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 Harry H. X. Wang
A1 Jia Ji Wang
A1 Kenny D. Lawson
A1 Samuel Y. S. Wong
A1 Martin C. S. Wong
A1 Fang Jian Li
A1 Pei Xi Wang
A1 Zhi Heng Zhou
A1 Chun Yan Zhu
A1 Yao Qun Yeong
A1 Sian M. Griffiths
A1 Stewart W. Mercer
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.