Aging and utilization of hospital services in Hong Kong: retrospective cohort study

Int J Public Health. 2010 Jun;55(3):201-7. doi: 10.1007/s00038-009-0068-0. Epub 2009 Sep 11.

Abstract

Objectives: We tested the hypotheses firstly that people dying in older age groups do not use hospital services more than those dying in younger age groups in the previous 3 years before death; secondly, that there may be compression of morbidity demonstrated by a decline in the use of hospital services among people in the last 3 years before death in the older age groups.

Methods: We extracted mortality data from all hospitals of the Hospital Authority and analyzed the data using negative binomial regression with duration of hospital stay before death as the outcome variables; age, gender, year of death (period), and birth cohort were predictor variables.

Results: People dying in older age groups do not use in patient hospital services more than younger age groups in the 3 years before death. However, they do use more AED services. No compression in morbidity was demonstrated.

Conclusions: Data obtained from this retrospective study may be used to project future usage for each type of service as a result of changing age structure of the population.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Aging*
  • Child
  • Child, Preschool
  • Cohort Studies
  • Hong Kong / epidemiology
  • Hospitals / statistics & numerical data*
  • Humans
  • Infant
  • Infant, Newborn
  • Length of Stay / trends
  • Middle Aged
  • Mortality / trends
  • Retrospective Studies
  • Terminally Ill
  • Young Adult