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

  • Woo J
  • Goggins W
  • Zhang X
 et al. 
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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.

Author-supplied keywords

  • Aging
  • Compression of morbidity
  • Duration of hospital stay
  • Last years of life
  • Mortality

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Authors

  • Jean Woo

  • William Goggins

  • Xinhua Zhang

  • Sian Griffiths

  • Vivian Wong

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