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Service use of older people who participate in primary care health promotion: a latent class analysis

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contributor authorFord, John
contributor authorKharicha, Kalpa
contributor authorClarke, Caroline S
contributor authorClark, Allan
contributor authorIliffe, Steve
contributor authorGoodman, Claire
contributor authorManthorpe, Jill
contributor authorSteel, Nick
contributor authorWalters, Kate
date accessioned2017-05-16T12:20:57Z
date available2017-05-16T12:20:57Z
date issued2017-03-06
identifier citationFord , J , Kharicha , K , Clarke , C S , Clark , A , Iliffe , S , Goodman , C , Manthorpe , J , Steel , N & Walters , K 2017 , ' Service use of older people who participate in primary care health promotion: a latent class analysis ' BMC Health Services Research , vol 17 , no. 176 .en
identifier issn1472-6963
identifier otherPURE: 11242089
identifier otherPURE UUID: 857a64e2-0b32-414b-81be-3d4ea95d28cc
identifier urihttp://hdl.handle.net/2299/18195
description© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
description abstractAbstract Background Recruiting patients to health promotion programmes who will benefit is crucial to success. A key policy driver for health promotion in older people is to reduce health and social care use. Our aim was to describe service use among older people taking part in the Multi-dimensional Risk Appraisal for Older people primary care health promotion programme. Methods A random sample of 1 in 3 older people (≥65 years old) was invited to participate in the Multi-dimensional Risk Appraisal for Older people project across five general practices in London and Hertfordshire. Data collected included socio-demographic characteristics, well-being and functional ability, lifestyle factors and service use. Latent class analysis (LCA) was used to identify groups based on use of the following: secondary health care, primary health care, community health care, paid care, unpaid care, leisure and local authority resources. Differences in group characteristics were assessed using univariate logistic regression, weighted by probability of class assignation and clustered by GP practice. Results Response rate was 34% (526/1550) with 447 participants presenting sufficient data for analysis. LCA using three groups gave the most meaningful interpretation and best model fit. About a third (active well) were fit and active with low service use. Just under a third (high NHS users) had high impairments with high primary, secondary and community health care contact, but low non-health services use. Just over a third (community service users) with high impairments used community health and other services without much hospital use. Conclusion Older people taking part in the Multi-dimensional Risk Appraisal for Older people primary care health promotion can be described as three groups: active well, high NHS users, and community service users.en
format extent6en
language isoeng
relation ispartofBMC Health Services Researchen
rightsen
subjectHealth promotion, primary health care, health services for the ageden
titleService use of older people who participate in primary care health promotion: a latent class analysisen
typeArticleen
contributor institutionSchool of Health and Social Worken
contributor institutionCentre for Research in Primary and Community Careen
contributor institutionOlder People's Healthen
description versionpublishersversionen
description statusPeer revieweden


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