Elder financial exploitation (EFE), the misuse of a vulnerable adult's property or resources for personal gain, is a form of elder abuse. This study addresses whether dual-eligible EFE victims were experiencing pent-up demand for health services alleviated through investigation by Adult Protective Services (APS). A quasi-experimental design addressed health service utilization and costs for 131 dual-eligible Maine APS clients over age 60 with substantiated allegations of EFE relative to comparable non-APS controls. APS case files spanning 2007-2012 were linked to 2006-2014 Medicare and Medicaid claims data. Service utilization and costs were analyzed 1 year prior, during, and 2 years after the initial APS investigation. Difference in differences logistic regression and generalized linear models addressed the likelihood of incurring costs and expenditure levels relative to matched controls, respectively. Victims of EFE had higher overall odds of using inpatient and long-term services and supports (LTSS) and higher odds of using LTSS post-investigation than controls. Higher overall levels of outpatient and prescriptions expenditures and higher inpatient expenditures during the APS event year contributed toward APS clients incurring $1,142 higher PMPM total costs than controls. Victims of EFE were experiencing significant pent-up demand for health services post-APS involvement.

中文翻译：

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缅因州双重资格的老年人金融剥削受害人对照料的需求激增。

老年人金融剥削（EFE）是指滥用弱势成年人的财产或资源谋取私利，是虐待老年人的一种形式。这项研究通过成人保护服务局（APS）的调查，解决了符合双重资格的EFE受害人是否正在遭受被压抑的对医疗服务的需求。一项半实验性设计解决了131名60岁以上双重资格的缅因州APS客户的医疗服务利用和成本，并提出了与非APS同类对照相比具有充分证据的EFE指控。2007-2012年间的APS案例文件与2006-2014年Medicare和Medicaid索赔数据相关联。在首次APS调查之前，之前和之后的2年中分析了服务利用率和成本。差异差异逻辑回归和广义线性模型分别解决了相对于匹配的控件产生成本和支出水平的可能性。与对照组相比，EFE的受害者使用住院和长期服务与支持（LTSS）的总体几率更高，而在调查后使用LTSS的几率更高。在APS活动年度中，较高的总体门诊和处方费用支出以及较高的住院支出使APS客户的PMPM总费用比对照组高了1,142美元。在参加APS之后，EFE的受害者对医疗服务的需求已被压抑。与对照组相比，EFE的受害者使用住院和长期服务与支持（LTSS）的总体几率更高，而在调查后使用LTSS的几率更高。在APS活动年度中，较高的总体门诊和处方费用支出以及较高的住院支出使APS客户的PMPM总费用比对照组高了1,142美元。在参加APS之后，EFE的受害者对医疗服务的需求已被压抑。与对照组相比，EFE的受害者使用住院和长期服务与支持（LTSS）的总体几率更高，而在调查后使用LTSS的几率更高。在APS活动年度中，较高的总体门诊和处方费用支出以及较高的住院支出使APS客户的PMPM总费用比对照组高了1,142美元。在参加APS之后，EFE的受害者对医疗服务的需求已被压抑。