Relationships of multimorbidity and income with hospital admissions in 3 health care systems

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

doi:10.1370/afm.1757

Relationships of multimorbidity and income with hospital admissions in 3 health care systems

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

Western Sydney University

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	164-167
Number of pages	4
Journal	Annals of Family Medicine
Volume	13
Issue number	2
DOIs	https://doi.org/10.1370/afm.1757
Publication status	Published - 2015

Keywords

chronic diseases
health care
morbidity

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1370/afm.1757

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@article{d72dd698cede46e1803029ee1f6ff2f5,

title = "Relationships of multimorbidity and income with hospital admissions in 3 health care systems",

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.",

keywords = "chronic diseases, health care, morbidity",

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

year = "2015",

doi = "10.1370/afm.1757",

language = "English",

volume = "13",

pages = "164--167",

journal = "Annals of Family Medicine",

issn = "1544-1709",

publisher = "Annals of Family Medicine ",

number = "2",

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TY - JOUR

T1 - Relationships of multimorbidity and income with hospital admissions in 3 health care systems

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.

PY - 2015

Y1 - 2015

N2 - 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.

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.

KW - chronic diseases

KW - health care

KW - morbidity

UR - http://handle.uws.edu.au:8081/1959.7/uws:35520

U2 - 10.1370/afm.1757

DO - 10.1370/afm.1757

M3 - Article

SN - 1544-1709

VL - 13

SP - 164

EP - 167

JO - Annals of Family Medicine

JF - Annals of Family Medicine

IS - 2

ER -

Relationships of multimorbidity and income with hospital admissions in 3 health care systems

Abstract

Keywords

UN SDGs

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