Department of Pharmacy Practice and Science, University of Arizona College of Pharmacy, USA.
J Aging Health. 2021 Oct;33(9):741-750. doi: 10.1177/08982643211011841. Epub 2021 Apr 21.
This cross-sectional study compared the healthcare expenditures associated with multimorbidity (having ≥2 chronic conditions) versus no multimorbidity among older United States (US) adults (aged ≥ 50 years) with self-reported pain in the past 4 weeks. This research used data from the 2018 Medical Expenditure Panel Survey. Adjusted linear regression models evaluated group differences in various annual healthcare expenditures. Descriptive statistics indicated multimorbidity was associated with all personal characteristics ( < 0.05) except gender and smoking status ( > 0.05). Multimorbidity had 75.8% greater annual total health expenditures ( = 0.0083), 40.6% greater office-based expenditures ( = 0.0224), 100.6% greater prescription medication costs, ( = 0.0268), yet 47.3% lower inpatient expenditures ( = 0.0158), and 56.6% lower home healthcare expenditures ( < 0.0001) than no multimorbidity. This study found greater healthcare expenditures among older US adults with pain and multimorbidity, which captures the financial burden of comorbidity in this population.
这项横断面研究比较了在过去四周内报告有疼痛的美国（≥50 岁）老年患者中，患有多种慢性疾病（≥2 种慢性疾病）与无多种慢性疾病患者的医疗保健支出。本研究使用了 2018 年医疗支出调查的数据。调整后的线性回归模型评估了不同年度医疗保健支出的组间差异。描述性统计数据表明，多种慢性疾病与所有个人特征相关（<0.05），除了性别和吸烟状况（>0.05）。多种慢性疾病导致年度总健康支出增加 75.8%（=0.0083），门诊支出增加 40.6%（=0.0224），处方药费用增加 100.6%（=0.0268），但住院支出减少 47.3%（=0.0158），家庭保健支出减少 56.6%（<0.0001）。本研究发现，疼痛和多种慢性疾病的美国老年患者的医疗保健支出更高，这反映了该人群共病的经济负担。
