RT Journal Article
SR Electronic
T1 Relationships of Multimorbidity and Income With Hospital Admissions in 3 Health Care Systems
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 164
OP 167
DO 10.1370/afm.1757
VO 13
IS 2
A1 Wang, Harry H. X.
A1 Wang, Jia Ji
A1 Lawson, Kenny D.
A1 Wong, Samuel Y. S.
A1 Wong, Martin C. S.
A1 Li, Fang Jian
A1 Wang, Pei Xi
A1 Zhou, Zhi Heng
A1 Zhu, Chun Yan
A1 Yeong, Yao Qun
A1 Griffiths, Sian M.
A1 Mercer, Stewart W.
YR 2015
UL http://www.annfammed.org/content/13/2/164.abstract
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.