1. Profiles of healthcare use of persons living with dementia: A population‐based cohort study.
- Author
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Dufour, Isabelle, Margo‐Dermer, Eva, Hudon, Catherine, Sirois, Caroline, Godard‐Sebillotte, Claire, Sourial, Nadia, Rochette, Louis, Quesnel‐Vallée, Amélie, and Vedel, Isabelle
- Subjects
HEALTH services accessibility ,OUTPATIENT medical care ,LONG-term health care ,MEDICAL care ,RETROSPECTIVE studies ,STRUCTURAL equation modeling ,DESCRIPTIVE statistics ,PATIENT-centered care ,LONGITUDINAL method ,MEDICAL records ,ACQUISITION of data ,MEDICAL care for older people ,DEMENTIA patients ,CRITICAL care medicine - Abstract
Aim: Persons living with dementia are a heterogeneous population with complex needs whose healthcare use varies widely. This study aimed to identify the healthcare use profiles in a cohort of persons with incident dementia, and to describe their characteristics. Methods: This is a retrospective cohort study of health administrative data in Quebec (Canada). The study population included persons who: (i) had an incident dementia diagnosis between 1 April 2015 and 31 March 2016; (ii) were aged ≥65 years and living in the community at the time of diagnosis. We carried out a latent class analysis to identify subgroups of healthcare users. The final number of groups was chosen based on clinical interpretation and statistical indicators. Results: The study cohort consisted of 15 584 individuals with incident dementia. Four profiles of healthcare users were identified: (i) Low Users (36.4%), composed of individuals with minimal healthcare use and fewer comorbidities; (ii) Ambulatory Care‐Centric Users (27.5%), mainly composed of men with the highest probability of visiting cognition specialists; (iii) High Acute Hospital Users (23.6%), comprised of individuals mainly diagnosed during hospitalization, with higher comorbidities and mortality rate; and (iv) Long‐Term Care Destined Users (12.5%), who showed the highest proportion of antipsychotics prescriptions and delayed hospitalization discharge. Conclusions: We identified four distinct subgroups of healthcare users within a population of persons living with dementia, providing a valuable context for the development of interventions tailored to specific needs within this diverse population. Geriatr Gerontol Int 2024; 24: 789–796. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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