| Literature DB >> 25755038 |
Harry H X Wang1, Jia Ji Wang2, Kenny D Lawson3, Samuel Y S Wong4, Martin C S Wong4, Fang Jian Li2, Pei Xi Wang2, Zhi Heng Zhou2, Chun Yan Zhu2, Yao Qun Yeong5, Sian M Griffiths4, Stewart W Mercer6.
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.Entities:
Keywords: chronic disease; cross-country analysis; health care system; hospital admission; multimorbidity; population-based study; socioeconomic factors
Mesh：
Year: 2015 PMID： 25755038 PMCID： PMC4369606 DOI： 10.1370/afm.1757
Source DB: PubMed Journal: Ann Fam Med ISSN： 1544-1709 Impact factor: 5.166