Healthcare costs and utilization of vulnerable elderly people reported to adult protective services for self-neglect

Journal of the American Geriatrics Society

Volumn 56, Issue 4, 2008, Pages 667-676

  Franzini, Luisa ^a   Dyer, Carmel Bitondo ^b  

^a UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH   (United States)

^b HARRIS COUNTY HOSPITAL DISTRICT   (United States)

Author keywords

Healthcare costs; Healthcare utilization; Self neglect

Indexed keywords

AGED; ARTICLE; CONTROLLED STUDY; ELDERLY CARE; FEMALE; HEALTH CARE COST; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HEALTH SERVICE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL SERVICE; MENTAL DISEASE; PATIENT CARE; SELF NEGLECT;

AGED; AGED, 80 AND OVER; COMMUNITY HEALTH SERVICES; COST SAVINGS; ELDER ABUSE; FEMALE; GERIATRIC ASSESSMENT; HEALTH CARE COSTS; HUMANS; MALE; MENTAL DISORDERS; RISK FACTORS; TEXAS; UTILIZATION REVIEW;

EID: 41549140863     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2007.01629.x     Document Type: Article

References (22)

1. National Center on Elder Abuse: National Committee for the Prevention of Elder Abuse: [on-line]. Available at 2006. Accessed June 28, 2007.
2. Dyer CB, Goodwin JS, Pickens-Pace S et al. Self-neglect among the elderly: A model based on more than 500 patients seen by a geriatric medicine team. Am J Public Health 2007 97 : 1671 1676.
3. Pavlik VN, Hyman DJ, Festa NA et al. Quantifying the problem of abuse and neglect in adults - analysis of a statewide database. J Am Geriatr Soc 2001 49 : 45 48.
4. Lachs MS, Williams C, O'Brien S et al. Risk factors for reported elder abuse and neglect: A nine-year observational cohort study. Gerontologist 1997 37 : 469 474.
5. Fulmer T, Paveza G, Abraham I et al. Elder neglect assessment in the emergency department. J Emerg Nurs 2000 26 : 436 443.
6. Lachs MS, Williams CS, O'Brien S et al. The mortality of elder mistreatment. JAMA 1998 280 : 428 432.
7. Dyer CB, Pavlik VN, Murphy KP et al. The high prevalence of depression and dementia in elder abuse or neglect. J Am Geriatr Soc 2000 48 : 205 208.
8. Wolf R. The nature and scope of elder abuse. Generations 2000 24 : 6 11.
9. Abrams RC, Lachs M, McAvay G et al. Predictors of self-neglect in community-dwelling elders. Am J Psychiatry 2002 159 : 1724 1730.
10. Lachs MS, Pillemer K. Abuse and neglect of elderly persons [see comment]. N Engl J Med 1995 332 : 437 443.
11. National Center on Elder Abuse: National Committee for the Prevention of Elder Abuse. Abuse of Adults Aged 60+: 2004 Survey of Adult Protective Services [on-line]. Available at 2006. Accessed June 27, 2007.
12. Dyer CB, Gleason MS, Murphy KP et al. Treating elder neglect: Collaboration between a geriatrics assessment team and adult protective services. South Med J 1999 92 : 242 244.
13. Practice Management Information Corporation. ICD-9 Tabular Index [on-line]. Available at 2006. Accessed June 27, 2007.
14. Krishnan LL, Petersen NJ, Snow AL et al. Prevalence of dementia among Veterans Affairs medical care system users. Demen Geriatr Cogn Disord 2005 20 : 245 253.
15. Gold MR, Siegel JE, Russell LB et al. Cost-Effectiveness in Health and Medicine. Oxford, UK : Oxford University Press, 1996.
16. Newhouse J. Risk Adjustment, Market Equilibrium, and Carveouts: Pulling a Rabbit Out of the Hat? Pricing the Priceless. Cambridge, MA : MIT Press, 2002.
17. Au DH, Udris EM, Fihn SD et al. Differences in health care utilization at the end of life among patients with chronic obstructive pulmonary disease and patients with lung cancer. Arch Intern Med 2006 166 : 326 331.
18. Moon S, Shin J. Racial differences in health care use among medicare only and dual eligibles. J Health Hum Serv Adm 2006 28 : 326 345.
19. Koopmans GT, Donker MC, Rutten FH. Common mental disorders and use of general health services: A review of the literature on population-based studies. Acta Psychiatr Scand 2005 111 : 341 350.
20. Schappert SM. Ambulatory care visits to physician offices, hospital outpatient departments, and emergency departments: United States, 1997. Vital Health Statist Ser 1999 13 : 1 39.
21. Nemet GF, Bailey AJ. Distance and health care utilization among the rural elderly. Social Sci Med 2000 50 : 1197 1208.
22. Lauder W. Constructions of self-neglect: A multiple case study design. Nurs Inq 1999 6 : 48 57.