Marriage, widowhood, and health-care use

Show simple item record Iwashyna, Theodore J. Christakis, Nicholas A. 2008-12-18T21:51:05Z 2008-12-18T21:51:05Z 2003-12
dc.identifier.citation Soc Sci Med. 2003 Dec;57(11):2137-47. <> en
dc.description.abstract Despite suggestive evidence, there has been no adequately powered systematic study of the ways in which marital status influences health care consumption. Using a novel data set of 609016 newly diagnosed, seriously ill elderly individuals in the USA, and employing hierarchical linear models, we look at differences in the experience of hospitalization as a function of marital status. We find that the married consistently use higher quality hospitals and have shorter lengths of stay. On the other hand, the married and the widowed appear to receive similar quality care once they are in the hospital. Marital status thus has a substantial impact on the health care obtained by the elderly. We suggest that these patterns are most consistent with spouses exerting their benefits by functioning as higher-order decision-makers than as home health assistants. en
dc.format.extent 181363 bytes
dc.format.mimetype application/pdf
dc.language.iso en_US en
dc.publisher Social Science & Medicine en
dc.subject Marriage en
dc.subject Widowhood en
dc.subject Quality of Care en
dc.subject Adverse Events en
dc.title Marriage, widowhood, and health-care use en
dc.type Article en
dc.subject.hlbsecondlevel Internal Medicine and Specialities
dc.subject.hlbtoplevel Health Sciences
dc.description.peerreviewed Peer Reviewed en
dc.contributor.affiliationum Pulmonary and Critical Care Medicine, Division of en
dc.contributor.affiliationum Internal Medicine, Department of en
dc.contributor.affiliationumcampus Ann Arbor en
dc.identifier.pmid 14512244
dc.owningcollname Pulmonary & Critical Care Medicine, Division of
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