Prazeres Filipe
Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal; Family Health Unit Beira Ria, Gafanha da Nazaré, Portugal; CINTESIS@RISE, MEDCIDS, Faculty of Medicine of the University of Porto, Porto, Portugal.
Public Health. 2025 Mar;240:18-20. doi: 10.1016/j.puhe.2025.01.005. Epub 2025 Jan 22.
The goal of this study was to explore the prevalence of multimorbidity, its geographic variation, and changes from 2022 to 2024 in Portugal.
Information regarding the chronic health conditions active in the primary healthcare patients' health problems lists on the electronic health records are derived from the digital platform Identity Card of Primary Healthcare (Bilhete de Identidade dos Cuidados de Saúde Primários, BI CSP) data for the period of 2022 and 2024.
BI CSP nationwide data from May 2024 of the 10,366,861 registered users in Portuguese primary healthcare were used to determine the prevalence of multimorbidity (presence of 2 or more chronic health conditions) and analize differences to 2022.
By May 2024, 73.7 % of the population (7.64 million out of 10.37 million registered users in primary healthcare) were living with multimorbidity, indicating a 4.7 % increase from 2022. The most common chronic conditions in 2024 included lipid disorders, hypertension, obesity, and tobacco abuse. Regionally, multimorbidity exceeded 65 % in all zones, with the North (78.9 %) and Alentejo (78.3 %) regions having the highest rates. The prevalence increased across all regions, with the North region showing the smallest increase from 2022 to 2024.
The prevalence of multimorbidity in Portugal is increasingly high across all the regions considered. Additional studies will be helpful in determining the extent to which the now-reported high prevalence of multimorbidity will impact the healthcare system in Portugal.
本研究的目的是探讨葡萄牙2022年至2024年期间多重疾病的患病率、地理差异及其变化情况。
关于初级医疗保健患者电子健康记录中健康问题清单上的慢性健康状况的信息，来源于2022年至2024年期间初级医疗保健身份证数字平台（Bilhete de Identidade dos Cuidados de Saúde Primários，BI CSP）的数据。
使用2024年5月葡萄牙初级医疗保健中10366861名注册用户的BI CSP全国数据，来确定多重疾病的患病率（存在两种或更多慢性健康状况），并分析与2022年的差异。
到2024年5月，73.7%的人口（初级医疗保健中1037万注册用户中的764万）患有多重疾病，比2022年增加了4.7%。2024年最常见的慢性病包括血脂异常、高血压、肥胖和烟草滥用。在各地区，所有区域的多重疾病患病率均超过65%，北部（78.9%）和阿连特茹（78.3%）地区的患病率最高。所有地区的患病率都有所上升，北部地区从2022年到2024年的增幅最小。
在所考虑的所有地区，葡萄牙多重疾病的患病率越来越高。进一步的研究将有助于确定目前报告的高多重疾病患病率对葡萄牙医疗系统的影响程度。
