Wang, Harry H.X., Wang, Jia Ji, Lawson, Kenny D., Wong, Samuel Y.S., Wong, Martin C.S., Li, Fang Jian, Wang, Pei Xi, Zhou, Zhi Heng, Zhu, Chun Yan, Yeong, Jason Yao Q., Griffiths, Sian M., and Mercer, Stewart W. (2015) Relationships of multimorbidity and income with hospital admissions in 3 health care systems. Annals of Family Medicine, 13 (2). pp. 164-167.

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Abstract

Associations of multimorbidity and income with hospital admission were investigated in population samples from 3 widely differing health care systems: Scotland (n = 36,921), China (n = 162,464), and Hong Kong (n = 29,187). Multimorbidity increased odds of admissions in all 3 settings. In Scotland, poorer people were more likely to be admitted (adjusted odds ratio [aOR] = 1.62; 95% CI, 1.41-1.86 for the lowest income group vs the highest), whereas China showed the opposite (aOR = 0.58; 95% CI, 0.56-0.60). In Hong Kong, poorer people were more likely to be admitted to public hospitals (aOR = 1.68; 95% CI, 1.36- 2.07), but less likely to be admitted to private ones (aOR = 0.18; 95% CI, 0.13- 0.25). Strategies to improve equitable health care should consider the impact of socioeconomic deprivation on the use of health care resources, particularly among populations with prevalent multimorbidity.

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