caa a22 4500 465769594 CHVBK 20180323111925.0 cr unu---uuuuu 170327e19900601xx s 000 0 eng 10.1007/BF00145791 doi (NATIONALLICENCE)springer-10.1007/BF00145791 The effect of admission to long term care program on utilization of health services by the elderly in British Columbia [Elektronische Daten] [A. Ellencweig, A. Stark, N. Pagliccia, B. McCashin, A. Tourigny] Utilization patterns of elderly clients admitted to the British Columbia Long Term Care (LTC) program were recorded and analysed. Patients were either located at home or in facilities and were classified into one of five levels of care. Data on GP and specialist contacts, acute care hospital admissions and hospital length of stay were analysed for each client (N = 7251) for two consecutive years, one before and one after admission to the program. There was only a slight decline or no change in utilization of ambulatory health services following admission to the program but a more pronounced reduction in utilization of hospital related services particularly by clients located in facilities (60-70%). When utilization rates were controlled for peak levels in the period around admission, more moderate trends evolved. Yet, clients located in facilities showed a 20% decrease in hospital admission rates and a 40% decrease in GP hospital visits in the period following admission. The data suggests that admission to LTC may reduce acute hospital utilization and consequent physician utilization among clients who are cared for in an institution. Gustav Fischer, 1990 Elderly nationallicence Health services nationallicence Ellencweig A. Department of Health Care and Epidemiology, Faculty of Medicine, the University of British Columbia, V6T 1W5, Vancouver, B.C., Canada aut Stark A. Division of Health Services Research, Office of the Coordinator of Health, Faculty of Medicine, the University of British Columbia, Vancouver, B.C., Canada aut Pagliccia N. Division of Health Services Research, Office of the Coordinator of Health, Faculty of Medicine, the University of British Columbia, Vancouver, B.C., Canada aut McCashin B. Division of Health Services Research, Office of the Coordinator of Health, Faculty of Medicine, the University of British Columbia, Vancouver, B.C., Canada aut Tourigny A. Department of Health Care and Epidemiology, Faculty of Medicine, the University of British Columbia, V6T 1W5, Vancouver, B.C., Canada aut European Journal of Epidemiology Kluwer Academic Publishers 6/2(1990-06-01), 175-183 0393-2990 6:2<175 1990 6 10654 https://doi.org/10.1007/BF00145791 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00145791 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ellencweig A. Department of Health Care and Epidemiology, Faculty of Medicine, the University of British Columbia, V6T 1W5, Vancouver, B.C., Canada aut NATIONALLICENCE 700 1- Stark A. Division of Health Services Research, Office of the Coordinator of Health, Faculty of Medicine, the University of British Columbia, Vancouver, B.C., Canada aut NATIONALLICENCE 700 1- Pagliccia N. Division of Health Services Research, Office of the Coordinator of Health, Faculty of Medicine, the University of British Columbia, Vancouver, B.C., Canada aut NATIONALLICENCE 700 1- McCashin B. Division of Health Services Research, Office of the Coordinator of Health, Faculty of Medicine, the University of British Columbia, Vancouver, B.C., Canada aut NATIONALLICENCE 700 1- Tourigny A. Department of Health Care and Epidemiology, Faculty of Medicine, the University of British Columbia, V6T 1W5, Vancouver, B.C., Canada aut NATIONALLICENCE 773 0- European Journal of Epidemiology Kluwer Academic Publishers 6/2(1990-06-01), 175-183 0393-2990 6:2<175 1990 6 10654 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer