Relationships of multimorbidity and income with hospital admissions in 3 health care systems

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.

Item ID: 36981
Item Type: Article (Refereed Research - C1)
Keywords: multimorbidity; hospital admission; cross-country analysis; population-based study; healthcare system
ISSN: 1544-1717
Date Deposited: 02 Mar 2015 05:28
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111708 Health and Community Services @ 50%
14 ECONOMICS > 1402 Applied Economics > 140207 Financial Economics @ 50%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920207 Health Policy Evaluation @ 50%
92 HEALTH > 9202 Health and Support Services > 920208 Health Inequalities @ 50%
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