Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults.

ABSTRACT:

Objectives

To examine the association between self-reported vision impairment (VI), hearing impairment (HI), and dual-sensory impairment (DSI), stratified by dementia status, on hospital admissions, hospice use, and healthcare costs.

Design

Retrospective analysis.

Setting

Medicare Current Beneficiary Survey from 1999 to 2006.

Participants

Rotating panel of community-dwelling Medicare beneficiaries, aged 65 years and older (N = 24 009).

Measurements

VI and HI were ascertained by self-report. Dementia status was determined by self-report or diagnosis codes in claims data. Primary outcomes included any inpatient admission over a 2-year period, hospice use over a 2-year period, annual Medicare fee-for-service costs, and total healthcare costs (which included

SUBMITTER: Deardorff WJ 

PROVIDER: S-EPMC6684393 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature