Dementia Attributable Healthcare Utilizations in the Caribbean versus United States.

TitleDementia Attributable Healthcare Utilizations in the Caribbean versus United States.
Publication TypeJournal Article
Year of Publication2023
AuthorsLi, J, Weiss, J, Rajadhyaksha, A, Acosta, D
JournalJournal of Alzheimers Disease: JAD
Volume96
Issue2
Pagination801-811
ISSN Number1875-8908
KeywordsAged, Alzheimer disease, Delivery of Health Care, ethnicity, Humans, Patient Acceptance of Health Care, Puerto Rico, United States
Abstract

BACKGROUND: Despite the high burden of Alzheimer's disease and other dementias among the Hispanic population worldwide, little is known about how dementia affects healthcare utilizations among this population outside of the US, in particular among those in the Caribbean region.

OBJECTIVE: This study examines healthcare utilization associated with Alzheimer's disease and other dementias among older adults in the Caribbean as compared to the US.

METHODS: We conducted harmonized analyses of two population-based surveys, the 10/66 Dementia Group Research data collected in Dominican Republic, Cuba, and Puerto Rico, and the US-based Health and Retirement Study. We examined changes in hospital nights and physician visits in response to incident and ongoing dementias.

RESULTS: Incident dementia significantly increased the risk of hospitalization and number of hospital nights in both populations. Ongoing dementia increased the risk of hospitalization and hospital nights in the US, with imprecise estimates for the Caribbean. The number of physician visits was elevated in the US but not in the Caribbean.

CONCLUSIONS: The concentration of increased healthcare utilization on hospital care and among patients with incident dementia suggests an opportunity for improved outpatient management of new and existing dementia patients in the Caribbean.

DOI10.3233/JAD-230505
Citation Key13686
PubMed ID37840491
PubMed Central IDPMC10754385