PT - JOURNAL ARTICLE AU - Wang, Harry H. X. AU - Wang, Jia Ji AU - Lawson, Kenny D. AU - Wong, Samuel Y. S. AU - Wong, Martin C. S. AU - Li, Fang Jian AU - Wang, Pei Xi AU - Zhou, Zhi Heng AU - Zhu, Chun Yan AU - Yeong, Yao Qun AU - Griffiths, Sian M. AU - Mercer, Stewart W. TI - Relationships of Multimorbidity and Income With Hospital Admissions in 3 Health Care Systems AID - 10.1370/afm.1757 DP - 2015 Mar 01 TA - The Annals of Family Medicine PG - 164--167 VI - 13 IP - 2 4099 - http://www.annfammed.org/content/13/2/164.short 4100 - http://www.annfammed.org/content/13/2/164.full SO - Ann Fam Med2015 Mar 01; 13 AB - 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.