Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international 5-COOP study
Objectives To measure the use of healthcare services and assistive devices by centenarians in five countries. Design Cross-sectional study using a survey questionnaire. Setting Community-dwelling and institutionalised centenarians living in Japan, France, Switzerland, Sweden and Denmark. Participant...
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Published in | BMJ open Vol. 10; no. 3; p. e034296 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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BMJ Publishing Group
01.03.2020
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Abstract | Objectives
To measure the use of healthcare services and assistive devices by centenarians in five countries.
Design
Cross-sectional study using a survey questionnaire.
Setting
Community-dwelling and institutionalised centenarians living in Japan, France, Switzerland, Sweden and Denmark.
Participants
1253 participants aged 100 or in their 100th year of life, of whom 1004 (80.1%) were female and 596 (47.6%) lived in institutions.
Main outcome measures
Recent use of medical visits, nursing care at home, home-delivered meals, acute care hospital stays overnight, professional assessments such as sight tests, mobility aids and other assistive devices. A set of national healthcare system indicators was collected to help interpret differences between countries.
Results
There was considerable variability in the healthcare services and assistive devices used by centenarians depending on their country and whether they were community-dwelling or institutionalised. In contrast to the relatively homogeneous rates of hospitalisation in the past year (around 20%), community-dwelling centenarians reported widely ranging rates of medical visits in the past 3 months (at least one visit, from 32.2% in Japan to 86.6% in France). The proportion of community-dwellers using a mobility device to get around indoors (either a walking aid or a wheelchair) ranged from 48.3% in Japan to 79.2% in Sweden. Participants living in institutions and reporting the use of a mobility device ranged from 78.6% in Japan to 98.2% in Denmark.
Conclusions
Our findings suggest major differences in care received by centenarians across countries. Some may result from the characteristics of national healthcare systems, especially types of healthcare insurance coverage and the amounts of specific resources available. However, unexplored factors also seem to be at stake and may be partly related to personal health and cultural differences. |
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AbstractList | Objectives To measure the use of healthcare services and assistive devices by centenarians in five countries. Design Cross-sectional study using a survey questionnaire. Setting Community-dwelling and institutionalised centenarians living in Japan, France, Switzerland, Sweden and Denmark. Participants 1253 participants aged 100 or in their 100th year of life, of whom 1004 (80.1%) were female and 596 (47.6%) lived in institutions. Main outcome measures Recent use of medical visits, nursing care at home, home-delivered meals, acute care hospital stays overnight, professional assessments such as sight tests, mobility aids and other assistive devices. A set of national healthcare system indicators was collected to help interpret differences between countries. Results There was considerable variability in the healthcare services and assistive devices used by centenarians depending on their country and whether they were community-dwelling or institutionalised. In contrast to the relatively homogeneous rates of hospitalisation in the past year (around 20%), community-dwelling centenarians reported widely ranging rates of medical visits in the past 3 months (at least one visit, from 32.2% in Japan to 86.6% in France). The proportion of community-dwellers using a mobility device to get around indoors (either a walking aid or a wheelchair) ranged from 48.3% in Japan to 79.2% in Sweden. Participants living in institutions and reporting the use of a mobility device ranged from 78.6% in Japan to 98.2% in Denmark. Conclusions Our findings suggest major differences in care received by centenarians across countries. Some may result from the characteristics of national healthcare systems, especially types of healthcare insurance coverage and the amounts of specific resources available. However, unexplored factors also seem to be at stake and may be partly related to personal health and cultural differences. Objectives To measure the use of healthcare services and assistive devices by centenarians in five countries. Design Cross-sectional study using a survey questionnaire. Setting Community-dwelling and institutionalised centenarians living in Japan, France, Switzerland, Sweden and Denmark. Participants 1253 participants aged 100 or in their 100th year of life, of whom 1004 (80.1%) were female and 596 (47.6%) lived in institutions. Main outcome measures Recent use of medical visits, nursing care at home, home-delivered meals, acute care hospital stays overnight, professional assessments such as sight tests, mobility