Which factors preceding dementia identification impact future healthcare use trajectories: multilevel analyses in administrative data.

ABSTRACT:

Background

Healthcare use patterns preceding a diagnosis of Alzheimer's Disease and Related Diseases (ADRD) may be associated with the quality of healthcare use trajectories (HUTs) after diagnosis. We aimed to identify determinants of future favorable HUTs, notably healthcare use preceding ADRD identification.

Methods

This nationwide retrospective observational study was conducted on subjects with incident ADRD identified in 2012 in the French health insurance database. We studied the 12-month healthcare use ranging between 18 and 6 months preceding ADRD identification. The five-year HUTs after ADRD identification were qualified by experts as favorable or not. In order to take into account geographical differences in healthcare supply, we performed mixed random effects multi

SUBMITTER: Couret A 

PROVIDER: S-EPMC10807194 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature