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

Annals of Family Medicine
Harry H X WangStewart W Mercer

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.

References

Nov 21, 2007·Annals of Family Medicine·Stewart W Mercer, Graham C M Watt
Feb 21, 2013·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Rupert A PayneStewart W Mercer
Nov 13, 2013·Annals of Family Medicine·Harry H X WangSian M Griffiths

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Citations

Oct 1, 2015·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Noe GarinJosep Maria Haro
Apr 29, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Michal ShaniSian M Griffiths
May 18, 2017·Revista de saúde pública·Ana Paula Santana Coelho AlmeidaLuiz Augusto Facchini
May 12, 2017·Revista de saúde pública·Bruno Pereira NunesLuiz Augusto Facchini
Oct 3, 2019·Ciência & saúde coletiva·Mariana Reis SantimariaAndré Fattori
Jan 25, 2020·European Journal of Public Health·Guilherme Quinaz RomanaCarlos Matias Dias
Sep 17, 2019·Journal of Comorbidity·Alanna M ChamberlainJennifer L St Sauver
Dec 1, 2019·International Journal of Environmental Research and Public Health·Sukyong Seo
Dec 2, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Marina Soley-BoriJulia Fox-Rushby
Dec 17, 2020·Journal of Interpersonal Violence·T SathyaY Selvamani
Dec 17, 2020·Journal of Clinical Medicine·Roselyne AkugizibweDavide L Vetrano
Sep 30, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Xiu-Jing HuStewart W Mercer

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