Format

Send to

Choose Destination
See comment in PubMed Commons below
Gerontologist. 2004 Jun;44(3):401-7.

The effect of self-reported and performance-based functional impairment on future hospital costs of community-dwelling older persons.

Author information

  • 1Multicampus Program in Geriatric Medicine and Gerontology, David Geffen School of Medicine at the University of California-Los Angeles, 90095-1687, USA. dreuben@mednet.ucla.edu

Abstract

PURPOSE:

We determined the prognostic value of self-reported and performance-based measurement of function, including functional transitions and combining different measurement approaches, on utilization.

DESIGN AND METHODS:

Our cohort study used the 6th, 7th, and 10th waves of three sites of the Established Populations for Epidemiologic Studies of the Elderly, linked to 1- and 4-year Medicare Part A hospital costs. We examined mean hospital expenditures based on (a) 1- and 4-year transitions in self-reported functional status; (b) 4-year transitions in performance-based functional status; (c) combined baseline self-reported and performance-based functional status; and (d) poorest self-reported and performance-based functional status during a 4-year period.

RESULTS:

Even modest declines in self-reported or performance-based functional status were associated with increased expenditures. When baseline self-reported and performance-based assessments were combined, mean 1- and 4-year adjusted costs were higher with progressively worse performance-based scores, even among those who were independent in self-reported function. When the poorest 4-year self-reported and performance-based functions were examined, self-reported functioning was the most important determinant of hospital costs, but within each self-reported functional level, poorer performance-based function was associated with progressively higher costs.

IMPLICATIONS:

The costs associated with even modest functional decline are high. Combining self-reported and performance-based measurements can provide more precise estimates of future hospital costs.

Copyright 2004 The Gerontological Society of America

PMID:
15197294
[PubMed - indexed for MEDLINE]

LinkOut - more resources

Full Text Sources

Other Literature Sources

PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Write to the Help Desk