dc.contributor.author | Turnbull, Margaret | |
dc.date.accessioned | 2012-08-30T17:46:21Z | |
dc.date.available | 2012-08-30T17:46:21Z | |
dc.date.issued | 2012-08-30 | |
dc.identifier.uri | http://hdl.handle.net/10222/15441 | |
dc.description.abstract | This research examines the viability of a need-based approach that models the age-trajectories of healthcare utilization. We propose a fundamentally different way of treating age in modeling healthcare use. Rather than treating age as a need indicator, we refocus modeling efforts to predicting the age-trajectories of healthcare use. Using inpatient hospital utilization data from the Discharge Abstract Database, first, we model the age-trajectories of the rate of hospital use employing a common functional form. Second, we assess variation in these age-trajectories using growth curve modeling. Third, we explain variation in these age-trajectories using census variables. Our analysis shows that the regional variation in the age-trajectories of the rate of inpatient hospital use is sufficient to justify this method, and could be partially explained using census variables. This indicates that modeling age-trajectories of healthcare use is advantageous, and the current need-based approach may benefit from this new modeling strategy. | en_US |
dc.language.iso | en | en_US |
dc.subject | healthcare resource allocation | en_US |
dc.subject | healthcare utilization modeling | en_US |
dc.subject | need-based modeling | en_US |
dc.subject | need-based approaches | en_US |
dc.subject | age-patterns of morbidity | en_US |
dc.subject | modeling age-patterns of healthcare use | en_US |
dc.subject | Growth curve modeling | en_US |
dc.subject | Random effects modeling | en_US |
dc.title | Assessing the Regularity and Predictability of the Age-Trajectories of Healthcare Utilization | en_US |
dc.date.defence | 2012-08-20 | |
dc.contributor.department | Department of Community Health & Epidemiology | en_US |
dc.contributor.degree | Master of Science | en_US |
dc.contributor.external-examiner | N/A | en_US |
dc.contributor.graduate-coordinator | Dr Kathleen MacPherson | en_US |
dc.contributor.thesis-reader | Dr Yukiko Asada | en_US |
dc.contributor.thesis-reader | Dr Kathleen MacPherson | en_US |
dc.contributor.thesis-supervisor | Dr George Kephart | en_US |
dc.contributor.ethics-approval | Received | en_US |
dc.contributor.manuscripts | Not Applicable | en_US |
dc.contributor.copyright-release | Not Applicable | en_US |