Body awareness and medical care utilization among older adults in an HMO

S. hansell, G. Sherman, D. Mechanic

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

This study investigated the association between the disposition of body awareness and medical care utilization among older adult members of a health maintenance organization (HMO). Results indicated that higher levels of body awareness are associated significantly with longitudinal increases in the volume of patient-initiated illness visits to the HMO, and with a greater likelihood of patient-initiated contact with the hospital emergency room, controlling for prior utilization, self-reported health status, and other factors. In contrast, body awareness was not associated significantly with longitudinal changes in physician-initiated follow-up visits, internal referrals, external referrals, or hospital inpatient days. Other findings indicated that higher levels of patient-initiated utilization were associated with greater physician-initiated utilization, controlling for prior utilization. These results illustrate how patient-initiated utilization may influence subsequent physician-initiated utilization.

Original languageEnglish (US)
Pages (from-to)S151-159
JournalJournals of Gerontology
Volume46
Issue number3
DOIs
StatePublished - 1991

All Science Journal Classification (ASJC) codes

  • Aging

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