit Löbner, Dagmar Weeg, Edelgard Mösch, Kathrin Heser, Michael Wagner, Steffi G. Riedel-Heller, Wolfgang Maier, Martin Scherer, Hans-Helmut König
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.815419/full
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author Elżbieta W. Buczak-Stec
André Hajek
Hendrik van den Bussche
Marion Eisele
Anke Oey
Birgitt Wiese
Siegfried Weyerer
Jochen Werle
Angela Fuchs
Michael Pentzek
Melanie Luppa
Margit Löbner
Dagmar Weeg
Edelgard Mösch
Kathrin Heser
Michael Wagner
Michael Wagner
Steffi G. Riedel-Heller
Wolfgang Maier
Wolfgang Maier
Martin Scherer
Hans-Helmut König
author_facet Elżbieta W. Buczak-Stec
André Hajek
Hendrik van den Bussche
Marion Eisele
Anke Oey
Birgitt Wiese
Siegfried Weyerer
Jochen Werle
Angela Fuchs
Michael Pentzek
Melanie Luppa
Margit Löbner
Dagmar Weeg
Edelgard Mösch
Kathrin Heser
Michael Wagner
Michael Wagner
Steffi G. Riedel-Heller
Wolfgang Maier
Wolfgang Maier
Martin Scherer
Hans-Helmut König
author_sort Elżbieta W. Buczak-Stec
collection DOAJ
description ObjectiveSince there is a lack of longitudinal studies in this area, our aim was to identify the determinants of persistent frequent attendance in primary care among the oldest old in Germany.MethodsLongitudinal data (follow-up wave 7–9) were taken from the multicenter prospective cohort “Study on needs, health service use, costs, and health-related quality of life in a large sample of oldest-old primary care patients (85+)” (AgeQualiDe), covering primary care patients ≥ 85 years (FU7 n = 741, mean age 88.9 years (SD 2.9; 85–100)). Persistent frequent attenders of general practitioner (GP) services (the patients in the top decile of the number of GP consultations in two or more consecutive waves) were our main outcome of interest. Logistic random-effects models were used.ResultsOur analysis included 1,891 observations (766 individuals). Across three waves, we identified 56 persistent frequent attenders. Results of random-effects logistic regressions showed that the odds of being persistent frequent attender were higher for widowed individuals (OR = 4.57; 95% CI [1.07–19.45]). Moreover, a one-point increase in the frailty score and having one more chronic condition increased the odds of being a persistent frequent attender by 68% (OR =1.68; 95% CI [1.05–2.69]) and 23% (OR=1.23, 95% CI [1.05–1.44]), respectively.ConclusionOur study stressed the longitudinal association between frailty and widowhood as well as chronic diseases and persistent frequent attendance among the oldest old in Germany.
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spelling doaj.art-371c247253c34640891d5c71c3922c612022-12-21T22:51:27ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-03-01910.3389/fmed.2022.815419815419Factors Contributing to Persistent Frequent Attendance in Primary Care Among the Oldest Old: Longitudinal Evidence From the AgeCoDe-AgeQualiDe StudyElżbieta W. Buczak-Stec0André Hajek1Hendrik van den Bussche2Marion Eisele3Anke Oey4Birgitt Wiese5Siegfried Weyerer6Jochen Werle7Angela Fuchs8Michael Pentzek9Melanie Luppa10Margit Löbner11Dagmar Weeg12Edelgard Mösch13Kathrin Heser14Michael Wagner15Michael Wagner16Steffi G. Riedel-Heller17Wolfgang Maier18Wolfgang Maier19Martin Scherer20Hans-Helmut König21Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of General Practice and Primary Medical Care, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of General Practice and Primary Medical Care, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyHannover Medical School, Institute of General Practice, Hanover, GermanyHannover Medical School, Institute of General Practice, Hanover, GermanyCentral Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, GermanyCentral Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, GermanyMedical Faculty, Institute of General Practice, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyMedical Faculty, Institute of General Practice, Heinrich-Heine-University Düsseldorf, Düsseldorf, GermanyInstitute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, GermanyInstitute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, GermanyDepartment of Psychiatry, Technical University of