Relationships of Multimorbidity and Income With Hospital Admissions in 3 Health Care Systems

被引：57

作者：

Wang, Harry H. X. ^{[1
,2
]}

Wang, Jia Ji ^{[3
]}

Lawson, Kenny D. ^{[4
]}

Wong, Samuel Y. S. ^{[1
]}

Wong, Martin C. S. ^{[1
]}

Li, Fang Jian ^{[3
]}

Wang, Pei Xi ^{[3
]}

Zhou, Zhi Heng ^{[3
]}

Zhu, Chun Yan ^{[3
]}

Yeong, Yao Qun ^{[2
]}

Griffiths, Sian M. ^{[1
]}

Mercer, Stewart W. ^{[2
]}

机构：

[1] Chinese Univ Hong Kong, Fac Med, JC Sch Publ Hlth & Primary Care, Shatin, Hong Kong, Peoples R China

[2] Univ Glasgow, Inst Hlth & Wellbeing, Gen Practice & Primary Care, Glasgow G12 9LX, Lanark, Scotland

[3] Guangzhou Med Univ, Sch Publ Hlth, Guangzhou, Guangdong, Peoples R China

[4] James Cook Univ, Ctr Res Excellence Prevent Chron Condit Rural & R, Cairns, Qld, Australia

来源：

ANNALS OF FAMILY MEDICINE | 2015年 / 13卷 / 02期

关键词：

multimorbidity; chronic disease; hospital admission; cross-country analysis; population-based study; socioeconomic factors; health care system; SOUTHERN CHINA; EPIDEMIOLOGY; DEPRIVATION;

D O I：

10.1370/afm.1757

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

100235 [预防医学];

摘要：

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.

引用

页码：164 / 167

页数：4

共 10 条

[1]

Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study [J].