三种医疗保健系统中多种疾病与收入和住院情况的关系。
Relationships of multimorbidity and income with hospital admissions in 3 health care systems.
作者信息
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
机构信息
JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.
School of Public Health, Guangzhou Medical University, Guangzhou, Peoples' Republic of China.
出版信息
Ann Fam Med. 2015 Mar;13(2):164-7. doi: 10.1370/afm.1757.
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.
在来自3个差异很大的医疗保健系统的人群样本中，研究了多种疾病并存和收入与住院情况之间的关联：苏格兰（n = 36,921）、中国（n = 162,464）和香港（n = 29,187）。在所有3种情况下，多种疾病并存都会增加住院几率。在苏格兰，较贫困人群更有可能住院（最低收入组与最高收入组相比，调整后的优势比[aOR]=1.62；95%置信区间[CI]，1.41 - 1.86），而中国则相反（aOR = 0.58；95% CI，0.56 - 0.60）。在香港，较贫困人群更有可能入住公立医院（aOR = 1.68；95% CI，1.36 - 2.07），但入住私立医院的可能性较小（aOR = 0.18；95% CI，0.13 - 0.25）。改善公平医疗保健的策略应考虑社会经济剥夺对医疗保健资源使用的影响，特别是在多种疾病普遍存在的人群中。
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