Munich, Munich, GermanyDepartment of Psychiatry, Technical University of Munich, Munich, GermanyDepartment of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, Bonn, GermanyDepartment of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, Bonn, GermanyGerman Center for Neurodegenerative Diseases (DZNE), Bonn, GermanyInstitute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, GermanyDepartment of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, Bonn, GermanyGerman Center for Neurodegenerative Diseases (DZNE), Bonn, GermanyDepartment of General Practice and Primary Medical Care, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyObjectiveSince there is a lack of longitudinal studies in this area, our aim was to identify the determinants of persistent frequent attendance in primary care among the oldest old in Germany.MethodsLongitudinal data (follow-up wave 7–9) were taken from the multicenter prospective cohort “Study on needs, health service use, costs, and health-related quality of life in a large sample of oldest-old primary care patients (85+)” (AgeQualiDe), covering primary care patients ≥ 85 years (FU7 n = 741, mean age 88.9 years (SD 2.9; 85–100)). Persistent frequent attenders of general practitioner (GP) services (the patients in the top decile of the number of GP consultations in two or more consecutive waves) were our main outcome of interest. Logistic random-effects models were used.ResultsOur analysis included 1,891 observations (766 individuals). Across three waves, we identified 56 persistent frequent attenders. Results of random-effects logistic regressions showed that the odds of being persistent frequent attender were higher for widowed individuals (OR = 4.57; 95% CI [1.07–19.45]). Moreover, a one-point increase in the frailty score and having one more chronic condition increased the odds of being a persistent frequent attender by 68% (OR =1.68; 95% CI [1.05–2.69]) and 23% (OR=1.23, 95% CI [1.05–1.44]), respectively.ConclusionOur study stressed the longitudinal association between frailty and widowhood as well as chronic diseases and persistent frequent attendance among the oldest old in Germany.https://www.frontiersin.org/articles/10.3389/fmed.2022.815419/fullaged80 and overgeneral practitioners (GP)health care utilizationhealth services needs and demandprimary health care
spellingShingle Elżbieta W. Buczak-Stec
André Hajek
Hendrik van den Bussche
Marion Eisele
Anke Oey
Birgitt Wiese
Siegfried Weyerer
Jochen Werle
Angela Fuchs
Michael Pentzek
Melanie Luppa
Margit Löbner
Dagmar Weeg
Edelgard Mösch
Kathrin Heser
Michael Wagner
Michael Wagner
Steffi G. Riedel-Heller
Wolfgang Maier
Wolfgang Maier
Martin Scherer
Hans-Helmut König
Factors Contributing to Persistent Frequent Attendance in Primary Care Among the Oldest Old: Longitudinal Evidence From the AgeCoDe-AgeQualiDe Study
Frontiers in Medicine
aged
80 and over
general practitioners (GP)
health care utilization
health services needs and demand
primary health care
title Factors Contributing to Persistent Frequent Attendance in Primary Care Among the Oldest Old: Longitudinal Evidence From the AgeCoDe-AgeQualiDe Study
title_full Factors Contributing to Persistent Frequent Attendance in Primary Care Among the Oldest Old: Longitudinal Evidence From the AgeCoDe-AgeQualiDe Study
title_fullStr Factors Contributing to Persistent Frequent Attendance in Primary Care Among the Oldest Old: Longitudinal Evidence From the AgeCoDe-AgeQualiDe Study
title_full_unstemmed Factors Contributing to Persistent Frequent Attendance in Primary Care Among the Oldest Old: Longitudinal Evidence From the AgeCoDe-AgeQualiDe Study
title_short Factors Contributing to Persistent Frequent Attendance in Primary Care Among the Oldest Old: Longitudinal Evidence From the AgeCoDe-AgeQualiDe Study
title_sort factors contributing to persistent frequent attendance in primary care among the oldest old longitudinal evidence from the agecode agequalide study
topic aged
80 and over
general practitioners (GP)
health care utilization
health services needs and demand
primary health care
url https://www.frontiersin.org/articles/10.3389/fmed.2022.815419/full
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