GenderDifferencesinCriticalCareResourceUtilizationand.pptVIP

Gender Differences in Critical Care Resource Utilization and Health Outcomes Among the Elderly Diane M. Dewar, PhD University at Albany, State University of New York Ming Lu, MS Johns Hopkins University Kimberly Dickson, BS, RRT Hudson Valley Community College, New York Funding source: Agency for Healthcare Research and Quality Critical Care Services are a Large Component of the Health Economy Critical care comprises 20-34% of all hospital costs 7-8% of total health care expenditures 1-1.5% of U.S. GDP Past Research Findings on Discharge and Health Outcomes for Critically Ill Discharge to post-acute settings Inadequate reimbursement at the inpatient setting leads to increased use of extended care and home care Placement delays occur due to bed shortages and lower reimbursement for alternative care settings Increased use of PMV does not improve health, especially for the very old Gender differences in service utilization and health outcomes Some past research by others showed women with increased chance of survival in ICU but not for mechanical ventilation Research Goals of this Study To investigate: Whether elderly women have more or less utilization of hospital critical care services and case management support than men Whether these women have differential health outcomes than men controlling for clinical risk and delivery system changes What the independent impacts of gender and financing changes under the Health Care Reform Act (HCRA) of 1996 in NYS are on survival and discharge planning for seriously ill elderly with PMV Relevance to Women’s Health and Policy This study is an extension of the literature in the delivery of care Investigates gender differences among ICU patients in the utilization of health care resources and longer term health outcomes The findings can be used to create policies that will increase access to care for the frail elderly Important especially for women who have fewer social supports and financial access to care across venues Relev