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


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.

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.

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.

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 11/21/2020

great project. thanks

Tammy Bui

Thank you Jack!

Isabelle Vedel

good job Tammy !

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