Outpatient physical therapy population has been aging faster than the general population: a total population register-based study
BACKGROUND: The Icelandic population is aging like other populations in the world, the life expectancy is high, and the national focus is to help people to age in their own homes. The objectives of this research was to describe 17 years of demographic changes among outpatient physical therapy (OPT)...
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ftpubmed:oai:pubmedcentral.nih.gov:8286556 2023-05-15T16:49:04+02:00 Outpatient physical therapy population has been aging faster than the general population: a total population register-based study Arnadottir, Solveig A. Jonsson, Brynjolfur Gauti 2021-07-18 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286556/ http://www.ncbi.nlm.nih.gov/pubmed/34275439 https://doi.org/10.1186/s12913-021-06738-0 en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286556/ http://www.ncbi.nlm.nih.gov/pubmed/34275439 http://dx.doi.org/10.1186/s12913-021-06738-0 © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. CC0 PDM CC-BY BMC Health Serv Res Research Text 2021 ftpubmed https://doi.org/10.1186/s12913-021-06738-0 2021-07-25T00:38:53Z BACKGROUND: The Icelandic population is aging like other populations in the world, the life expectancy is high, and the national focus is to help people to age in their own homes. The objectives of this research was to describe 17 years of demographic changes among outpatient physical therapy (OPT) clients and to determine if these changes reflect aging in the total population. METHODS: Data was obtained from a national registry with information on all OPT clients reimbursed by Icelandic Health Insurance from 1999 to 2015, and general population data from the Statistics Iceland registry covering the same 17 years. Simple counts, proportions, Rate Ratios (RR) and 95 % Confidence Intervals (CI) were used to describe and compare the two time-points (1999 and 2015) in both populations, and regression analyses were used to estimate linear changes for each of these 17 years. RESULTS: Comparing the endpoints of the 17-year period, the proportion of older adults within the total OPT clientele increased by 23 % (from 18.3 % to 1999 to 23.5 % in 2015; RR 1.23; 95 %CI 1.19–1.27).) while in the general Icelandic population, the proportion of older adults increased by 15 % (from 11.6 % to 1999 to 13.5 % in 2015; RR 1.15; 95 % CI 1.1–1.21). For each of these 17 years, there was an overall 5 % yearly increase in the rate of older adults from the general older Icelandic population who used an OPT (accounting for population aging), and an overall 3.5 % yearly increase in the proportional contribution of older adults to the total OPT clientele. Adjusting for sex and older age group revealed that this increase in rate and proportion was most pronounced among ≥ 85-year-old men. CONCLUSIONS: This case of Iceland is an example of how health-related and population-based registers may potentially be used to routinely inform and facilitate optimal planning of future health care services for older adults. Text Iceland PubMed Central (PMC) BMC Health Services Research 21 1 |
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Research Arnadottir, Solveig A. Jonsson, Brynjolfur Gauti Outpatient physical therapy population has been aging faster than the general population: a total population register-based study |
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BACKGROUND: The Icelandic population is aging like other populations in the world, the life expectancy is high, and the national focus is to help people to age in their own homes. The objectives of this research was to describe 17 years of demographic changes among outpatient physical therapy (OPT) clients and to determine if these changes reflect aging in the total population. METHODS: Data was obtained from a national registry with information on all OPT clients reimbursed by Icelandic Health Insurance from 1999 to 2015, and general population data from the Statistics Iceland registry covering the same 17 years. Simple counts, proportions, Rate Ratios (RR) and 95 % Confidence Intervals (CI) were used to describe and compare the two time-points (1999 and 2015) in both populations, and regression analyses were used to estimate linear changes for each of these 17 years. RESULTS: Comparing the endpoints of the 17-year period, the proportion of older adults within the total OPT clientele increased by 23 % (from 18.3 % to 1999 to 23.5 % in 2015; RR 1.23; 95 %CI 1.19–1.27).) while in the general Icelandic population, the proportion of older adults increased by 15 % (from 11.6 % to 1999 to 13.5 % in 2015; RR 1.15; 95 % CI 1.1–1.21). For each of these 17 years, there was an overall 5 % yearly increase in the rate of older adults from the general older Icelandic population who used an OPT (accounting for population aging), and an overall 3.5 % yearly increase in the proportional contribution of older adults to the total OPT clientele. Adjusting for sex and older age group revealed that this increase in rate and proportion was most pronounced among ≥ 85-year-old men. CONCLUSIONS: This case of Iceland is an example of how health-related and population-based registers may potentially be used to routinely inform and facilitate optimal planning of future health care services for older adults. |
format |
Text |
author |
Arnadottir, Solveig A. Jonsson, Brynjolfur Gauti |
author_facet |
Arnadottir, Solveig A. Jonsson, Brynjolfur Gauti |
author_sort |
Arnadottir, Solveig A. |
title |
Outpatient physical therapy population has been aging faster than the general population: a total population register-based study |
title_short |
Outpatient physical therapy population has been aging faster than the general population: a total population register-based study |
title_full |
Outpatient physical therapy population has been aging faster than the general population: a total population register-based study |
title_fullStr |
Outpatient physical therapy population has been aging faster than the general population: a total population register-based study |
title_full_unstemmed |
Outpatient physical therapy population has been aging faster than the general population: a total population register-based study |
title_sort |
outpatient physical therapy population has been aging faster than the general population: a total population register-based study |
publisher |
BioMed Central |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286556/ http://www.ncbi.nlm.nih.gov/pubmed/34275439 https://doi.org/10.1186/s12913-021-06738-0 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
BMC Health Serv Res |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286556/ http://www.ncbi.nlm.nih.gov/pubmed/34275439 http://dx.doi.org/10.1186/s12913-021-06738-0 |
op_rights |
© The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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CC0 PDM CC-BY |
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https://doi.org/10.1186/s12913-021-06738-0 |
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BMC Health Services Research |
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21 |
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