%0 Journal Article
%A Wild, Beate
%A Heider, Dirk
%A Schellberg, Dieter
%A Böhlen, Friederike
%A Schöttker, Ben
%A Laetsch, Dana Clarissa
%A König, Hans-Helmut
%A Slaets, Joris
%T Caring for the elderly: A person-centered segmentation approach for exploring the association between health care needs, mental health care use, and costs in Germany.
%J PLOS ONE
%V 14
%N 12
%@ 1932-6203
%C San Francisco, California, US
%I PLOS
%M DKFZ-2019-03243
%P e0226510 -
%D 2019
%X Person-centered care demands the evaluation of needs and preferences of the patients. In this study, we conducted a segmentation analysis of a large sample of older people based on their bio-psycho-social-needs and functioning. The aim of this study was to clarify differences in health care use and costs of the elderly in Germany.Data was derived from the 8-year follow-up of the ESTHER study-a German epidemiological study of the elderly population. Trained medical doctors visited n = 3124 participants aged 57 to 84 years in their home. Bio-psycho-social health care needs were assessed using the INTERMED for the Elderly (IM-E) interview. Further information was measured using questionnaires or assessment scales (Barthel index, Patients Health Questionnaire (PHQ) etc.). The segmentation analysis applied a factor mixture model (FMM) that combined both a confirmatory factor analysis and a latent class analysis.In total, n = 3017 persons were included in the study. Results of the latent class analysis indicated that a five-cluster-model best fit the data. The largest cluster (48
%F PUB:(DE-HGF)16
%9 Journal Article
%$ pmid:31856192
%R 10.1371/journal.pone.0226510
%U https://inrepo02.dkfz.de/record/148717