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.
Jack
jwestfall@aafp.org 11/21/2020great project. thanks