University of Oulu

Ikonen, J.N., Eriksson, J.G., von Bonsdorff, M.B. et al. The utilization of primary healthcare services among frail older adults – findings from the Helsinki Birth Cohort Study. BMC Geriatr 22, 79 (2022). https://doi.org/10.1186/s12877-022-02767-4

The utilization of primary healthcare services among frail older adults : findings from the Helsinki Birth Cohort Study

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Author: Ikonen, Jenni N1,2; Eriksson, Johan G1,2,3,4; von Bonsdorff, Mikaela B2,5;
Organizations: 1Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland
2Folkhälsan Research Center, Helsinki, Finland
3Yong Loo Lin School of Medicine, Department of Obstetrics and Gynecology and Human Potential Translational Research Programme, National University of Singapore, Singapore, Singapore
4Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore
5Gerontology Research Center and Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
6Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland
7PEDEGO Research Unit, MRC Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland
8Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway
9Children’s hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
10Department of Radiology, Tampere University Hospital, Tampere, Finland
11Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
12Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 1.1 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2022060342859
Language: English
Published: Springer Nature, 2022
Publish Date: 2022-06-29
Description:

Abstract

Background:The impact of frailty on primary healthcare service use, especially general practice office visits and remote contacts, is currently unknown. Further, little is known about the association of frailty with physiotherapy contacts.

Methods:We examined the utilization of primary healthcare services among 1064 participants from the Helsinki Birth Cohort Study between the years 2013 and 2017. Frailty was assessed based on Fried’s frailty criteria at mean age of 71.0 (2.7 SD) years in clinical examinations between the years 2011 and 2013. General practice office visits and remote contacts, the total number of general practice contacts, physiotherapy contacts, and the total number of primary healthcare contacts were extracted from a national Finnish register. We analyzed the data with negative binomial regression models.

Results:Of the 1064 participants, 37 were frail (3.5%) and 427 pre-frail (40.1%); 600 non-frail (56.4%) served as a reference group. Frailty was associated with general practice office visits (IRR 1.31, 95% CI=1.01‐1.69), physiotherapy contacts (IRR 2.97, 95% CI=1.49‐5.91) and the total number of primary healthcare contacts (IRR 1.41, 95% CI=1.07‐1.85). Pre-frailty predicted the use of general practice remote contacts (IRR 1.39, 95% CI=1.22‐1.57) and the total number of general practice contacts (IRR 1.25, 95% CI=1.12‐1.40).

Conclusions:Frailty increases the overall primary healthcare service use whereas pre-frailty is associated with the use of general practice services, especially remote contacts. Primary healthcare needs measures to adapt healthcare services based on the needs of rapidly increasing number of pre-frail and frail older adults and should consider preventative interventions against frailty.

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Series: BMC geriatrics
ISSN: 1471-2318
ISSN-E: 1471-2318
ISSN-L: 1471-2318
Volume: 22
Article number: 79
DOI: 10.1186/s12877-022-02767-4
OADOI: https://oadoi.org/10.1186/s12877-022-02767-4
Type of Publication: A1 Journal article – refereed
Field of Science: 3142 Public health care science, environmental and occupational health
316 Nursing
Subjects:
Funding: This study was supported by Avohoidon Tutkimussäätiö. The sponsor had no role in the study design; collection, analysis, or interpretation of data; preparation of the manuscript; and decision to submit the manuscript for publication.
Copyright information: © The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data.
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