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Journal of Geriatric Psychiatry and Neurology
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Health Service Utilization by Alzheimer’s Disease Patients: A 2-Year Follow-Up of Primary Versus Subspecialty Care

Peter M. Aupperle, MD, MPH

Division of Geriatric Psychiatry, Department of Psychiatry, University Behavioral HealthCare, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

Edward R. MacPhee, BA

Division of Geriatric Psychiatry, Department of Psychiatry, University Behavioral HealthCare, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

Andrew C. Coyne, PhD

Division of Geriatric Psychiatry, Department of Psychiatry, University Behavioral HealthCare, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

Jonathan Blume, BS

Division of Geriatric Psychiatry, Department of Psychiatry, University Behavioral HealthCare, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

Betty Sanchez, MS

Division of Geriatric Psychiatry, Department of Psychiatry, University Behavioral HealthCare, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

All dementia patients and their caregivers who had received a university-based comprehensive evaluation and a diagnosis of Alzheimer’s disease during 1997 (N = 80) were identified. Of the original cohort, 48.8% (n = 39) were able to be contacted approximately 2 years after their initial assessment, and the caregivers were the informants for this followup. Two subgroups were defined: 22 patients were being seen only by their primary care physicians (MED), while 17 patients were also being treated by a geriatric psychiatry faculty member (GERO). There were statistically significant differences between the 2 groups (MED versus GERO, respectively) at follow-up in terms of (1) institutionalization (30.0% versus 4.6%, P < .05), (2) CDR (2.3 versus 1.5, P < .005), and (3) prescription of donepezil at follow-up (45.5% versus 76.5%, P = .05). These differences are being assessed in a larger scale prospective study. (J Geriatr Psychiatry Neurol 2003; 16:15-17)

Key Words: Alzheimer’s disease • primary care • health service utilization

Journal of Geriatric Psychiatry and Neurology, Vol. 16, No. 1, 15-17 (2003)
DOI: 10.1177/0891988702250507
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