1. Relationships of Multimorbidity and Income With Hospital Admissions in 3 Health Care Systems.
- Author
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Wang, Harry H. X., Jia Ji Wang, Lawson, Kenny D., Wong, Samuel Y. S., Wong, Martin C. S., Fang Jian Li, Pei Xi Wang, Zhi Heng Zhou, Chun Yan Zhu, Yao Qun Yeong, Griffiths, Sian M., and Mercer, Stewart W.
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HOSPITAL admission & discharge , *INCOME , *MEDICAL care , *POOR people , *SOCIOECONOMIC factors - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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