SRF017: Describing Trends in Healthcare Utilization for Men and Women Living with Dementia in Quebec

Tammy Bui, BSc, MSc; Isabelle Vedel, MD, PhD; Geneviève Arsenault-Lapierre, PhD; Claire Godard-Sebillotte, MD, MSc; Victoria Massamba, MPH

Abstract


Context:
As the Canadian population ages, challenges have emerged with the healthcare utilization of services for persons living with dementia (PWD). There is evidence that points to how sex/gender differences influence the healthcare utilization where older adult women may differ compared to older men when seeking and receiving treatment.

Objective:
The aim of this study is to describe the sex-based inequities on the healthcare utilization among PWD.

Study Design:
We used a repeated annual cross-sectional cohort design between 2000-2017.

Dataset:
Linked administrative databases from the Institut national de santé publique du Québec.

Population Studied:
All incident cases of dementia in community-dwelling persons aged 65 and over occurring between April 1st and March 31st for each year were included. Dementia diagnosis was ascertained using a validated algorithm. Data will be stratified by sex.

Outcome Measures (if any):

Healthcare utilization indicators include: emergency department visits, hospitalizations, alternate level of care, visits to primary care physicians and cognition specialists, long-term care admission and mortality.

Anticipated Results:
A total of 237,259 persons with dementia was included in our study (62.7% of them are women). Visual and graphical analysis of indicators adjusted for person-time and standardized for age with added confidence intervals will be presented.

Conclusion:
Addressing the sex-based inequities in the quality of care and healthcare utilization in PWD will inform decision-makers for the implementation of adequate policies to promote equity in dementia care and ultimately improve the health among men and women living with dementia.


Leave a Comment
Jack
jwestfall@aafp.org 11/21/2020

great project. thanks

Tammy Bui
11/21/2020

Thank you Jack!

Isabelle Vedel
11/22/2020

good job Tammy !

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