title: The influence of urinary incontinence on publicly financed home care services to low-income elderly people.
abstract: Urinary incontinence (UI) has been shown to be prevalent and a risk factor for permanent institutionalization; yet it is not routinely measured in research of home care utilization. A retrospective cohort design is used to directly estimate the effect of UI on the public costs of home care services to elderly individuals. Multivariate analyses controlling for other individual, household, and supply characteristics demonstrate that those with UI generate significantly greater public costs for home care services. Patterns of service use suggest palliative rather than rehabilitative service, raising questions regarding the effective use of resources.
authors.affiliation: Yale University School of Nursing, Program on Aging, New Haven, CT 06510, USA.
authors.forename: D I
authors.initials: DI
authors.lastname: Baker
authors.forename: T W
authors.initials: TW
authors.lastname: Bice
mesh_terms: D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003237:Connecticut; D003362:Cost-Benefit Analysis; D005260:Female; D005380:Financing, Government / Q000191:economics*; D006299:Health Services for the Aged / Q000191:economics*; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D008134:Long-Term Care / Q000191:economics; D008297:Male; D008489:Medical Indigency / Q000191:economics*; D010166:Palliative Care / Q000191:economics; D012189:Retrospective Studies; D014481:United States; D014549:Urinary Incontinence / Q000191:economics*