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Patient-related predictors of rehabilitation use for community-dwelling older Americans.

Publication ,  Journal Article
Mayer-Oakes, SA; Hoenig, H; Atchison, KA; Lubben, JE; De Jong, F; Schweitzer, SO
Published in: J Am Geriatr Soc
April 1992

OBJECTIVE: To determine patient factors that predict use of physical or occupational therapy (PT/OT) services by elderly people. DESIGN: Time-series study of the relationship of PT/OT use to a variety of characteristics present at baseline. PARTICIPANTS: Eight-hundred nine community-dwelling men and women aged 65 and older. SETTING: The Medicare Screening and Health Promotion Trial at UCLA. MAIN OUTCOME MEASURES: Use of PT/OT services, as reported in a telephone survey 1 year after initial information was obtained on the same subjects by the baseline telephonic survey. RESULTS: Fifteen percent of the sample used PT/OT within 12 months of baseline. In multiple logistic regression analysis, PT/OT use was significantly less frequent among racial minorities, less well educated groups, and the oldest age group. PT/OT use was higher among those who had both functional disability and the presence of arthritis, heart or lung disease, or a prior history of stroke. However, neither functional disability alone nor the presence of arthritis, cardiovascular or lung disease, in the absence of limited functioning, was associated with PT/OT use. Patients who had obtained a pneumococcal vaccination or used transportation services were also more likely to receive PT/OT. CONCLUSIONS: Our findings suggest that there may be important sociodemographic inequalities in the use of rehabilitation services and raise the possibility of inappropriate underuse in certain subgroups. Additional studies are needed to determine whether similar inequalities of PT/OT use are found in other populations and whether rehabilitation is effective in various subgroups.

Duke Scholars

Published In

J Am Geriatr Soc

DOI

ISSN

0002-8614

Publication Date

April 1992

Volume

40

Issue

4

Start / End Page

336 / 342

Location

United States

Related Subject Headings

  • Racial Groups
  • Preventive Health Services
  • Predictive Value of Tests
  • Physical Therapy Modalities
  • Outcome Assessment, Health Care
  • Occupational Therapy
  • Minority Groups
  • Mental Health
  • Male
  • Los Angeles
 

Citation

APA
Chicago
ICMJE
MLA
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Mayer-Oakes, S. A., Hoenig, H., Atchison, K. A., Lubben, J. E., De Jong, F., & Schweitzer, S. O. (1992). Patient-related predictors of rehabilitation use for community-dwelling older Americans. J Am Geriatr Soc, 40(4), 336–342. https://doi.org/10.1111/j.1532-5415.1992.tb02131.x
Mayer-Oakes, S. A., H. Hoenig, K. A. Atchison, J. E. Lubben, F. De Jong, and S. O. Schweitzer. “Patient-related predictors of rehabilitation use for community-dwelling older Americans.J Am Geriatr Soc 40, no. 4 (April 1992): 336–42. https://doi.org/10.1111/j.1532-5415.1992.tb02131.x.
Mayer-Oakes SA, Hoenig H, Atchison KA, Lubben JE, De Jong F, Schweitzer SO. Patient-related predictors of rehabilitation use for community-dwelling older Americans. J Am Geriatr Soc. 1992 Apr;40(4):336–42.
Mayer-Oakes, S. A., et al. “Patient-related predictors of rehabilitation use for community-dwelling older Americans.J Am Geriatr Soc, vol. 40, no. 4, Apr. 1992, pp. 336–42. Pubmed, doi:10.1111/j.1532-5415.1992.tb02131.x.
Mayer-Oakes SA, Hoenig H, Atchison KA, Lubben JE, De Jong F, Schweitzer SO. Patient-related predictors of rehabilitation use for community-dwelling older Americans. J Am Geriatr Soc. 1992 Apr;40(4):336–342.
Journal cover image

Published In

J Am Geriatr Soc

DOI

ISSN

0002-8614

Publication Date

April 1992

Volume

40

Issue

4

Start / End Page

336 / 342

Location

United States

Related Subject Headings

  • Racial Groups
  • Preventive Health Services
  • Predictive Value of Tests
  • Physical Therapy Modalities
  • Outcome Assessment, Health Care
  • Occupational Therapy
  • Minority Groups
  • Mental Health
  • Male
  • Los Angeles