TRENDS IN USE OF MEDICAL-SERVICES BY THE ELDERLY IN BRITISH-COLUMBIA
- 1 July 1989
- journal article
- research article
- Vol. 141 (1) , 39-45
Abstract
We analysed physician fee-for-service use in British Columbia from 1974-75 to 1985-86. Over the study period use increased by 5.3% per year. This can be factored into increases attributable to changes in the age structure of the population (0.4% per year), general population growth (1.8%, for a combined annual "population effect" of 2.2%) and age-specific increases in per-capita use (3% per year). The average annual increase for people aged 75 years or more was 5.5% per capita. The area with the fastest growth in use by the elderly was specialist care, particularly diagnostic services. The average number of specialists seen by people aged 75 years or more doubled over the study period. Our results suggest that increased per-capita use among the elderly that is unrelated to aging of the population should be the main focus of futere policy attention. Additional analyses are needed to determine the underlying dynamics of this dramatic increase in rates of use among the elderly.This publication has 7 references indexed in Scilit:
- Why There Will Be Little or No Physician Surplus between Now and the Year 2000New England Journal of Medicine, 1988
- Regulating Physician Supply: The Evolution of British Columbia's Bill 41Journal of Health Politics, Policy and Law, 1988
- Fee Controls as Cost Control: Tales from the Frozen NorthThe Milbank Quarterly, 1988
- Aging and health care utilization: New evidence on old fallaciesSocial Science & Medicine, 1987
- Trends In the Health of the AgedThe Gerontologist, 1986
- Cost Containment through Payment Mechanisms: The Quebec ExperienceJournal of Public Health Policy, 1986
- Longer Life but Worsening Health? Trends in Health and Mortality of Middle-Aged and Older PersonsThe Milbank Memorial Fund Quarterly. Health and Society, 1984