Sex Differences in Healthcare Utilization in Persons Living with Dementia Between 2000 and 2017: A Population-Based Study in Quebec, Canada

Author:

Arsenault-Lapierre Genevieve1ORCID,Bui Tammy2,Godard-Sebillotte Claire34,Kang Nia5,Sourial Nadia67,Rochette Louis8,Massamba Victoria8,Quesnel-Vallée Amélie910ORCID,Vedel Isabelle25ORCID

Affiliation:

1. Center for Research and Expertise in Social Gerontology, Centre Intégré Universitaire de Santé et Services Sociaux Du Centre-Ouest de l’Ile de Montréal, Montreal, QC, Canada

2. Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada

3. McGill University Health Centre Research Institute, Montreal, QC, Canada

4. Department of Medicine Division of Geriatrics, McGill University, Montreal, QC, Canada

5. Department of Family Medicine, McGill University, Montreal, QC, Canada

6. Department of Health Management, Evaluation and Policy, School of Public Health, Université de Montreal, Montreal, QC, Canada

7. Research Center of the Centre Hospitalier de l’Université de Montréal, Montreal, QC, Canada

8. Institut National de Santé Publique Du Québec, Montreal, QC, Canada

9. Department of Equity, Ethics, and Policy, School of Population and Global Health, McGill University, Montreal, QC, Canada

10. Department of Sociology, McGill University, Montreal, QC, Canada

Abstract

Objectives: Describe sex differences in healthcare utilization and mortality in persons with new dementia in Quebec, Canada. Methods: We conducted a repeated cohort study from 2000 to 2017 using health administrative databases. Community-dwelling persons aged 65+ with a new diagnosis of dementia were included. We measured 23 indicators of healthcare use across five care settings: ambulatory care, pharmacological care, acute hospital care, long-term care, and mortality. Clinically meaningful sex differences in age-standardized rates were determined graphically through expert consultations. Results: Women with dementia had higher rates of ambulatory care and pharmacological care, while men with dementia had higher acute hospital care, admission to long-term care, and mortality. There was no meaningful difference in visits to cognition specialists, antipsychotic prescriptions, and hospital death. Discussion: Men and women with dementia demonstrate differences in healthcare utilization and mortality. Addressing these differences will inform decision-makers, care providers and researchers and guide more equitable policy and interventions in dementia care.

Funder

Consortium canadien en neurodégénérescence associée au vieillissement

Réseau québécois de recherche sur le vieillissement

Publisher

SAGE Publications

Reference60 articles.

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