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

Wang, Harry H X; Wang, Jia Ji; Lawson, Kenny D; Wong, Samuel Y S; Wong, Martin C S; Li, Fang Jian; Wang, Pei Xi; Zhou, Zhi Heng; Zhu, Chun Yan; Yeong, Yao Qun; Griffiths, Sian M; Mercer, Stewart W.
Ann Fam Med; 13(2): 164-7, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25755038
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.
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