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Longitudinal analysis of mortality for older adults receiving or waiting for aging network services

Journal of the American Geriatrics Society Nov 06, 2019

Gum AM, Green O, Schonfeld L, et al. - For older adults screened by an Area Agency on Aging (AAA) in the National Aging Network, researchers investigated the 12-month mortality rate for wait-listed callers vs those who received services within 12 months. Besides, they assessed differences in the mortality rate according to how quickly they received services. They conducted a longitudinal analysis of 3 years of AAA administrative data using survival analysis and included 6,288 older adults (age 60 y and older) who were screened for service eligibility from July 15, 2013, to August 15, 2015, and had completed initial screening during the study period. As per the analysis, a greater risk of mortality within 12 months was evident for older adults placed on aging service waiting lists vs those receiving services. They identified rapid receipt of services as less protective than receiving services later, indicating a very high risk of adverse outcomes for those prioritized to receive services quickly. Findings suggest the likelihood that aging services may reduce mortality, although additional services may profit those waiting long periods for services, as well as those eligible for services rapidly.
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