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European Geriatric Medicine

, Volume 10, Issue 1, pp 53–60 | Cite as

Mobility limitation as determinant of primary care use and ambulatory care sensitive conditions

  • Terese Sara Høj JørgensenEmail author
  • Volkert Siersma
  • Rikke Lund
  • Charlotte Juul Nilsson
Research Paper
  • 16 Downloads

Abstract

Purpose

First, to investigate associations between mobility limitations and use of general practitioners and hospitalizations of acute care sensitive conditions, respectively. Second, to investigate whether these associations vary by socio-demographic factors.

Methods

The study included 3574 females and males aged 75 or 80 years from the Danish Intervention Study on Preventive Home Visits. Fixed-effects logistic and poisson regression models were applied to study the relationship between mobility limitations (measured two-four times) and general practitioner consultations and hospitalizations with acute care sensitive conditions each subsequent year, respectively.

Results

Each additional mobility limitation was associated with 15% higher odds of general practitioner home consultation (Odds ratio 1.15, 95% CI 1.07;1.23) and 4% increased incidence rate of general practitioner consultations among those with ≥ 1 consultation (Incidence rate ratio 1.04, 95% CI 1.03;1.04). There were no associations between mobility limitations and whether older adults had at least one general practitioner consultation nor acute care sensitive condition hospitalization. Test of interactions (p < 0.03) showed that more mobility limitations were associated with greater incidence rate of general practitioner consultations among males compared to females, married compared to unmarried, and older adults with high compared to low financial assets.

Conclusions

Older adults with more mobility limitations had more often a general practitioner home consultation. Mobility limitations were not associated with whether older adults had at least one general practitioner consultation, but increased mobility limitations were associated with higher contact rate among those who had ≥ 1 consultation, especially among males and older adults who were married or had high financial assets.

Keywords

Mobility limitations Primary healthcare Ambulatory care sensitive conditions Fixed-effects model Socio-demographic factors 

Notes

Author contributions

All authors: study design, interpretation of results, critical revision of manuscript, approval of final version for submission.

Funding

This work was supported by the Social Inequalities in Ageing (SIA) project, funded by NordForsk, project no. 74,637 and the Faculty of Health Sciences and Center for Healthy Aging, University of Copenhagen.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study complies with the Declaration of Helsinki and the involved Regional Ethical Committees (number 1998-2-11G) approved the study. Danish law does not require ethical approval for register-based data.

Informed consent

All participants provided informed written consent at the last page of the baseline questionnaire.

Sponsor’s role

NordForsk and the Faculty of Health Sciences and Center for Healthy Aging, University of Copenhagen had no role in the design, methods, subject recruitment, data collections, analysis and preparation of the paper.

Supplementary material

41999_2018_149_MOESM1_ESM.docx (26 kb)
Supplementary material 1 (DOCX 25 kb)

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Copyright information

© European Geriatric Medicine Society 2018

Authors and Affiliations

  1. 1.Section of Social Medicine, Department of Public Health, Faculty of Health and Medical SciencesUniversity of CopenhagenCopenhagenDenmark
  2. 2.Center for Healthy AgingUniversity of CopenhagenCopenhagen KDenmark
  3. 3.The Research Unit for General Practice and Section of General Practice, Department of Public HealthUniversity of CopenhagenCopenhagenDenmark
  4. 4.Danish Aging Research Center, University of Southern DenmarkUniversity of Aarhus and University of CopenhagenCopenhagenDenmark

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