title: Older adults receiving assistance with physician visits and prescribed medications and their family caregivers: prevalence, characteristics, and hours of care.
abstract: OBJECTIVE
  To profile older adults receiving assistance with physician visits and prescribed medications and the time demands associated with their care.
  
  
  METHODS
  Observational study of 7,197 community-dwelling adults ages 65+ responding to the 2011 National Health and Aging Trends Study.
  
  
  RESULTS
  More than one third of older adults receive assistance with either physician visits or prescribed medications (26.3%), or both (9.9%). The 3.3 million older adults who receive assistance with both physician visits and prescribed medications are a high-need subgroup: 3 in 5 have possible (16.5%) or probable (46.1%) dementia and three quarters (76.6%) receive help with mobility, self-care, or household activities. These 3.3 million older adults receive more than twice as many weekly hours of help with all activities (60.5 hr) as those receiving help with either physician visits or prescribed medications (26.5 hr), or neither (18.6 hr). Older adults receiving help with both physician visits and prescribed medications are assisted by 7.2 million helpers, most often adult children (46.6%), or spouses (23.6%). The 3.1 million helpers who assist with both physician visits and prescribed medications provide an average of 45.4 hr of help per week; nearly two thirds (64.3%) also assist with mobility or self-care.
  
  
  CONCLUSIONS
  Older adults receiving help with both physician visits and prescribed medications typically have high health and functioning needs that involve significant time demands for caregivers.
authors.affiliation: Department of Health Policy & Management and Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland. jwolff@jhsph.edu.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Wolff
authors.affiliation: Urban Institute, Washington, District of Columbia.
authors.forename: Brenda
authors.initials: B
authors.lastname: Spillman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D006233:Persons with Disabilities / Q000706:statistics & numerical data; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009819:Office Visits / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D015995:Prevalence; D014481:United States / Q000453:epidemiology
keywords: Family caregiving; Health services; Medication management; Physician visits.