European Centre for Environment and Human Health, University of Exeter Medical School, Exeter, Devon, UK.
BMJ Open. 2019 Jan 15;9(1):e025305. doi: 10.1136/bmjopen-2018-025305.
This study explores the factors associated with health service use for individuals with cardiovascular disease (CVD) and comorbidity in the Ireland.
Population-based cross-sectional survey.
Nationally representative health and health service use survey from the 2010 Quarterly National Household Survey was analysed.
Four outcome variables were examined: no CVD, CVD only, CVD with CVD-related comorbidities and CVD with non-CVD-related comorbidity.
Of the 791 individuals reporting doctor-diagnosed CVD, 77% had a second morbidity. Using type of healthcare coverage as a proxy for socioeconomic status, both CVD-related and non CVD-related comorbidity increases the use of health service usage substantially for individuals with CVD, particularly general practitioner services (8.47, CI 4.49 to 15.96 and 5.20, CI 2.10 to 12.84) and inpatient public hospital care (3.64, CI 2.93 to 4.51 and 3.00, CI 2.11 to 4.26).
This study indicated that even when demographic and socioeconomic factors are controlled for, comorbidity significantly increases the risk of accessing health services for individuals with CVD.
本研究探讨了爱尔兰心血管疾病（CVD）合并症患者的健康服务利用相关因素。
基于人群的横断面调查。
对 2010 年季度全国住户调查中具有全国代表性的健康和健康服务利用调查进行了分析。
研究考察了四个结局变量：无 CVD、仅有 CVD、CVD 伴 CVD 相关合并症和 CVD 伴非 CVD 相关合并症。
在报告有医生诊断的 CVD 的 791 名个体中，77%有第二种合并症。使用医疗保健覆盖类型作为社会经济地位的替代指标，CVD 相关和非 CVD 相关合并症都会显著增加 CVD 患者的健康服务利用，特别是全科医生服务（8.47，CI 4.49 至 15.96 和 5.20，CI 2.10 至 12.84）和住院公立医院护理（3.64，CI 2.93 至 4.51 和 3.00，CI 2.11 至 4.26）。
本研究表明，即使控制了人口统计学和社会经济因素，合并症也会显著增加 CVD 患者获得健康服务的风险。
