Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international5-COOP study.

Details

Ressource 1Download: e034296.full.pdf (320.88 [Ko])
State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_BD94A58F7409
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international5-COOP study.
Journal
BMJ open
Author(s)
Dupraz J., Andersen-Ranberg K., Fors S., Herr M., Herrmann F.R., Wakui T., Jeune B., Robine J.M., Saito Y., Santos-Eggimann B.
Working group(s)
5-COOP group
Contributor(s)
Christensen K., Oksuzyan A., Balard F., Arai Y., Hirose N., Masui Y., Inagaki H., Gondo Y., Kamide K., Willcox C., Ashitomi I., Yasura S., Suzuki M., Parker M., Thorslund M., Meinow B., Paccaud F., Zekri D.
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Publication state
Published
Issued date
24/03/2020
Peer-reviewed
Oui
Volume
10
Number
3
Pages
e034296
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
To measure the use of healthcare services and assistive devices by centenarians in five countries.
Cross-sectional study using a survey questionnaire.
Community-dwelling and institutionalised centenarians living in Japan, France, Switzerland, Sweden and Denmark.
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.
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.
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.
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.
Keywords
assistive devices, centenarians, health services use, healthcare systems, international comparison
Pubmed
Web of science
Open Access
Yes
Create date
01/04/2020 18:30
Last modification date
20/05/2020 5:20
Usage data