Abstract No. 581 (Symposium) : HEALTH SERVICE UTILISATION AND FUNCTIONAL STATUS: RESULTS FROM THE PATIENT AND PROVIDER FEEDBACK PROJECT

Conference: 
Author(s): 
O'Brien E, Myers L, Saltman DC
Department of General Practice, University of Sydney, Manly Hospital, Manly, 2095, NSW, Australia
Text: 
Introduction:
Little is known about the relationship between functional status and health care utilisation over time. This study aims to examine this relationship. The project is the second phase of a larger study, the Manly Hospital Cohort Study (MHCS), which examined the relationship between functional status and continuity of care.
Methods: The MHCS recruited a 10% random sample (400) of all patients aged 65+ years presenting to Manly Hospital, Sydney, Australia. Health service utilisation data was gathered for a twelve month period (six months prior to recruitment admission and six months subsequent to admission) for each individual enrolled in the MHCS. This data includes out-of-hospital medical visits and pharmaceutical and costs as well as in-patient costs. The functional status of each of individual was measured with two instruments: The MOS Short Form 36 (SF-36) and The Self Assessed Personal Information card (SPIN). These measurements were taken at admission, discharge, 3 months and 18 months post discharge.
Results: Functional status and costs of health services for each individual involved in the study was correlated and presented as relative risk data. Patterns of health care service utilisation was analysed to predictors of high use will be discussed.
Discussion:
Can functional status measured over time act as a predictor for health service utilisation? Does health service utilisation predict functional status? When the care of the elderly involves complex and chronic conditions it is important for health planners as well as general practitioners to understand the patterns and links between care and costs, and outcomes of that care.