Healthcare Quality and Dementia Risk

José M. Aravena, Xi Chen and Becca R. Levy
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José M. Aravena: Yale University
Becca R. Levy: Yale University

No 16838, IZA Discussion Papers from Institute of Labor Economics (IZA)

Abstract: Low healthcare quality has been found to predict the development of several illnesses in older adults, while the evidence on dementia is still lacking. This study assesses whether and to what extent experiencing low healthcare quality can be associated with developing dementia in people 60-years-old and greater. Participants in the Health and Retirement Study (HRS), without dementia and 60-years-old and greater at baseline, were followed 2006 through 2019. Experiencing low healthcare quality was assessed at baseline through healthcare discrimination and dissatisfaction with healthcare services. The outcome, development of new cases of dementia, was determined through physician diagnosis or a cognition score compatible with dementia (assessed by the Telephone Interview for Cognitive Status). Cox regression is used to estimate the hazard ratio (HR) of dementia, adjusting for participants' demographic, health, and socioeconomic factors. Experiencing low healthcare quality is associated with increased dementia risk over 12 years (unadjusted HR: 1.68, 95% CI: 1.27 - 2.21, p-value

Keywords: social determinants of health; perceived discrimination; patient satisfaction; dementia; healthcare quality; Alzheimer's Disease (search for similar items in EconPapers)
JEL-codes: I11 I18 J14 J15 J18 (search for similar items in EconPapers)
Pages: 30 pages
Date: 2024-03
New Economics Papers: this item is included in nep-age and nep-hea
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Published - published as 'Association between experiencing low healthcare quality and developing dementia' in: Journal of the American Geriatrics Society, 2024, 72 (7), 2126-2132

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Working Paper: Healthcare Quality and Dementia Risk (2024)
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