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Vol. 28, No. 3, 2009
Issue release date: October 2009
Section title: Original Research Article
Dement Geriatr Cogn Disord 2009;28:225–232
(DOI:10.1159/000238394)

Primary Health Care Use and Reasons for Hospital Admissions in Dementia Patients in France: Database Study for 2007

Tuppin P. · Kusnik-Joinville O. · Weill A. · Ricordeau P. · Allemand H.
Caisse Nationale d’Assurance Maladie des Travailleurs Salariés, Paris, France

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Article / Publication Details

First-Page Preview
Abstract of Original Research Article

Accepted: 7/29/2009
Published online: 9/17/2009

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 4

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: http://www.karger.com/DEM

Abstract

Objectives: To identify outpatient and hospital health care usage among dementia patients compared to controls. Methods: Analysis of the French National Health Insurance general regime reimbursement database, linked to the national hospitalization database for 2007; 258,809 subjects over the age of 60 with dementia were compared to a sample of 88,296 controls. Results: Dementia patients more frequently had at least one annual visit to private psychiatrists and neurologists (21.9%, relative risk, RR = 7.0), nursing care (52%, RR = 1.3), physiotherapy (37%, RR = 1.45), and hospitalization (40.8%, RR = 1.7), and they less frequently consulted other private specialists (62%, RR = 0.85). Many diagnosis groups were significantly more frequent in dementia patients: nervous system (RR = 5.3), psychiatry (RR = 9.1), respiratory medicine (RR = 1.8), unspecified (RR = 2.4). Hospitalizations for endoscopy, radiotherapy, chemotherapy, and treatment of disabilities such as cataracts (RR = 0.7) were less frequent. Higher relative levels of health care use decreased with age for dementia patients. Conclusions: Although the use of some forms of health care can be explained by the clinical condition induced by dementia, others must be interpreted in light of modes of medical and social management and ethical justification for screening and investigations.


  

Author Contacts

Dr. P. Tuppin, Département des études sur les pathologies et les patients (DEPP)
Direction de la stratégie des études et des statistiques (DSES)
Caisse Nationale d’Assurance Maladie des Travailleurs Salariés
26–50, av. du Professeur André Lemierre, FR–75986 Paris Cedex 20 (France)
Tel. +33 1 72 60 28 91, Fax +33 1 72 60 28 90, E-Mail philippe.tuppin@cnamts.fr

  

Article Information

Accepted: July 29, 2009
Published online: September 17, 2009
Number of Print Pages : 8
Number of Figures : 0, Number of Tables : 4, Number of References : 23

  

Publication Details

Dementia and Geriatric Cognitive Disorders

Vol. 28, No. 3, Year 2009 (Cover Date: October 2009)

Journal Editor: Chan-Palay V. (New York, N.Y.)
ISSN: 1420-8008 (Print), eISSN: 1421-9824 (Online)

For additional information: http://www.karger.com/DEM


Article / Publication Details

First-Page Preview
Abstract of Original Research Article

Accepted: 7/29/2009
Published online: 9/17/2009

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 4

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: http://www.karger.com/DEM


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