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Self-reported health-related quality of life and health service utilization of Alzheimer's Patients

J. Brzencheck, F. Ahern, K. Dominick, D. Heller, C. Gold, & S. Conway. Gerontologist 2001;41(S1):366–366.

Understanding the self-reported health-related quality of life (HRQOL) of patients with Alzheimer's Disease (AD) is important in the delivery of healthcare. This study examined self-reported HRQQOL and health services utilization of AD patients including: (1) elderly whose AD diagnosis was made prior to their self reports; and (2) those whose records did not show an AD diagnosis until after their self reports. The elderly in this study were older adults, age 65 and above, (N=85,065), enrolled in Pennsylvania's Pharmaceutical Assistance Contract for the Elderly (PACE), who completed a mail version of the CDC's Behavioral Risk Factor Surveillance System (BRFSS) HRQOL modules. Data on AD diagnosis, health service utilization, and drug use were linked from Medicare and PACE records for one year prior to (N=682 AD patients), and following (N=1,139 AD patients), the HRQOL survey. Multivariate analyses showed that: (1) HRQOL measures, when completed by AD patients, are valid; (2) patterns in both groups are distinguishable from non-AD elderly; (3) HRQOL measures can predict future AD status. Additional results on patterns of use of prescription drugs and health services will be reported.

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