aids and other assistive devices. A set of national healthcare system indicators was collected to help interpret differences between countries. Results There was considerable variability in the healthcare services and assistive devices used by centenarians depending on their country and whether they were community-dwelling or institutionalised. In contrast to the relatively homogeneous rates of hospitalisation in the past year (around 20%), community-dwelling centenarians reported widely ranging rates of medical visits in the past 3 months (at least one visit, from 32.2% in Japan to 86.6% in France). The proportion of community-dwellers using a mobility device to get around indoors (either a walking aid or a wheelchair) ranged from 48.3% in Japan to 79.2% in Sweden. Participants living in institutions and reporting the use of a mobility device ranged from 78.6% in Japan to 98.2% in Denmark. Conclusions Our findings suggest major differences in care received by centenarians across countries. Some may result from the characteristics of national healthcare systems, especially types of healthcare insurance coverage and the amounts of specific resources available. However, unexplored factors also seem to be at stake and may be partly related to personal health and cultural differences. |
Author | Dupraz, Julien Andersen-Ranberg, Karen Fors, Stefan Robine, Jean-Marie Santos-Eggimann, Brigitte Herr, Marie Wakui, Tomoko Jeune, Bernard Herrmann, Francois R Saito, Yasuhiko |
AuthorAffiliation | 8 Division of Geriatrics, Department of Rehabilitation and Geriatrics , Geneva University Hospitals and University of Geneva , Geneva , Switzerland 10 MMDN , Université de Montpellier, EPHE, INSERM, U1198, PSL Research University , Montpellier , France 2 Epidemiology and Biostatistics, Institute of Public Health, and Danish Aging Research Centre , University of Southern Denmark , Odense , Denmark 4 Aging Research Center , Karolinska Institutet and Stockholm University , Stockholm , Sweden 5 U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches , INSERM , Villejuif , France 11 College of Economics and Population Research Institute , Nihon University , Tokyo , Japan 1 Center for Primary Care and Public Health (Unisanté), University of Lausanne , Lausanne , Switzerland 6 UMR-S 1168 , Université de Versailles St-Quentin-en-Yvelines , Montigny le Bretonneux , France 7 Département Hospitalier d’Epidémiologie et Santé Publique , Hôpitaux Universitaires Paris Ile-de-Fra |
AuthorAffiliation_xml | – name: 2 Epidemiology and Biostatistics, Institute of Public Health, and Danish Aging Research Centre , University of Southern Denmark , Odense , Denmark – name: 4 Aging Research Center , Karolinska Institutet and Stockholm University , Stockholm , Sweden – name: 8 Division of Geriatrics, Department of Rehabilitation and Geriatrics , Geneva University Hospitals and University of Geneva , Geneva , Switzerland – name: 3 Department of Geriatrics , Odense University Hospital , Odense , Denmark – name: 10 MMDN , Université de Montpellier, EPHE, INSERM, U1198, PSL Research University , Montpellier , France – name: 1 Center for Primary Care and Public Health (Unisanté), University of Lausanne , Lausanne , Switzerland – name: 9 Tokyo Metropolitan Institute of Gerontology , Tokyo , Japan – name: 5 U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches , INSERM , Villejuif , France – name: 6 UMR-S 1168 , Université de Versailles St-Quentin-en-Yvelines , Montigny le Bretonneux , France – name: 7 Département Hospitalier d’Epidémiologie et Santé Publique , Hôpitaux Universitaires Paris Ile-de-France Ouest, Assistance Publique-Hôpitaux de Paris , Paris , France – name: 11 College of Economics and Population Research Institute , Nihon University , Tokyo , Japan |
Author_xml | – sequence: 1 givenname: Julien orcidid: 0000-0003-0082-8759 surname: Dupraz fullname: Dupraz, Julien – sequence: 2 givenname: Karen surname: Andersen-Ranberg fullname: Andersen-Ranberg, Karen – sequence: 3 givenname: Stefan surname: Fors fullname: Fors, Stefan – sequence: 4 givenname: Marie surname: Herr fullname: Herr, Marie – sequence: 5 givenname: Francois R surname: Herrmann fullname: Herrmann, Francois R – sequence: 6 givenname: Tomoko surname: Wakui fullname: Wakui, Tomoko – sequence: 7 givenname: Bernard surname: Jeune fullname: Jeune, Bernard – sequence: 8 givenname: Jean-Marie surname: Robine fullname: Robine, Jean-Marie – sequence: 9 givenname: Yasuhiko surname: Saito fullname: Saito, Yasuhiko – sequence: 10 givenname: Brigitte surname: Santos-Eggimann fullname: Santos-Eggimann, Brigitte |
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To measure the use of healthcare services and assistive devices by centenarians in five countries.
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Cross-sectional study using a survey... Objectives To measure the use of healthcare services and assistive devices by centenarians in five countries. Design Cross-sectional study using a survey... |
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Title | Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international 5-COOP study |
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