Age and Gender Differences in Health Services Utilization

Juanita F. Murphy, Joseph Hepworth

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

The purpose of this study was to examine the health service utilization patterns of elderly male and female enrollees of a large urban staff model Health Maintenance Organization (HMO). This HMO offered a wide spectrum of managed care services for its beneficiaries. A cross-sectional design was employed. The 759 randomly sampled elderly enrollees ranged in age from 66 to 99, with an average of 77.15 years. Approximately 60% were male and 40% were female; thus, the sample was not representative of the national older adult population. Three utilization patterns indicated that there were (a) nonsignificant relationships between age or gender and urgent care visits, prescribed pharmaceuticals, and out-of-pocket costs for pharmaceuticals; (b) linear relationships between age and gender and visits to HMO primary care providers (-), home-health care visits (+), emergency care visits (+), hospitalizations (+), and MD visits during hospitalizations (+); and (c) age was curvilinearly related to use of both HMO specialists and non-HMO specialists. These findings suggest that use of acute care services, including hospitalizations, inpatient physician visits, and emergency services increase with age but the use of primary care providers decreases with age. Gender was not a significant modifier of the relationship between age and utilization.

Original languageEnglish (US)
Pages (from-to)323-329
Number of pages7
JournalResearch in nursing & health
Volume19
Issue number4
StatePublished - Aug 1996
Externally publishedYes

Fingerprint

Health Maintenance Organizations
Health Services
Hospitalization
Primary Health Care
Managed Care Programs
Emergency Medical Services
Home Care Services
Ambulatory Care
Health Expenditures
Pharmaceutical Preparations
Inpatients
Emergencies
Maintenance
Organizations
Physicians
Health
Population

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Age and Gender Differences in Health Services Utilization. / Murphy, Juanita F.; Hepworth, Joseph.

In: Research in nursing & health, Vol. 19, No. 4, 08.1996, p. 323-329.

Research output: Contribution to journalArticle

@article{f17b969e33a544ac9b9b0ac95df56903,
title = "Age and Gender Differences in Health Services Utilization",
abstract = "The purpose of this study was to examine the health service utilization patterns of elderly male and female enrollees of a large urban staff model Health Maintenance Organization (HMO). This HMO offered a wide spectrum of managed care services for its beneficiaries. A cross-sectional design was employed. The 759 randomly sampled elderly enrollees ranged in age from 66 to 99, with an average of 77.15 years. Approximately 60{\%} were male and 40{\%} were female; thus, the sample was not representative of the national older adult population. Three utilization patterns indicated that there were (a) nonsignificant relationships between age or gender and urgent care visits, prescribed pharmaceuticals, and out-of-pocket costs for pharmaceuticals; (b) linear relationships between age and gender and visits to HMO primary care providers (-), home-health care visits (+), emergency care visits (+), hospitalizations (+), and MD visits during hospitalizations (+); and (c) age was curvilinearly related to use of both HMO specialists and non-HMO specialists. These findings suggest that use of acute care services, including hospitalizations, inpatient physician visits, and emergency services increase with age but the use of primary care providers decreases with age. Gender was not a significant modifier of the relationship between age and utilization.",
author = "Murphy, {Juanita F.} and Joseph Hepworth",
year = "1996",
month = "8",
language = "English (US)",
volume = "19",
pages = "323--329",
journal = "Research in Nursing and Health",
issn = "0160-6891",
publisher = "John Wiley and Sons Inc.",
number = "4",

}

TY - JOUR

T1 - Age and Gender Differences in Health Services Utilization

AU - Murphy, Juanita F.

AU - Hepworth, Joseph

PY - 1996/8

Y1 - 1996/8

N2 - The purpose of this study was to examine the health service utilization patterns of elderly male and female enrollees of a large urban staff model Health Maintenance Organization (HMO). This HMO offered a wide spectrum of managed care services for its beneficiaries. A cross-sectional design was employed. The 759 randomly sampled elderly enrollees ranged in age from 66 to 99, with an average of 77.15 years. Approximately 60% were male and 40% were female; thus, the sample was not representative of the national older adult population. Three utilization patterns indicated that there were (a) nonsignificant relationships between age or gender and urgent care visits, prescribed pharmaceuticals, and out-of-pocket costs for pharmaceuticals; (b) linear relationships between age and gender and visits to HMO primary care providers (-), home-health care visits (+), emergency care visits (+), hospitalizations (+), and MD visits during hospitalizations (+); and (c) age was curvilinearly related to use of both HMO specialists and non-HMO specialists. These findings suggest that use of acute care services, including hospitalizations, inpatient physician visits, and emergency services increase with age but the use of primary care providers decreases with age. Gender was not a significant modifier of the relationship between age and utilization.

AB - The purpose of this study was to examine the health service utilization patterns of elderly male and female enrollees of a large urban staff model Health Maintenance Organization (HMO). This HMO offered a wide spectrum of managed care services for its beneficiaries. A cross-sectional design was employed. The 759 randomly sampled elderly enrollees ranged in age from 66 to 99, with an average of 77.15 years. Approximately 60% were male and 40% were female; thus, the sample was not representative of the national older adult population. Three utilization patterns indicated that there were (a) nonsignificant relationships between age or gender and urgent care visits, prescribed pharmaceuticals, and out-of-pocket costs for pharmaceuticals; (b) linear relationships between age and gender and visits to HMO primary care providers (-), home-health care visits (+), emergency care visits (+), hospitalizations (+), and MD visits during hospitalizations (+); and (c) age was curvilinearly related to use of both HMO specialists and non-HMO specialists. These findings suggest that use of acute care services, including hospitalizations, inpatient physician visits, and emergency services increase with age but the use of primary care providers decreases with age. Gender was not a significant modifier of the relationship between age and utilization.

UR - http://www.scopus.com/inward/record.url?scp=0030210286&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030210286&partnerID=8YFLogxK

M3 - Article

C2 - 8773555

AN - SCOPUS:0030210286

VL - 19

SP - 323

EP - 329

JO - Research in Nursing and Health

JF - Research in Nursing and Health

SN - 0160-6891

IS - 4

ER -