Health care for older people: a look across a frontier

Article Abstract:

Differences in health care for the elderly between countries may be a reflection of cultural differences in the value systems of elderly people. A 1996 study found that elderly people in Canada receive more care than those in the US despite the fact that Canada only spends 10% of its gross domestic product on health care services. The US spends 14% of its GDP on health care. However, in Canada, elderly people receive more services such as home nurse visits, but have fewer expensive procedures. In Canada, primary care physicians control referrals to specialists. There are also fewer medical centers in Canada that offer expensive procedures such as heart surgery. This may create waiting lists and may be one way Canada rations health care to the elderly.

Editorial, Canada, Medical care, Social policy

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Agreement between drug treatment data and a discharge diagnosis of diabetes mellitus in the elderly

Article Abstract:

A diagnosis of diabetes does not always indicate appropriate drug treatment in the aged. Discharge data after hospitalization weakly agreed with a diagnosis of diabetes mellitus in a small portion of older patients. The discrepancy was even more marked in the very old, in nursing home residents, and in those with other health conditions. Claims data may be of limited use in identifying the incidence of diabetes in older populations.

Analysis, Diagnosis, Diabetes, Diabetes mellitus, Drug therapy, Medical records

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